Evidence map›Paper›PMID 41030609›Full record

ArticleTherapeutic advances in neurological disorders2025

Improving quality of life in rare diseases using disease-specific, multidisciplinary online interventions on the example of rare X-linked adrenoleukodystrophy: a randomized-controlled trial.

Lisa Schäfer, Astrid Unterlauft, Brit Froebrich-Andreß, Carolin Wollny, Marie Rößler, Ronja Fischer, Carla Bähr, Julia Lier, Daniel T Wasmus, Christa-Caroline Bergner and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Therapeutic advances in neurological disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04687007 (SMART-ALD - A New Lifestyle Intervention to Improve Physical and Mental Well-being and Quality of Life in Women With X-linked Adrenoleukodystrophy), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT04687007 nacompletednot on this map

SMART-ALD - A New Lifestyle Intervention to Improve Physical and Mental Well-being and Quality of Life in Women With X-linked Adrenoleukodystrophy (X-ALD)

TypeinterventionalSponsorLeipzig University Medical CenterRan2022 to 2024Enrolled68ConditionsX-linked AdrenoleukodystrophyArmsSMART-ALD, Waiting list
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Clinically Relevant Outcome Measures in Women With Adrenoleukodystrophy.Annals of clinical and translational neurology · 2026
    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

11 authors.

Lisa SchäferDepartment of Neurology, Leipzig University Medical Center, Leukodystrophy Outpatient Clinic, Liebigstrasse 20a, Leipzig 04103, Germany.ORCID https://orcid.org/0000-0002-9714-9682
Astrid UnterlauftDepartment of Neurology, Leipzig University Medical Center, Leukodystrophy Outpatient Clinic, Leipzig, Germany.
Brit Froebrich-AndreßDepartment of Neurology, Leipzig University Medical Center, Leukodystrophy Outpatient Clinic, Leipzig, Germany.
Carolin WollnyDepartment of Neurology, Leipzig University Medical Center, Leukodystrophy Outpatient Clinic, Leipzig, Germany.
Marie RößlerDepartment of Neurology, Leipzig University Medical Center, Leukodystrophy Outpatient Clinic, Leipzig, Germany.
Ronja FischerDepartment of Neurology, Leipzig University Medical Center, Leukodystrophy Outpatient Clinic, Leipzig, Germany.
Carla BährDepartment of Neurology, Leipzig University Medical Center, Leukodystrophy Outpatient Clinic, Leipzig, Germany.
Julia LierDepartment of Neurology, Leipzig University Medical Center, Leukodystrophy Outpatient Clinic, Leipzig, Germany.ORCID https://orcid.org/0000-0002-8454-9425
Daniel T WasmusDepartment of Neurology, Leipzig University Medical Center, Leukodystrophy Outpatient Clinic, Leipzig, Germany.
Christa-Caroline BergnerDepartment of Neurology, Leipzig University Medical Center, Leukodystrophy Outpatient Clinic, Leipzig, Germany.ORCID https://orcid.org/0000-0002-0327-1389
Wolfgang KöhlerDepartment of Neurology, Leipzig University Medical Center, Leukodystrophy Outpatient Clinic, Leipzig, Germany.ORCID https://orcid.org/0000-0002-6058-9545

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: People with rare diseases (RDs) often require intensive multidisciplinary care in disease-specific centers of excellence (CoE). However, access is limited for most patients living remotely. X-linked adrenoleukodystrophy (X-ALD) is a genetic RD leading to demyelination of the central and peripheral nervous system. Objectives: This randomized-controlled trial tested the feasibility, acceptance, and effectiveness of a multidisciplinary online intervention provided by a CoE on the quality of life (QoL) and well-being of symptomatic women with X-ALD. Design: Single-center, randomized-controlled clinical trial involving 68 German-speaking women with symptomatic X-ALD. Methods: Participants were randomized into an experimental group (EG, Results: One WL-CG participant dropped out after the waiting period and was excluded from the final analysis. Significant QoL improvements in the EG versus WL-CG were found on self-reported mental health (mean difference (MD): 5.4, 95% confidence interval (CI) (2.8, 13.6), Conclusion: The study shows that easily accessible, multidisciplinary online interventions provided by the CoE have the potential to improve the QoL in people with RDs by providing regular access to specialized care. Trial registration: This study was registered on ClinicalTrials.gov (https://clinicaltrials.gov/study/NCT04687007).

Indexed as

adrenoleukodystrophy (X-ALD)multidisciplinary online interventionmyeloneuropathyquality of life (QoL)rare diseases (RDs)symptomatic women

Identifiers

PMID41030609
PMCPMC12477361

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.