Evidence mapPaperPMID 29802393Full record

SynthesisSpinal cord2018

Self-management interventions for skin care in people with a spinal cord injury: part 1-a systematic review of intervention content and effectiveness.

Justine S Baron, Katrina J Sullivan, Jillian M Swaine, Arlene Aspinall, Susan Jaglal, Justin Presseau, Barry White, Dalton Wolfe, Jeremy M Grimshaw

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Spinal cord, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 5% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
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  9. Article
  10. Looking back on 2019.Spinal cord · 2019
    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

9 authors at 7 institutions in 2 countries.

Justine S BaronClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada. justinebaron@gmail.com.
Katrina J SullivanClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Jillian M SwaineFaculty of Health and Medical Sciences, University of Western Australia, Perth, WA, Australia.
Arlene AspinallRick Hansen Institute, Vancouver, BC, Canada.
Susan JaglalDepartment of Physical Therapy, University of Toronto, Toronto, ON, Canada.
Justin PresseauClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Barry WhiteRick Hansen Institute, Vancouver, BC, Canada.
Dalton WolfeParkwood Institute Research, Lawson Health Research Institute, London, ON, Canada.
Jeremy M GrimshawClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Ottawa Hospital · CALawson Health Research Institute · CAPraxis Spinal Cord Institute · CAUniversity of Ottawa · CAUniversity of Toronto · CAUniversity of Western Australia · AUVancouver General Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designSystematic review.

objectivesTo review the content and effectiveness of skin care self-management interventions for people with SCI.

settingInternational.

methodsWe searched electronic bibliographic databases, trial registers, and relevant reference lists. Eligibility criteria for the reviews of intervention content and effectiveness were identical with the exception of study design. The review of intervention content included non-randomized and randomized controlled trials (RCTs). The review of effectiveness included RCTs. A Behavior Change Technique (BCT) taxonomy of 93 BCTs was used to code intervention content. Intervention effects on outcomes of interest are summarized descriptively. Effect sizes were calculated, and the Cochrane risk of bias tool applied.

resultsIn all, 15 studies testing 17 interventions were included in the review of intervention content. Interventions in these studies included 28 BCTs. The most common were "instructions on how to perform behavior" (16 interventions), "credible source" (12 interventions), and "social support (unspecified)" (9 interventions). Ten RCTs were included in the review of intervention effectiveness and they measured knowledge, self-efficacy, and skills relating to skin care/pressure ulcer (PU) prevention, skin care behaviors, skin status (PU prevalence, severity, and time to PU), and health-care utilization for skin problems. Evidence to support intervention effects on these outcomes was limited, particularly for clinical outcomes. Risk of bias assessments was often inconclusive due to poor reporting.

conclusionsThere is potential to design SCI skin care interventions that include currently untested BCTs. Further research and better consistency in outcome measurements and reporting are required to synthesize evidence on effectiveness.

Indexed as

Spinal Cord InjuriesHumansPressure UlcerRandomized Controlled Trials as TopicSelf-ManagementSkin Care

Identifiers

PMID29802393
PMCPMC6128818
OpenAlexW2803690846

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.