Evidence map›Paper›PMID 38200486›Full record

Trial reportBMC medicine2024

First trans-diagnostic experiences with a novel micro-choice based concentrated group rehabilitation for patients with low back pain, long COVID, and type 2 diabetes: a pilot study.

Gerd Kvale, Eirik Søfteland, Marte Jürgensen, Ane Wilhelmsen-Langeland, Anne Haugstvedt, Sigurd William Hystad, Øystein Theodor Ødegaard-Olsen, Bernt Bøgvald Aarli, Sidsel Rykken, Bente Frisk

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05234281 (Concentrated Cross-disciplinary Group Intervention for Common Health Complaints), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
4.9field-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.

NCT05234281 naunknown statusnot on this map

Concentrated Cross-disciplinary Group Intervention for Common Health Complaints (Mixed Anxiety Depression, Diabetes Mellitus Type 2, Low Back Pain, Chronic Obstructive Pulmonary Disease and Post COVID-19 Fatigue)

TypeinterventionalSponsorHelse i HardangerRan2021 to 2024Enrolled1,000ConditionsMixed Anxiety Depression, Diabetes Mellitus, Type 2, Low Back Pain, Chronic Obstructive Pulmonary DiseaseArmsInterdisciplincary concentrated group rehabilitation
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. 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

10 authors at 4 institutions in 1 country.

Gerd Kvale *Division of Psychiatry, Haukeland University Hospital, Bergen, Norway.
Eirik Søfteland *Helse i Hardanger, Kvam, Norway. eirik.softeland@uib.no.ORCID 0000-0002-7221-1013
Marte JürgensenDivision of Psychiatry, Haukeland University Hospital, Bergen, Norway.
Ane Wilhelmsen-LangelandDivision of Psychiatry, Haukeland University Hospital, Bergen, Norway.
Anne HaugstvedtHelse i Hardanger, Kvam, Norway.
Sigurd William HystadDepartment of Psychosocial Science, University of Bergen, Bergen, Norway.
Øystein Theodor Ødegaard-OlsenHelse i Hardanger, Kvam, Norway.
Bernt Bøgvald AarliHelse i Hardanger, Kvam, Norway.
Sidsel RykkenHelse i Hardanger, Kvam, Norway.
Bente FriskHelse i Hardanger, Kvam, Norway.
Haukeland University Hospital · NOWestern Norway University of Applied Sciences · NOUniversity Graduate Center · NOUniversity of Bergen · NO

Funding

EkstraStiftelsen Helse og Rehabilitering (Stiftelsen Dam) 389457EkstraStiftelsen Helse og Rehabilitering (Stiftelsen Dam) 389461
6 · The paper itself

Abstract

backgroundThe health care is likely to break down unless we are able to increase the level of functioning for the growing number of patients with complex, chronic illnesses. Hence, novel high-capacity and cost-effective treatments with trans-diagnostic effects are warranted. In accordance with the protocol paper, we aimed to examine the acceptability, satisfaction, and effectiveness of an interdisciplinary micro-choice based concentrated group rehabilitation for patients with chronic low back pain, long COVID, and type 2 diabetes.

methodsPatients with low back pain > 4 months sick-leave, long COVID, or type 2 diabetes were included in this clinical trial with pre-post design and 3-month follow-up. The treatment consisted of three phases: (1) preparing for change, (2) the concentrated intervention for 3-4 days, and (3) integrating change into everyday life. Patients were taught and practiced how to monitor and target seemingly insignificant everyday micro-choices, in order to break the patterns where symptoms or habits contributed to decreased levels of functioning or increased health problems. The treatment was delivered to groups (max 10 people) with similar illnesses. Client Satisfaction Questionnaire (CSQ-8)) (1 week), Work and Social Adjustment Scale (WSAS), Brief Illness Perception Questionnaire (BIPQ), and self-rated health status (EQ-5D-5L) were registered at baseline and 3-month follow-up.

resultsOf the 241 included participants (57% women, mean age 48 years, range 19-84), 99% completed the concentrated treatment. Treatment satisfaction was high with a 28.9 (3.2) mean CSQ-8-score. WSAS improved significantly from baseline to follow-up across diagnoses 20.59 (0.56) to 15.76 (0.56). BIPQ improved from: 22.30 (0.43) to 14.88 (0.47) and EQ-5D-5L: 0.715 (0.01) to 0.779 (0.01)), all P<0.001.

conclusionsAcross disorders, the novel approach was associated with high acceptability and clinically important improvements in functional levels, illness perception, and health status. As the concentrated micro-choice based treatment format might have the potential to change the way we deliver rehabilitation across diagnoses, we suggest to proceed with a controlled trial.

trial registrationClinicalTrials.gov NCT05234281.

Indexed as

COVID-19Diabetes Mellitus, Type 2Low Back PainAdultAgedAged, 80 and overCOVID-19 TestingFemaleHumansMaleMiddle AgedPilot ProjectsPost-Acute COVID-19 SyndromeYoung AdultAnxietyChronic illnessConcentrated rehabilitationDepressionFatigueLong COVIDLow back painMicro-choicePost COVID-19 conditionPost-COVID-19 symptomsType 2 Diabetes

Identifiers

PMID38200486
PMCPMC10782659
OpenAlexW4390719149

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.