Evidence map›Paper›PMID 33886949›Full record

Trial reportRevista de saude publica2021

Impact of matrix support on older adults in primary care: randomized community trial.

Luciana Colares Maia, Thomaz de Figueiredo Braga Colares, Edgar Nunes de Morais, Simone de Melo Costa, Antônio Prates Caldeira

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Revista de saude publica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Luciana Colares MaiaUniversidade Estadual de Montes Claros. Centro Mais Vida Eny Faria de Oliveira. Departamento de Clínica Médica. Montes Claros, MG, Brasil.ORCID http://orcid.org/0000-0001-6359-3593
Thomaz de Figueiredo Braga ColaresUniversidade Estadual de Montes Claros. Centro Mais Vida Eny Faria de Oliveira. Montes Claros. MG, Brasil.ORCID http://orcid.org/0000-0003-3215-447X
Edgar Nunes de MoraisUniversidade Federal de Minas Gerais. Instituto Jenny Faria de Oliveira. Núcleo de Geriatria e Gerontologia. Belo Horizonte, MG, Brasil.ORCID http://orcid.org/0000-0002-8923-1029
Simone de Melo CostaUniversidade Estadual de Montes Claros. Centro de Ciências Biológicas e da Saúde. Departamento de Odontologia. Montes Claros, MG, Brasil.ORCID http://orcid.org/0000-0002-0266-018X
Antônio Prates CaldeiraUniversidade Estadual de Montes Claros. Centro de Ciências Biológicas e da Saúde. Departamento de Saúde da Mulher e da Criança. Montes Claros, MG, Brasil.ORCID http://orcid.org/0000-0002-9990-9083

Funding

NCIRD CDC HHS U01 IP000128
6 · The paper itself

Abstract

objectiveTo analyze the effect of matrix support on health for older adults in primary care according to the dimensions of frailty measured with the Clinical-Functional Vulnerability Index-20 (IVCF-20).

methodsThis is a randomized controlled community trial, developed in the Northern Minas Gerais state, Brazil, in 2018. Initially, the stratification of clinical and functional vulnerability of older adults supported by six Family Health Strategy teams occurred with the IVCF-20. Subsequently, three teams were drawn to receive matrix support for six months, and the others for control. In this intervention, face-to-face educational activities were developed for health teams. Descriptive statistics were performed, followed by bivariate analysis by Pearson's chi-square test, to compare the variables of the IVCF-20 between the two moments (before and after the intervention), with a 5% significance level. Relative risks and respective 95% confidence intervals (95%CI) were estimated.

resultsThe groups were similar before intervention, and the effect of matrix actions was positive for most dimensions measured by IVCF-20 (instrumental daily living activity, cognition, mood, mobility, communication, and multiple comorbidities). At the end of the research, the percentage of frailty in the group assisted by professionals participating in matrix support was lower than that of the control group.

conclusionsMatrix support actions, such as pedagogical attribution and horizontal care for health teams, have the potential to contribute to the articulation of models of care for older adults. REBEC: registro BR-7b9xff.

Indexed as

Activities of Daily LivingFrailtyAgedBrazilHumansPrimary Health Care

Identifiers

PMID33886949
PMCPMC8023320

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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.