Evidence map›Paper›PMID 38093260›Full record

ArticleBMC primary care2023

Does children's healthcare seeking change after participation in a musculoskeletal study? A register-based study.

Charlotte Raadkjaer Lykkegaard, Niels Wedderkopp, Sonja Wehberg, Sinead Holden, Helene Stoettrup Andersen, Frans Boch Waldorff, Jens Søndergaard

Abstract read
In one paragraph

Article in BMC primary care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Charlotte Raadkjaer LykkegaardThe Research Unit of General Practice, Department of Public Health, University of Southern Denmark, DK-5230, Odense, Denmark. clykkegaard@health.sdu.dk.
Niels WedderkoppCenter for Research in Childhood Health, Department of Regional Health Research, University of Southern Denmark, DK-5230, Odense, Denmark.
Sonja WehbergThe Research Unit of General Practice, Department of Public Health, University of Southern Denmark, DK-5230, Odense, Denmark.
Sinead HoldenCentre for General Practice at Aalborg University, Aalborg University, 9220, Aalborg East, Denmark.
Helene Stoettrup AndersenThe Research Unit of General Practice, Department of Public Health, University of Southern Denmark, DK-5230, Odense, Denmark.
Frans Boch WaldorffThe Research Unit of General Practice, Department of Public Health, University of Southern Denmark, DK-5230, Odense, Denmark.
Jens SøndergaardThe Research Unit of General Practice, Department of Public Health, University of Southern Denmark, DK-5230, Odense, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParticipating in research studies often involves interactions with healthcare professionals, potentially influencing the participant's future help-seeking behaviour. We investigated whether participating in the Childhood Health Activity and Motor Performance School Study - Denmark (CHAMPS) (2008-2014), which involved telephone consultations and clinical assessments by healthcare professionals with participants experiencing musculoskeletal complaints, changed frequency of contacts with primary public healthcare services among participants over the subsequent five-years-period, compared to non-participating children.

methodsUsing Danish health register data from 1998 to 2020, we compared CHAMPS participant's and two control group's contacts with private physiotherapists, chiropractors (outside hospitals), and general practitioners: a random 10% sample of children from Denmark (National Controls), and a secondary local control group (Local Controls) during three periods: Before (1998-31.10.2008), during (01.11.2008-20.06.2014), and after (21.06.2014-31.12.2019) the CHAMPS-study. Separate multivariable Poisson regression models were used to assess the differences between groups for the outcome variables: contacts with physiotherapists, chiropractors, and general practitioners, and overall contacts.

resultsCompared to National Controls, the CHAMPS-Group had fewer physiotherapy contacts before the study with an estimated mean of 0.01 vs 0.02 per person-year, and after (0.13 vs 0.18 per person-year), corresponding to a crude incidence rate ratio (IRR) of 0.69 (95% confidence intervals (CI): 0.58-0.83) after the study period. However, they had more chiropractor contacts before (0.05 vs 0.03), and after (0.21 vs 0.09) the study, with a crude IRR of 2.29 (95% CI: 1.93-2.71) after the study period. General practice contacts were equal for the CHAMPS-group compared to national controls (5.84 vs 5.84) before the study but reduced during and after (3.21 vs 3.71), with a crude IRR of 0.86 (95% CI: 0.83-0.90) after the study. Comparable patterns of contacts changes from before to after the study were observed between the CHAMPS-group and the Local Controls except for physiotherapy which was equal between the two groups after the study.

conclusionOur findings suggest that research studies involving systematic engagement with participants experiencing musculoskeletal complaints can influence subsequent healthcare-seeking behaviour. Future research should address the influence of health literacy, health education, and healthcare provider recommendations on healthcare decisions during such research studies.

Indexed as

General PracticeGeneral PractitionersChildDelivery of Health CareFamily PracticeHumansPatient Acceptance of Health CareChildrenHealthcare seeking behaviourHealthcare usageInjury surveillance musculoskeletal complaintsPrimary careRegister-based

Identifiers

PMID38093260
PMCPMC10717731

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.