Evidence map›Paper›PMID 34321281›Full record

SynthesisJournal of epidemiology and community health2021

Behavioural interventions for CVD risk reduction for blue-collar workers: a systematic review.

Melissa M Crane, Shannon Halloway, Zoe L Walts, Kara L Gavin, Angela Moss, Jennifer C Westrick, Bradley M Appelhans

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Journal of epidemiology and community health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
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  8. Diabetic Kidney Disease Prevention Care Model Development.Clinical diabetes : a publication of the American Diabetes Association · 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

7 authors at 3 institutions in 1 country.

Melissa M CraneDepartment of Preventive Medicine, Rush University Medical Center, Chicago, Illinois, USA Melissa_M_Crane@rush.edu.ORCID 0000-0002-1458-2692
Shannon HallowayDepartment of Community, Systems and Mental Health Nursing, Rush University Medical Center, Chicago, Illinois, USA.
Zoe L WaltsNeuroscience Program, Lake Forest College, Lake Forest, Illinois, USA.
Kara L GavinDepartment of Surgery, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Angela MossDepartment of Community, Systems and Mental Health Nursing, Rush University Medical Center, Chicago, Illinois, USA.
Jennifer C WestrickLibrary of Rush University Medical Center, Chicago, Illinois, USA.
Bradley M AppelhansDepartment of Preventive Medicine, Rush University Medical Center, Chicago, Illinois, USA.
Rush University Medical Center · USSociety for Neuroscience · USUniversity of Wisconsin–Madison · US

Funding

Engaging men from blue-collar industries in weight loss: Tailoring recruitment and treatment approachesK01DK119457 · NIDDK · RUSH UNIVERSITY MEDICAL CENTER · PI CRANE, MELISSA MARIE · 2019 to 2023
$748k
NIDDK NIH HHS K01 DK119457
6 · The paper itself

Abstract

objectivesIndividuals working in blue-collar occupations experience high rates of cardiovascular disease (CVD). The purpose of this systematic review is to describe the characteristics and efficacy of behavioural interventions that have targeted CVD risk factors in this high-risk group.

methodsFollowing Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we searched seven databases to find interventions focused on changing the following: blood pressure, cholesterol, diet, physical activity, smoking or weight. Eligible studies tested a behavioural intervention (not exclusively policy, environmental, or pharmaceutical), in individuals working in blue-collar occupations using a randomised study design. Study quality was evaluated using the National Heart, Lung, and Blood Institute's study quality assessment tool.

results22 studies evaluating 31 interventions were included: 11 were rated as 'good' or 'fair' quality. Intervention intensity ranged from a single contact via a mailed letter to studies that included individual-level contacts at multiple time points between staff and participants. Studies that included at least some individual contact generally yielded the greatest effects. Interventions had the greatest observed effects on self-report changes in diet, regardless of intervention intensity. Four of the five higher quality studies that explicitly tailored the intervention to the occupational group were successful at reducing at least one risk factor.

conclusionsInterventions that used individual contact and tailored the intervention to the occupational setting yielded the greatest effects on CVD risk-factor reduction in individuals working in blue-collar occupations. Generally, studies were low quality but showed promising effects for reaching this high-risk population. Future work should incorporate these promising findings in higher quality studies. PROSPERO REGISTRATION NUMBER: CRD42019136183.

Indexed as

Cardiovascular DiseasesExerciseDietHumansRisk FactorsRisk Reduction Behaviorhealth promotionoccupational healthpublic health

Identifiers

PMID34321281
PMCPMC8595631
OpenAlexW3183830642

What OpenQuestion holds

Textmetadata
LicenceTDM
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.