Evidence map›Paper›PMID 36862585›Full record

Trial reportClinical rehabilitation2023

Bridging gaps across levels of care in rehabilitation of patients with rheumatic and musculoskeletal diseases: Results from a stepped-wedge cluster randomized controlled trial.

Gunnhild Berdal, Anne-Lene Sand-Svartrud, Anita Dyb Linge, Ann Margret Aasvold, Kjetil Tennebø, Siv G Eppeland, Anne Sirnes Hagland, Guro Ohldieck-Fredheim, Helene Lindtvedt Valaas, Ingvild Bø and 5 more

Abstract readRandomized Controlled TrialPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Clinical rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 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.

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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
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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

15 authors.

Gunnhild BerdalNorwegian National Advisory Unit on Rehabilitation in Rheumatology, Center for treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway.ORCID 0000-0003-4138-9465
Anne-Lene Sand-SvartrudNorwegian National Advisory Unit on Rehabilitation in Rheumatology, Center for treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway.
Anita Dyb LingeMuritunet Rehabilitation Centre, Valldal, Ålesund, Norway.ORCID 0000-0001-5638-5497
Ann Margret AasvoldMeråker Rehabilitation Centre, Meråker, Norway.
Kjetil TennebøValnesfjord Health Sports Centre, Valnesfjord, Norway.
Siv G EppelandDepartment of Physiotherapy, Sørlandet Hospital, Arendal, Norway.
Anne Sirnes HaglandHaugesund Hospital for Rheumatic Diseases, Haugesund, Norway.
Guro Ohldieck-FredheimVikersund Rehabilitation Centre, Vikersund, Norway.
Helene Lindtvedt ValaasVikersund Rehabilitation Centre, Vikersund, Norway.
Ingvild BøDepartment of Rehabilitation, Hospital for Rheumatic Diseases, Lillehammer, Norway.
Åse KlokkeideRehabilitering Vest Rehabilitation Centre, Haugesund, Norway.
Joseph SextonNorwegian National Advisory Unit on Rehabilitation in Rheumatology, Center for treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway.
Maryam AzimiREMEDY Patient Advisory Board, Diakonhjemmet Hospital, Oslo, Norway.
Turid N DagerNorwegian National Advisory Unit on Rehabilitation in Rheumatology, Center for treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway.
Ingvild KjekenNorwegian National Advisory Unit on Rehabilitation in Rheumatology, Center for treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the effectiveness of a structured goal-setting and tailored follow-up rehabilitation intervention with existing rehabilitation in patients with rheumatic and musculoskeletal diseases.

designA pragmatic stepped-wedge cluster randomized trial.

settingEight rehabilitation centers in secondary healthcare, Norway.

participantsA total of 374 adults with rheumatic and musculoskeletal diseases were included in either the experimental (168) or the control group (206).

interventionsA new rehabilitation intervention which comprised structured goal setting, action planning, motivational interviewing, digital self-monitoring of goal progress, and individual follow-up support after discharge according to patients' needs and available resources in primary healthcare (the BRIDGE-intervention), was compared to usual care. MAIN MEASURES: Patient-reported outcomes were collected electronically on admission and discharge from rehabilitation, and after 2, 7, and 12 months. The primary outcome was patients' goal attainment measured by the Patient Specific Functional Scale (0-10, 10 best) at 7 months. Secondary outcome measures included physical function (30-s Sit-To-Stand test), health-related quality of life (EQ-5D-5L-index), and self-assessed health (EQ-VAS). The main statistical analyses were performed on an intention-to-treat basis using linear mixed models.

resultsNo significant treatment effects of the BRIDGE-intervention were found for either primary (Patient Specific Functional Scale mean difference 0.1 [95% CI: -0.5, 0.8],

conclusionThe BRIDGE-intervention was not shown to be more effective than existing rehabilitation for patients with rheumatic and musculoskeletal diseases. There is still a need for more knowledge about factors that can improve the quality, continuity, and long-term health effects of rehabilitation for this patient group.

Indexed as

Musculoskeletal DiseasesQuality of LifeAdultHospitalizationHumansMotivationcomplex interventionsgoal settinghealth behavior changemotivational interviewingmultidisciplinary rehabilitationpatient-centeredquality of lifeRheumatic and musculoskeletal diseasesstepped-wedge cluster randomized trialsupportive follow-up

Identifiers

PMID36862585
PMCPMC10387727

What OpenQuestion holds

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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.