Evidence map›Paper›PMID 37019181›Full record

ArticleContemporary clinical trials2023

Financial incentives and case management to improve cardiac rehabilitation participation among patients with lower socio-economic status: Rationale and protocol for a randomized controlled trial.

Blair Yant, Lisa Kromer, Patrick D Savage, Sherrie Khadanga, Philip A Ades, Diann E Gaalema

Open access · greenAbstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 2 institutions in 1 country.

Blair YantUniversity of Vermont, United States of America.
Lisa KromerUniversity of Vermont, United States of America.
Patrick D SavageUniversity of Vermont Medical Center, United States of America.
Sherrie KhadangaUniversity of Vermont, United States of America; University of Vermont Medical Center, United States of America.
Philip A AdesUniversity of Vermont, United States of America; University of Vermont Medical Center, United States of America.
Diann E GaalemaUniversity of Vermont, United States of America. Electronic address: Diann.Gaalema@med.uvm.edu.
University of Vermont · USUniversity of Vermont Medical Center · US

Funding

Vermont Center on Behavior and HealthP20GM103644 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI HIGGINS, STEPHEN T · 2013 to 2022
$21.3M
Improving Participation in Cardiac Rehabilitation among Lower-Socioeconomic Status Patients: Efficacy of Early Case Management and Financial IncentivesR33HL143305 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI ADES, PHILIP A., GAALEMA, DIANN E · 2019 to 2022
$3.0M
NHLBI NIH HHS R33 HL143305NIGMS NIH HHS P20 GM103644
6 · The paper itself

Abstract

backgroundParticipation in phase 2 cardiac rehabilitation (CR) is associated with significant decreases in morbidity and mortality. Unfortunately, attendance at CR is not optimal and certain populations, such as those with lower-socioeconomic status (SES), are less likely to participate. In order to remedy this disparity we have designed a trial to examine the efficacy of early case management and/or financial incentives for increasing CR participation among lower-SES patients.

methodsWe will employ a randomized controlled trial with a sample goal of 209 patients who will be randomized 2:3:3:3 to either a usual care control, to receive a case manager starting in-hospital, to receive financial incentives for completing CR sessions, or to receive both interventions.

resultsTreatment conditions will be compared on attendance at CR and end-of-intervention (four months) improvements in cardiorespiratory fitness, executive function, and health-related quality of life. The primary outcome measures for this project will be number of CR sessions completed and the percentage who complete ≥30 sessions. Secondary outcomes will include improvements in health outcomes by condition, as well as the cost-effectiveness of the intervention with a focus on potential reductions in emergency department visits and hospitalizations. We hypothesize that either intervention will perform better than the control and that the combination of interventions will perform better than either alone.

conclusionsThis systematic examination of interventions will allow us to test the efficacy and cost-effectiveness of approaches that have the potential to increase CR participation substantially and significantly improve health outcomes among patients with lower-SES.

Indexed as

Cardiac RehabilitationCase ManagementEconomic StatusHumansMotivationQuality of LifeRandomized Controlled Trials as TopicSocial ClassCardiac rehabilitationCase managementFinancial incentivesSocioeconomic status

Identifiers

PMID37019181
PMCPMC10225326
OpenAlexW4362589655

What OpenQuestion holds

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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.