Evidence mapPaperPMID 40400508Full record

ArticleJournal of multimorbidity and comorbidity

Protocol for the development and validation of a Core Set for exercise-based rehabilitation of adults with multiple long-term conditions (multimorbidity) based on the World Health Organization's International Classification of Functioning, Disability, and Health (ICF) framework.

Fanuel M Bickton, James R Manifield, Felix Limbani, Justin Dixon, Anne E Holland, Rod S Taylor, Claire Calderwood, Walter Wittich, Celia L Gregson, Martin Heine and 4 more

Abstract read
In one paragraph

Article in Journal of multimorbidity and comorbidity. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

14 authors.

Fanuel M BicktonLung Health Research Group, Malawi-Liverpool-Wellcome Programme, Blantyre, Malawi.ORCID https://orcid.org/0000-0002-0925-909X
James R ManifieldCentre for Exercise and Rehabilitation Science, Leicester Biomedical Research Centre (BRC)- Respiratory, University Hospitals of Leicester NHS Trust, National Institute for Health and Care Research (NIHR), Leicester, UK.ORCID https://orcid.org/0000-0002-5859-3772
Felix LimbaniLung Health Research Group, Malawi-Liverpool-Wellcome Programme, Blantyre, Malawi.ORCID https://orcid.org/0000-0003-0176-7011
Justin DixonThe Health Research Unit Zimbabwe, Biomedical Research and Training Institute, Harare, Zimbabwe.ORCID https://orcid.org/0000-0002-7706-7305
Anne E HollandDepartment of Respiratory and Sleep Medicine, Alfred Health, Melbourne, VIC, Australia.
Rod S TaylorMRC/CSO Social & Public Health Sciences Unit, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Claire CalderwoodThe Health Research Unit Zimbabwe, Biomedical Research and Training Institute, Harare, Zimbabwe.
Walter WittichSchool of Optometry, Université de Montréal, Montreal, QC, Canada.ORCID https://orcid.org/0000-0003-2184-6139
Celia L GregsonThe Health Research Unit Zimbabwe, Biomedical Research and Training Institute, Harare, Zimbabwe.
Martin HeineDepartment of Global Public Health and Bioethics, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Zahira AhmedCentre for Exercise and Rehabilitation Science, Leicester Biomedical Research Centre (BRC)- Respiratory, University Hospitals of Leicester NHS Trust, National Institute for Health and Care Research (NIHR), Leicester, UK.
Ronel RoosDepartment of Physiotherapy, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.ORCID https://orcid.org/0000-0001-5254-0875
Sally J SinghCentre for Exercise and Rehabilitation Science, Leicester Biomedical Research Centre (BRC)- Respiratory, University Hospitals of Leicester NHS Trust, National Institute for Health and Care Research (NIHR), Leicester, UK.
Africa Multimorbidity Alliance – Multimorbidity Rehabilitation Working Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Core outcome sets for people with multiple long-term conditions (multimorbidity) intervention studies offer an opportunity to compare data across studies and countries. However, a key research gap remains: the development of the World Health Organization (WHO) International Classification of Functioning, Disability and Health (ICF) Core Set for multimorbidity rehabilitation. ICF Core Sets are a selection of essential categories from the full ICF classification that are considered most relevant for describing the functioning of a person with a specific health condition or in a specific healthcare context. This study aims to develop and validate an ICF Core Set for exercise-based multimorbidity rehabilitation. Unlike system- or disease-specific rehabilitation, multimorbidity rehabilitation entails using a modified structure that accommodates all conditions that an individual with multimorbidity has. Methods: The three-phase, multi-method process created by the WHO and ICF Research Branch will be followed. The process will involve conducting four preparatory studies (phase 1), including (i) a systematic literature review (to examine researcher perspectives), (ii) a qualitative study (to examine patient perspectives), (iii) an expert survey (to examine health professional perspectives), and (iv) an empirical study (to examine clinical perspectives). This will be followed by an international consensus conference (phase 2) where lists of ICF categories resulting from phase 1 studies will be consolidated into a first version of an ICF Core Set for multimorbidity rehabilitation, which will be validated using an international comparative data analysis (phase 3). Conclusion: An ICF Core Set created for multimorbidity rehabilitation will (1) benefit patients with multimorbidity who are often excluded from clinical trials of single-disease rehabilitation programs, (2) ensure precise and comprehensive assessment and documentation of functioning and disability relevant to this patient population, (3) help rehabilitation providers and their patients and/or caregivers when setting rehabilitation goals and planning rehabilitative interventions to achieve those goals, (4) help researchers in the synthesis of evidence for multimorbidity rehabilitation and facilitate the comparability of data across studies and countries, and (5) provide the scientific basis from which assessment tools can be derived for use in clinical and research settings and health care administration. Trial Registration: COMET database (https://www.comet-initiative.org/Studies/Details/3266).

Indexed as

core outcome setsfunctioningICF core setsmultimorbidityrehabilitation

Identifiers

PMID40400508
PMCPMC12093010

What Socratic holds

Textmetadata
LicenceCC BY
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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.