Evidence map›Paper›PMID 36662615›Full record

Trial reportPsychosomatic medicine

eHealth to Improve Psychological Functioning and Self-Management of People With Chronic Kidney Disease: A Randomized Controlled Trial.

Cinderella K Cardol, Henriët van Middendorp, Elise Dusseldorp, Paul J M van der Boog, Luuk B Hilbrands, Gerjan Navis, Yvo W J Sijpkens, Andrea W M Evers, Sandra van Dijk, E-GOAL Study Group

Open access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Psychosomatic medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
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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

10 authors at 2 institutions in 1 country.

Cinderella K CardolFrom the Faculty of Social and Behavioural Sciences, Institute of Psychology, Health, Medical and Neuropsychology Unit (Cardol, van Middendorp, Evers, van Dijk); Faculty of Social and Behavioural Sciences, Institute of Psychology, Methodology and Statistics Unit (Dusseldorp), Leiden University; Department of Nephrology (van der Boog), Leiden University Medical Center, Leiden; Department of Nephrology (Hilbrands), Radboud university medical center, Nijmegen; Department of Nephrology (Navis), University Medical Center Groningen, Groningen; Department of Internal Medicine (Sijpkens), Haaglanden Medical Center Bronovo, The Hague; and Medical Delta & Leiden-Delft-Erasmus Universities (Evers, van Dijk), Leiden, the Netherlands.
Henriët van Middendorp
Elise Dusseldorp
Paul J M van der Boog
Luuk B Hilbrands
Gerjan Navis
Yvo W J Sijpkens
Andrea W M Evers
Sandra van Dijk
E-GOAL Study Group
Leiden University · NLUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePsychological distress is common among patients with chronic kidney disease and can interfere with disease self-management. We assessed the effectiveness of the personalized E-GOAL electronic health care pathway with screening and cognitive-behavioral therapy including self-management support, aimed to treat psychological distress and facilitate self-management among people with chronic kidney disease not on dialysis ( N = 121).

methodsPrimary outcome of the open two-arm parallel randomized controlled trial in four Dutch hospitals was psychological distress at posttest directly after the intervention and at 3-month follow-up. Secondary outcomes were physical and mental health-related quality of life, self-efficacy, chronic disease self-management, and personalized outcomes, that is, perceived progress compared with the previous time point on functioning (e.g., mood or social functioning) and self-management (e.g., dietary or medication adherence) outcomes that were prioritized by each individual.

resultsLinear mixed-effects analyses showed no significant time-by-group interaction effects for psychological distress, health-related quality of life, self-efficacy, and chronic condition self-management, whereas analyses of covariance showed significantly more perceived progress in the intervention group at posttest on personally prioritized areas of functioning ( b = 0.46, 95% confidence interval = 0.07-0.85) and self-management ( b = 0.55, 95% confidence interval = 0.16-0.95), with Cohen d values of 0.46 and 0.54 (medium effects), respectively. Effects on personalized outcomes were maintained at follow-up.

conclusionsCompared with regular care only, the electronic health intervention did not reduce psychological distress, whereas personalized outcomes did improve significantly after intervention. Future studies could consider personalized outcomes that reflect individually relevant areas and treatment goals, matching person-tailored treatments.

trial registrationRegistered at the Netherlands Trial Register with study number NTR7555 ( https://trialsearch.who.int/Trial2.aspx?TrialID=NTR7555 ).

Indexed as

Cognitive Behavioral TherapyRenal Insufficiency, ChronicSelf-ManagementTelemedicineChronic DiseaseHumansQuality of Life

Identifiers

PMID36662615
PMCPMC9924966
OpenAlexW4317568318

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.