Evidence map›Paper›PMID 40819910›Full record

SynthesisFamily medicine and community health2025

Measuring treatment burden related to general practice in patients with multimorbidity: development and validation of a PROM.

Anna Bernhardt Lyhnebeck, Anne Holm, Sussi Friis Buhl, Kristine Henderson Bissenbakker, Jette Kolding Kristensen, Anne Møller, Anders Prior, Zaza Kamper-Jørgensen, Sidsel Böcher, Mads Kristensen and 5 more

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in Family medicine and community health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05676541 (Effectiveness of an Adaptive, Complex Intervention to Enhance Care for Patients With Complex Multimorbidity in General Practice - a Pragmatic Cluster Randomized Controlled Trial), which is not on this map. Cited by 2 papers.

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

NCT05676541 nacompletednot on this map

Effectiveness of an Adaptive, Complex Intervention to Enhance Care for Patients With Complex Multimorbidity in General Practice - a Pragmatic Cluster Randomized Controlled Trial

TypeinterventionalSponsorUniversity of CopenhagenRan2023 to 2025Enrolled117,000ConditionsMultimorbidityArmsComplex intervention to enhance care for patients with multimorbidity in general practice consisting of an extended overview consultation and supporting elements
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
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.

Anna Bernhardt LyhnebeckDepartment of Public Health, University of Copenhagen Centre of General Practice, Copenhagen, Denmark.ORCID 0000-0003-0371-2962
Anne HolmDepartment of Public Health, University of Copenhagen Centre of General Practice, Copenhagen, Denmark anneholm@sund.ku.dk.ORCID 0000-0003-3819-3429
Sussi Friis BuhlDepartment of Public Health, University of Southern Denmark Research Unit of General Practice, Odense, Denmark.ORCID 0000-0001-9145-9770
Kristine Henderson BissenbakkerDepartment of Public Health, University of Copenhagen Centre of General Practice, Copenhagen, Denmark.
Jette Kolding KristensenDepartment of Clinical, Aalborg Universitet, Aalborg, Denmark.
Anne MøllerDepartment of Public Health, University of Copenhagen Centre of General Practice, Copenhagen, Denmark.ORCID 0000-0003-0179-4108
Anders PriorAarhus University Research Unit for General Practice, Aarhus, Denmark.ORCID 0000-0003-4053-3701
Zaza Kamper-JørgensenDepartment of Public Health, University of Copenhagen Centre of General Practice, Copenhagen, Denmark.
Sidsel BöcherDepartment of Public Health, University of Copenhagen Centre of General Practice, Copenhagen, Denmark.
Mads KristensenDepartment of Public Health, University of Copenhagen Centre of General Practice, Copenhagen, Denmark.ORCID 0000-0002-5465-3088
Asger WaagepetersenDepartment of Public Health, University of Copenhagen Centre of General Practice, Copenhagen, Denmark.ORCID 0009-0005-9228-8658
Anders Hye DalsgaardDepartment of Public Health, University of Copenhagen Centre of General Practice, Copenhagen, Denmark.ORCID 0009-0004-9992-1674
Volkert SiersmaUniversity of Copenhagen, Research Unit for General Practice, Copenhagen, Denmark.ORCID 0000-0003-1941-2681
John Brandt BrodersenDepartment of Public Health, University of Copenhagen Centre of General Practice, Copenhagen, Denmark.ORCID 0000-0001-9369-3376
MM600 trial group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to either identify or develop and validate a patient-reported outcome measure (PROM) to assess treatment burden related to general practice for patients with multimorbidity, which can be used alongside the MultiMorbidity Questionnaire part 1 (MMQ1) without overwhelming the target population with redundant items.

methodsWe conducted a systematic literature review to identify all existing PROMs measuring treatment burden. If no suitable PROM was found, our plan was to: (1) develop a draft PROM using items from existing instruments, (2) carry out group and individual interviews with patients with multimorbidity to ensure the PROM's understandability, clarity, completeness and relevance and (3) undertake psychometric validation with a diverse sample of primary care patients with chronic conditions.

resultsWe did not identify an eligible PROM in the literature review. The draft PROM consisted of 30 items divided into six domains; Information about treatment, Challenges with medication, Medical appointments, Self-monitoring, Health behaviour and Challenges in the contact to the health system. In the psychometric validation, neither these domains nor any other theoretical constellation of items had adequate psychometric properties. Individual items had good criterion validity and sensitivity to change.

conclusionsIn this study, we developed a 30-item PROM with high content validity where various individual items showed adequate criterion validity and sensitivity to change, making these items useful as a supplemental measure to the MMQ1. TRIAL REGISTRATION NUMBER: NCT05676541 Registration Date: 16 December 2022.

Indexed as

General PracticeMultimorbidityPatient Reported Outcome MeasuresChronic DiseaseFemaleHumansMalePsychometricsReproducibility of ResultsSurveys and QuestionnairesChronic DiseaseGeneral PracticeMultiple Chronic ConditionsOutcome Assessment, Health Care

Identifiers

PMID40819910
PMCPMC12359414

What OpenQuestion holds

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Registered trials

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.