Trial reportBMC primary care2025
The Health and Life in Balance intervention to improve patient capacity for older people with multimorbidity: a pragmatic mixed methods non-randomised pilot study.
Trial report in BMC primary care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06791135 (Health and Life in Balance an Intervention to Improve Patient Capacity for Older People With Multimorbidity), which is not on this map. Cited by 1 paper.
What it found
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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.
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.
Health and Life in Balance an Intervention to Improve Patient Capacity for Older People With Multimorbidity: A Pragmatic Mixed Methods Non-randomised Pilot Study
Who cites it
1 citing paper in PubMed.
- Efficacy and mechanisms of low-frequency TENS for common multimorbidity in older adults: protocol for a pilot randomized controlled trial.Frontiers in medicine · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this study was to assess acceptance, feasibility and further need of development of the intervention Health and Life in Balance (HLB) for improving patient capacity for older people with multimorbidity.
methodsA convergent mixed-methods non-randomised pilot study in one intervention (IU) and one control primary care unit (CU) in Region Stockholm, Sweden. General practitioners (GPs) in both units recruited individuals fulfilling eligibility criteria: ≥ 65 years of age, ≥ 2 chronic diseases, and an increased care need. The intervention involved: creating a care plan with a district nurse (DN); DN follow-ups over 6 months; improved communication between DN and GP. The control group received usual care. Quantitative data on preliminary primary, Illness Intrusiveness Rating Scale (IIRS), and secondary outcomes were collected from patient reported outcome measures and medical charts and analysed using statistical analysis. Qualitative data came from patient and healthcare provider interviews and medical charts, analysed using inductive thematic analysis. The mixed-methods analysis used joint display.
resultsBetween February and June 2022, 24 and 29 participants were recruited from the intervention and control units respectively. Participants had mean age 79 years and mean number of 18 diagnoses and 10 medications. 56.6% were female. There were no significant differences in preliminary primary (IIRS within group change IU p = 1.0, CU p = 0.43) or secondary quantitative outcomes. Two themes were identified in the qualitative analysis: Vulnerable patients need the intervention most and Relational continuity and (w)holism are positive and satisfactory but threatened by lack of time and priority. The joint interpretation identified scheduled holistic nurse follow-ups being acceptable and feasible for individuals in need. However, HLB requires further development to better target individuals with the greatest care needs and to improve the delivery of person-centred care, particularly in terms of aligning with patient priorities and enhancing teamwork.
conclusionsThis mixed-methods pilot study indicates partial acceptance and feasibility of HLB, but the intervention should be further developed to target at-need individuals and to raise priority, assess patient-centredness practically and improve teamwork to improve patient centeredness.
trial registrationThe trial was registered in ClinicalTrials.gov on the 24th of January 2025 (clinicaltrials.gov/study/NCT06791135).
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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.