Evidence map›Paper›PMID 33526499›Full record

ArticleBMJ open2021

Link workers providing social prescribing and health and social care coordination for people with multimorbidity in socially deprived areas (the LinkMM trial): protocol for a pragmatic randomised controlled trial.

Bridget Kiely, Barbara Clyne, Fiona Boland, Patrick O'Donnell, Deirdre Connolly, Eamon O'Shea, Susan M Smith

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Observational
  6. Article
  7. Observational
  8. Prospects and Aspirations for Workforce Training and Education in Social Prescribing.International journal of environmental research and public health · 2023
    Article
  9. Multimorbidity.Nature reviews. Disease primers · 2022
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. 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.

Bridget KielyDepartment of General Practice, HRB Centre for Primary Care Research, Royal College of Surgeons, Dublin, Ireland bridgetkiely@rcsi.com.
Barbara ClyneDepartment of General Practice, HRB Centre for Primary Care Research, Royal College of Surgeons, Dublin, Ireland.ORCID 0000-0002-1186-9495
Fiona BolandDepartment of General Practice, HRB Centre for Primary Care Research, Royal College of Surgeons, Dublin, Ireland.ORCID 0000-0003-3228-0046
Patrick O'DonnellPrimary Healthcare, Graduate Entry Medical School, University of Limerick, Limerick, Ireland.
Deirdre ConnollyDiscipline of Occupational Therapy, Trinity College, Dublin, Ireland.
Eamon O'SheaSchool of Business and Economics, National University of Ireland, Galway, Ireland.
Susan M SmithDepartment of General Practice, HRB Centre for Primary Care Research, Royal College of Surgeons, Dublin, Ireland.ORCID 0000-0001-6027-2727

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLink workers are non-health or social care professionals based in primary care who support people to develop and achieve a personalised set of health and social goals by engaging with community resources. Link workers have been piloted in areas of deprivation, but there remains insufficient evidence to support their effectiveness. Multimorbidity is increasing in prevalence, but there are limited evidence-based interventions. This paper presents the protocol for a randomised controlled trial (RCT) that will test the effectiveness of link workers based in general practices in deprived areas in improving health outcomes for people with multimorbidity. METHODS AND ANALYSIS: The protocol presents the proposed pragmatic RCT, involving 10 general practitioner (GP) practices and 600 patients. Eligible participants will be community dwelling adults with multimorbidity (≥two chronic conditions) identified as being suitable for referral to a practice-based link worker. Following baseline data collection, the patients will be randomised into intervention group that will meet the link worker over a1-month period, or a 'wait list' control that will receive usual GP care. Primary outcomes are health-related quality of life as assessed by EQ-5D-5L and mental health assessed by Hospital Anxiety and Depression Scale. Secondary outcomes are based on the core outcome set for multimorbidity. Data will be collected at baseline and on intervention completion at 1 month using questionnaires self-completed by participants and GP records. Parallel process and economic analyses will be conducted to explore participants' experiences and examine cost-effectiveness of the link worker intervention. ETHICS AND DISSEMINATION: Ethical approval has been granted by the Irish College of General Practitioners Ethics Committee. The findings will be published in peer-reviewed journals. TRIAL REGISTRATION NUMBER: ISRCTN10287737;Pre-results.

Indexed as

MultimorbiditySocial SupportAdultChronic DiseaseCost-Benefit AnalysisHumansPragmatic Clinical Trials as TopicQuality of LifeRandomized Controlled Trials as Topicpreventive medicineprimary caresocial medicine

Identifiers

PMID33526499
PMCPMC7852975

What OpenQuestion holds

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Registered trials

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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.