Evidence map›Paper›PMID 33866968›Full record

Trial reportBMC nephrology2021

Effectiveness of Wellbeing Intervention for Chronic Kidney Disease (WICKD): results of a randomised controlled trial.

Kylie M Dingwall, Michelle Sweet, Alan Cass, Jaquelyne T Hughes, David Kavanagh, Kirsten Howard, Federica Barzi, Sarah Brown, Cherian Sajiv, Sandawana W Majoni and 1 more

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 6 pooled it
4.4field-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

20 citing papers in PubMed, 6 syntheses or guidelines pooled it, 44 citations in OpenAlex.

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  4. Preference-based measures of health-related quality of life in Indigenous people: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
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  9. Addressing Social and Cultural Determinants of Health for Aboriginal and Torres Strait Islander People in Chronic Disease Programs: A Scoping Review.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 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

11 authors at 6 institutions in 1 country.

Kylie M DingwallMenzies School of Health Research, Charles Darwin University, Alice Springs, NT, 0870, Australia. kylie.dingwall@menzies.edu.au.
Michelle SweetMenzies School of Health Research, Charles Darwin University, Alice Springs, NT, 0870, Australia.
Alan CassMenzies School of Health Research, Charles Darwin University, Darwin, NT, 0811, Australia.
Jaquelyne T HughesMenzies School of Health Research, Charles Darwin University, Darwin, NT, 0811, Australia.
David KavanaghCentre for Children's Health Research and School of Psychology & Counselling, Faculty of Health, Queensland University of Technology (QUT), Brisbane, QLD, 4101, Australia.
Kirsten HowardSydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, 2006, Australia.
Federica BarziMenzies School of Health Research, Charles Darwin University, Darwin, NT, 0811, Australia.
Sarah BrownWestern Desert Nganampa Walytija Palyantjaku Tjutaku, Alice Springs, NT, 0870, Australia.
Cherian SajivCentral Australian Renal Services, Alice Springs Hospital, Northern Territory Department of Health, Alice Springs, NT, 0870, Australia.
Sandawana W MajoniMenzies School of Health Research, Charles Darwin University, Darwin, NT, 0811, Australia.
Tricia NagelMenzies School of Health Research, Charles Darwin University, Darwin, NT, 0811, Australia.
Charles Darwin University · AUMenzies School of Health Research · AUAlice Springs Hospital · AUFlinders University · AUQueensland University of Technology · AUUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnd stage kidney disease (ESKD) is associated with many losses, subsequently impacting mental wellbeing. Few studies have investigated the efficacy of psychosocial interventions for people with ESKD and none exist for Indigenous people, a population in which the ESKD burden is especially high.

methodsThis three-arm, waitlist, single-blind randomised controlled trial examined efficacy of the Stay Strong App in improving psychological distress (Kessler distress scale; K10), depressive symptoms (adapted Patient Health Questionnaire; PHQ-9), quality of life (EuroQoL; EQ. 5D) and dialysis adherence among Indigenous Australians undergoing haemodialysis in central and northern Australia (Alice Springs and Darwin), with follow up over two 3-month periods. Effects of immediate AIMhi Stay Strong App treatment were compared with those from a contact control app (The Hep B Story) and treatment as usual (TAU). Control conditions received the Stay Strong intervention after 3 months.

resultsPrimary analyses of the full sample (N = 156) showed statistically significant decreases in K10 and PHQ-9 scores at 3 months for the Hep B Story but not for the Stay Strong app or TAU. Restricting the sample to those with moderate to severe symptoms of distress or depression (K10 > =25 or PHQ-9 > =10) showed significant decreases in K10 and PHQ-9 scores for both Stay Strong and Hep B Story. No significant differences were observed for the EQ-5D or dialysis attendance.

conclusionsFindings suggest that talking to people about their wellbeing and providing information relevant to kidney health using culturally adapted, locally relevant apps improve the wellbeing of people on dialysis. Further research is required to replicate these findings and identify active intervention components.

trial registrationACTRN12617000249358 ; 17/02/2017.

Indexed as

CounselingDepressionFemaleHumansIndigenous PeoplesMaleMiddle AgedMobile ApplicationsPatient ComplianceQuality of LifeRenal DialysisRenal Insufficiency, ChronicSingle-Blind MethodStress, PsychologicalTime-to-TreatmentE-mental healthIndigenousKidney diseaseRenalWellbeing

Identifiers

PMID33866968
PMCPMC8054368
OpenAlexW3155809552

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.