Evidence map›Paper›PMID 37465821›Full record

Trial reportInternational journal of chronic obstructive pulmonary disease2023

The Impact of Patient Preference on Attendance and Completion Rates at Centre-Based and mHealth Pulmonary Rehabilitation: A Non-Inferiority Pragmatic Clinical Trial.

Sarah Candy, Julie Reeve, Rosie Dobson, Robyn Whittaker, Jeffrey Garrett, Jim Warren, Amanda Calder, Taria Tane, Trina Robertson, Usman Rashid and 1 more

Open access · goldAbstract readEquivalence TrialPragmatic Clinical Trial
In one paragraph

Trial report in International journal of chronic obstructive pulmonary disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 9 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

11 authors at 4 institutions in 1 country.

Sarah CandyTe Whatu Ora Counties Manukau Health, Auckland, New Zealand.ORCID 0000-0003-2393-5979
Julie ReeveHealth & Rehabilitation Research Institute, Auckland University of Technology, Auckland, New Zealand.
Rosie DobsonNational Institute for Health Innovation, University of Auckland, Auckland, New Zealand.
Robyn WhittakerNational Institute for Health Innovation, University of Auckland, Auckland, New Zealand.
Jeffrey GarrettTe Whatu Ora Counties Manukau Health, Auckland, New Zealand.
Jim WarrenSchool of Computer Science, University of Auckland, Auckland, New Zealand.
Amanda CalderNational Institute for Health Innovation, University of Auckland, Auckland, New Zealand.
Taria TaneNational Institute for Health Innovation, University of Auckland, Auckland, New Zealand.
Trina RobertsonTe Whatu Ora Waitematā, Auckland, New Zealand.
Usman RashidHealth & Rehabilitation Research Institute, Auckland University of Technology, Auckland, New Zealand.
Denise TaylorHealth & Rehabilitation Research Institute, Auckland University of Technology, Auckland, New Zealand.
University of Auckland · NZAuckland University of Technology · NZCounties Manukau District Health Board · NZWaitemata District Health Board · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Pulmonary rehabilitation (PR) is vital in the management of chronic respiratory disorders (CRDs) although uptake, attendance and completion are poor. Differing models of delivering PR are emerging in an attempt to increase the uptake and completion of this intervention. This study aimed to evaluate participant rate of attendance and completion of PR when given a preference regarding model of delivery (centre-based and mPR). Secondary aims were to evaluate the factors affecting patient preference for model of delivery and determine whether mPR is non-inferior to centre-based PR in health outcomes. Methods: A multi-centre non-inferiority preference based clinical trial in Auckland, New Zealand. Participants with a CRD referred for PR were offered the choice of centre-based or mHealth PR (mPR). The primary outcome was completion rate of chosen intervention. Results: A total of 105 participants were recruited to the study with 67 (64%) preferring centre-based and 38 (36%) mPR. The odds of completing the PR programme were higher in the centre-based group compared to mPR (odds ratio 1.90 95% CI [0.83-4.35]). Participants opting for mPR were significantly younger (p = 0.002) and significantly more likely to be working (p = 0.0001). Results showed that mPR was not inferior to centre-based regarding changes in symptom scores (CAT) or time spent in sedentary behaviour (SBQ). When services were forced to transition to telehealth services during COVID-19 restrictions, the attendance and completion rates were higher with telephone calls and video conferencing compared to mPR - suggesting that synchronous interpersonal interactions with clinicians may facilitate the best attendance and completion rates. Conclusion: When offered the choice of PR delivery method, the majority of participants preferred centre-based PR and this facilitated the best completion rates. mPR was the preferred choice for younger, working participants suggesting that mPR may offer a viable alternative to centre-based PR for some participants, especially younger, employed participants.

Indexed as

COVID-19Pulmonary Disease, Chronic ObstructiveTelemedicineHumansPatient PreferenceQuality of Lifechronic respiratory disordermHealthpreferencepulmonary rehabilitationtelehealthtelerehabilitation

Identifiers

PMID37465821
PMCPMC10350416
OpenAlexW4384039578

What OpenQuestion holds

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LicenceCC BY-NC
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.