Evidence map›Paper›PMID 34100234›Full record

Trial reportJournal of general internal medicine2022

Effect of an eHealth intervention on older adults' quality of life and health-related outcomes: a randomized clinical trial.

David H Gustafson, Rachel Kornfield, Marie-Louise Mares, Darcie C Johnston, Olivia J Cody, Ellie Fan Yang, David H Gustafson, Juwon Hwang, Jane E Mahoney, John J Curtin and 2 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02128789 (Bring Communities and Technology Together for Healthy Aging), which is not on this map. Cited by 19 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 7 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.

NCT02128789 nacompletednot on this map

Bring Communities and Technology Together for Healthy Aging

TypeinterventionalSponsorUniversity of Wisconsin, MadisonRan2011 to 2016Enrolled600Conditions65 Years Older, Requires IADL Support, Past Year History of Falls and/or HospitalizationArmsElder Tree website
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  12. Seeing the Truth About Double Blinding.Journal of general internal medicine · 2024
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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

12 authors.

David H GustafsonCenter for Health Enhancement Systems Studies, College of Engineering, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Rachel KornfieldCenter for Behavioral Intervention Technologies, Department of Preventive Medicine, Northwestern University, Evanston, Illinois, USA.
Marie-Louise MaresDepartment of Communication Arts, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Darcie C JohnstonCenter for Health Enhancement Systems Studies, College of Engineering, University of Wisconsin-Madison, Madison, Wisconsin, USA. dcjohnston@wisc.edu.ORCID 0000-0002-1403-5242
Olivia J CodyCenter for Health Enhancement Systems Studies, College of Engineering, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Ellie Fan YangSchool of Journalism and Mass Communication, University of Wisconsin-Madison, Madison, Wisconsin, USA.
David H GustafsonCenter for Health Enhancement Systems Studies, College of Engineering, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Juwon HwangSchool of Journalism and Mass Communication, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Jane E MahoneyDepartment of Medicine, University of Wisconsin-Madison, Madison, Wisconsin, USA.
John J CurtinDepartment of Psychology, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Alexander TahkDepartment of Political Science, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Dhavan V ShahSchool of Journalism and Mass Communication, University of Wisconsin-Madison, Madison, Wisconsin, USA.

Funding

Technology Enabled Services for Coordinated Care of Depression in Healthcare SettingsP50MH119029 · NIMH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI DAVID CURTIS MOHR · 2020 to 2026
$10.7M
Bringing Communities and Technology Together for Healthy AgingP50HS019917 · AHRQ · UNIVERSITY OF WISCONSIN-MADISON · PI GUSTAFSON, DAVID H · 2011 to 2015
$9.5M
Contextualized daily prediction of lapse risk in opioid use disorder by digital phenotypingR01DA047315 · NIDA · UNIVERSITY OF WISCONSIN-MADISON · PI CURTIN, JOHN J., SHAH, DHAVAN · 2019 to 2023
$3.4M
AHRQ HHS P50 HS019917AHRQ HHS P50HS019917NIDA NIH HHS R01 DA047315NIMH NIH HHS P50 MH119029
6 · The paper itself

Abstract

backgroundBy 2030, the number of US adults age ≥65 will exceed 70 million. Their quality of life has been declared a national priority by the US government.

objectiveAssess effects of an eHealth intervention for older adults on quality of life, independence, and related outcomes.

designMulti-site, 2-arm (1:1), non-blinded randomized clinical trial. Recruitment November 2013 to May 2015; data collection through November 2016.

settingThree Wisconsin communities (urban, suburban, and rural).

participantsPurposive community-based sample, 390 adults age ≥65 with health challenges. EXCLUSIONS: long-term care, inability to get out of bed/chair unassisted.

interventionAccess (vs. no access) to interactive website (ElderTree) designed to improve quality of life, social connection, and independence. MEASURES: Primary outcome: quality of life (PROMIS Global Health). Secondary: independence (Instrumental Activities of Daily Living); social support (MOS Social Support); depression (Patient Health Questionnaire-8); falls prevention (Falls Behavioral Scale). Moderation: healthcare use (Medical Services Utilization). Both groups completed all measures at baseline, 6, and 12 months.

resultsThree hundred ten participants (79%) completed the 12-month survey. There were no main effects of ElderTree over time. Moderation analyses indicated that among participants with high primary care use, ElderTree (vs. control) led to better trajectories for mental quality of life (OR=0.32, 95% CI 0.10-0.54, P=0.005), social support received (OR=0.17, 95% CI 0.05-0.29, P=0.007), social support provided (OR=0.29, 95% CI 0.13-0.45, P<0.001), and depression (OR= -0.20, 95% CI -0.39 to -0.01, P=0.034). Supplemental analyses suggested ElderTree may be more effective among people with multiple (vs. 0 or 1) chronic conditions. LIMITATIONS: Once randomized, participants were not blind to the condition; self-reports may be subject to memory bias.

conclusionInterventions like ET may help improve quality of life and socio-emotional outcomes among older adults with more illness burden. Our next study focuses on this population.

trial registrationClinicalTrials.gov ; registration ID number: NCT02128789.

Indexed as

Quality of LifeTelemedicineActivities of Daily LivingAgedChronic DiseaseHumansSurveys and QuestionnairesdepressioneHealtholder adultsquality of lifetelemedicine

Identifiers

PMID34100234
PMCPMC8183591

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.