Evidence map›Paper›PMID 33115893›Full record

Trial reportBMJ open2020

"I'm in a very good frame of mind": a qualitative exploration of the experience of standing frame use in people with progressive multiple sclerosis.

Rachel Dennett, Wendy Hendrie, Louise Jarrett, Siobhan Creanor, Andrew Barton, Annie Hawton, Jennifer A Freeman

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 49% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Rachel DennettSchool of Health Professions, Faculty of Health, University of Plymouth, Plymouth, UK.ORCID 0000-0003-0400-0502
Wendy HendriePhysiotherapy, MS Therapy Centre, Norwich, UK.
Louise JarrettMardon Neurorehabilitation Centre, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
Siobhan CreanorMedical Statistics Group, Faculty of Health, University of Plymouth, Plymouth, UK.
Andrew BartonResearch Design Service, Faculty of Health, University of Plymouth, Plymouth, UK.
Annie HawtonHealth Economics Group, University of Exeter Medical School, University of Exeter, Exeter, UK.
Jennifer A FreemanSchool of Health Professions, Faculty of Health, University of Plymouth, Plymouth, UK jenny.freeman@plymouth.ac.uk.
University of Plymouth · GBRoyal Devon & Exeter NHS Foundation Trust · GBUniversity of Exeter · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe study aim was to explore the experiences of people with progressive multiple sclerosis (MS) and their standing assistants during their participation in Standing Up in Multiple Sclerosis, a randomised controlled trial (RCT) of a home-based, self-managed standing frame programme.

designA qualitative approach, using audio diary methodology was used to collect data contemporaneously. Diary data were transcribed verbatim and analysed using thematic analysis.

settingParticipants were recruited from eight healthcare organisations in two regions of the UK. The intervention was home-based.

participantsAs part of the RCT, 140 participants were randomly allocated to either usual care or usual care plus a standing frame programme. Using a sampling matrix 12 people with progressive MS (6 female, aged 35-71 years, Expanded Disability Status Scale 6.5-8.0) and 8 standing assistants (4 female) kept audio diaries of their experiences.

interventionThe standing frame programme involved two face-to-face home-based physiotherapy sessions to set up the standing frame programme, supplemented by educational material designed to optimise self-efficacy. Participants were encouraged to stand for at least 30 min, three times a week for the 36-week study period.

resultsFour main themes were identified: "Feeling like the old me"; 'Noticing a difference'; "I want to do it right" and "You have a good day, you have a bad day".

conclusionsSupported standing helped people with progressive MS feel more like their old selves and provided a sense of normality and enjoyment. People noticed improvements in physical and psychological symptoms, which were often associated with increased participation in activities they valued. Provision of support from a physiotherapist and recognition of the variable nature of the condition were highlighted as factors to consider when establishing a standing programme. TRIAL REGISTRATION NUMBER: ISRCTN69614598.

Indexed as

Multiple SclerosisMultiple Sclerosis, Chronic ProgressiveSelf-Help DevicesAdultAgedFemaleHumansMiddle AgedPhysical Therapy ModalitiesSelf Efficacyadult neurologymultiple sclerosisneurologyrehabilitation medicine

Identifiers

PMID33115893
PMCPMC7594359
OpenAlexW3097909623

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.