Evidence map›Paper›PMID 33942447›Full record

Trial reportHaemophilia : the official journal of the World Federation of Hemophilia2021

The SLIM study-Shared medical appointments to change lifestyles of overweight people with haemophilia: A randomized multiple baseline (n-of-1) design.

Marcel A L Hendriks, Johanna W M van Wanroij, Britta A P Laros-van Gorkom, Maria W G Nijhuis-van der Sanden, Thomas J Hoogeboom

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Haemophilia : the official journal of the World Federation of Hemophilia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 40% 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

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

  1. Pooled it
  2. Article
  3. Review
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 at 1 institution in 1 country.

Marcel A L HendriksDepartment of Health Innovations and Technology, Research Group Empowering Healthy Behaviour, Fontys University of Applied Sciences, Eindhoven, the Netherlands.ORCID https://orcid.org/0000-0001-5853-1160
Johanna W M van WanroijDepartment of Haematology, Radboud university medical center, Nijmegen, the Netherlands.
Britta A P Laros-van GorkomDepartment of Haematology, Radboud university medical center, Nijmegen, the Netherlands.
Maria W G Nijhuis-van der SandenRadboud Institute for Health Sciences, IQ Healthcare, Radboud university medical center, Nijmegen, the Netherlands.
Thomas J HoogeboomRadboud Institute for Health Sciences, IQ Healthcare, Radboud university medical center, Nijmegen, the Netherlands.
Radboud University Nijmegen · NL

Funding

Bayer Hemophilia Awards Program Caregiver Award
6 · The paper itself

Abstract

introductionPeople with haemophilia suffer from haemophilic joint disease that may result in physical inactivity and overweight. Shared medical appointments (SMAs) might help limit the consequences of haemophilic arthropathy. SMAs are group meetings supervised by one or more healthcare professionals that can be utilized to improve lifestyle.

aimTo evaluate the feasibility and efficacy of SMAs in people with haemophilia to improve physical activity and eating habits.

methodsA multiple baseline single-case design was used. Overweight people with haemophilia were eligible to participate. Seven weekly SMAs were conducted using multiple behavioural change techniques to improve physical activity and eating habits. Feasibility of SMAs was evaluated using (a) dropout rate, (b) occurrence of adverse events (AEs), (c) adherence rate and (d) patient satisfaction. During 13 weeks, physical activity was measured daily and eating habits were measured three times per week. The efficacy of SMAs was determined using randomization tests and visual data inspection.

resultsOut of the six men participating in the study, one participant dropped out. No study-related AEs occurred. The adherence rate of SMAs was 80%, and participants reported to be 'very satisfied' with the SMAs. Randomization tests and visual analyses demonstrated (statistical) improvements in physical activity (p = .03). No effect was found in self-reported eating habits (p = .55).

conclusionShared medical appointments are feasible in people with haemophilia and appear to improve physical activity. The effect on improving eating habits could not be established. Scientific replication of our approach is warranted to confirm or refute the merit of SMAs in people with haemophilia.

Indexed as

Hemophilia AShared Medical AppointmentsExerciseHumansLife StyleMaleOverweightbehaviour therapiesdietary habitsgroup therapyHemophiliaphysical activityself-management

Identifiers

PMID33942447
PMCPMC8360008
OpenAlexW2975158881

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.