Evidence map›Paper›PMID 33405345›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2020

Muscle strengthening intervention for boys with haemophilia: Developing and evaluating a best-practice exercise programme with boys, families and health-care professionals.

Ferhana Hashem, David Stephensen, Wendy I Drechsler, Melanie Bladen, Liz Carroll, Pellatt-Higgins Tracy, Eirini-Christina Saloniki

Open access · goldAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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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 5 institutions in 2 countries.

Ferhana HashemUniversity of Kent, Centre for Health Service Studies, Canterbury, UK.ORCID 0000-0002-2544-1350
David StephensenEast Kent Hospitals University NHS Trust, Haemophilia and Thrombosis Centre, Canterbury, UK.
Wendy I DrechslerKings College London, School of Population Health & Environmental Sciences, London, UK.
Melanie BladenGreat Ormond Street Hospital For Children NHS Foundation Trust, Haemophilia Centre, London, UK.
Liz CarrollHaemophilia Society UK, London, UK.
Pellatt-Higgins TracyUniversity of Kent, Centre for Health Service Studies, Canterbury, UK.
Eirini-Christina SalonikiUniversity of Kent, Centre for Health Service Studies, Canterbury, UK.
University of Kent · GBGreat Ormond Street Hospital for Children NHS Foundation Trust · GBKing's College London · GBMultiple Sclerosis Society · GBThe Royal Free Hospital · GB

Funding

Department of Health NIHR201588Department of Health PB-PG-0215-36091
6 · The paper itself

Abstract

backgroundMuscle strengthening exercises have the potential to improve outcomes for boys with haemophilia, but it is unclear what types of exercise might be of benefit. We elicited the views of health-care professionals, boys and their families to create and assess a home-based muscle strengthening programme.

objectiveTo design and develop a muscle strengthening programme with health-care professionals aimed at improving musculoskeletal health, and refine the intervention by engaging boys with haemophilia and their families (Study 1). Following delivery, qualitatively evaluate the feasibility and acceptability of the exercise programme with the boys and the study's physiotherapists (Study 2).

designA person-based approach was used for planning and designing the exercise programme, and evaluating it post-delivery. The following methods were utilized: modified nominal group technique (NGT) with health-care professionals; focus group with families; exit interviews with boys; and interviews with the study's physiotherapists.

resultsThemes identified to design and develop the intervention included exercises to lower limb and foot, dosage, age accommodating, location, supervision and monitoring and incentivization. Programme refinements were carried out following engagement with the boys and families who commented on: dosage, location, supervision and incentivization. Following delivery, the boys and physiotherapists commented on progression and adaptation, physiotherapist contact, goal-setting, creating routines and identifying suitable timeframes, and a repeated theme of incentivization.

conclusionsAn exercise intervention was designed and refined through engagement with boys and their families. Boys and physiotherapists involved in the intervention's delivery were consulted who found the exercises to be generally acceptable with some minor refinements necessary.

Indexed as

Hemophilia AExerciseExercise TherapyFocus GroupsHumansMaleMusclesBoysExerciseHaemophiliaLife‐experienceMuscle strengthPatient adherencePhysiotherapy

Identifiers

PMID33405345
PMCPMC7696141
OpenAlexW3082524445

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.