Evidence map›Paper›PMID 33564717›Full record

ArticleTransplantation direct2021

Telehealth-delivered, Cardioprotective Diet and Exercise Program for Liver Transplant Recipients: A Randomized Feasibility Study.

Ingrid J Hickman, Amy K Hannigan, Heidi E Johnston, Louise Elvin-Walsh, Hannah L Mayr, Heidi M Staudacher, Amandine Barnett, Rachel Stoney, Chloe Salisbury, Maree Jarrett and 5 more

Open access · goldAbstract read
In one paragraph

Article in Transplantation direct, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
6.9field-weighted citation impact, top 3% 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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Survivorship interventions after liver transplantation (LT): A systematic review of interventions targeting physical and psychosocial well-being after LT.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2026
    Pooled it
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  3. Exercise interventions for adults after liver transplantation.The Cochrane database of systematic reviews · 2023
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  10. Metabolic syndrome after liver transplantation: A silent threat to long-term success.World journal of gastrointestinal pharmacology and therapeutics · 2025
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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 at 5 institutions in 1 country.

Ingrid J HickmanDepartment of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Amy K HanniganDepartment of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Heidi E JohnstonDepartment of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Louise Elvin-WalshDepartment of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Hannah L MayrDepartment of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Heidi M StaudacherDepartment of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Amandine BarnettDepartment of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Rachel StoneyDepartment of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Chloe SalisburySchool of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, Australia.
Maree JarrettQueensland Liver Transplant Service, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Marina M ReevesFaculty of Medicine, University of Queensland, Brisbane, QLD, Australia.
Jeff S CoombesSchool of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, Australia.
Katrina L CampbellDepartment of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, QLD, Australia.
Shelley E KeatingSchool of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD, Australia.
Graeme A MacdonaldFaculty of Medicine, University of Queensland, Brisbane, QLD, Australia.
Princess Alexandra Hospital · AUThe University of Queensland · AUBond University · AUGriffith University · AUMater Research · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rapid excess weight gain and metabolic complications contribute to poor outcomes following liver transplant care. Providing specialist lifestyle intervention with equitable access is a challenge for posttransplant service delivery.

methodsThis study investigated the feasibility of a 12-wk telehealth delivered lifestyle intervention for liver transplant recipients (randomized controlled trial with a delayed intervention control group). The intervention included 14 group sessions facilitated by nutrition and exercise specialists via video streaming telehealth and participants used their own devices. Feasibility was assessed across session attendance, the adequacy, acceptability, and confidence with the telehealth technology and adherence to diet (Mediterranean Diet Adherence Score). Secondary pooled analysis of effectiveness was determined from changes in quality of life and metabolic syndrome severity score.

resultsOf the 35 participants randomized, dropout was 22.8% (n = 8) and overall session attendance rate was 60%. Confidence with and adequacy of home technology was rated high in 96% and 91% of sessions, respectively. Participants randomized to the intervention significantly improved Mediterranean Diet Adherence Score (2-point increase [95% confidence interval, 1.5-3.4] versus control 0 point change [95% confidence interval, -1.4 to 1.2];

conclusionsA cardioprotective lifestyle intervention delivered via telehealth is feasible for liver transplant recipients and may improve access to specialist care to support metabolic health and wellness after transplant.

Identifiers

PMID33564717
PMCPMC7861655
OpenAlexW3128687097

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.