Evidence map›Paper›PMID 40980747›Full record

ArticleJournal of multimorbidity and comorbidity

Co-design and development of a Personalised Exercise-based Rehabilitation and self-management programme FOR people with Multiple long-term conditions: The PERFORM intervention.

Paulina Daw, Colin J Greaves, Nikki Gardiner, Patrick Doherty, Thomas M Withers, Amy C Barradell, Paul O'Halloran, Zahira Ahmed, Shaun Barber, Gwen Barwell and 18 more

Abstract read
PubMed Full text at PMC Publisher
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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. 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

28 authors.

Paulina DawSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.ORCID https://orcid.org/0000-0002-0942-3953
Colin J GreavesSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
Nikki GardinerDepartment of Cardiopulmonary Rehabilitation, University Hospitals of Leicester NHS Trust, Leicester, UK.
Patrick DohertyDepartment of Health Science, University of York, York, UK.
Thomas M WithersSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.ORCID https://orcid.org/0000-0002-5286-7189
Amy C BarradellDepartment of Cardiopulmonary Rehabilitation, University Hospitals of Leicester NHS Trust, Leicester, UK.
Paul O'HalloranCentre for Sport and Social Impact, La Trobe University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0001-6495-2359
Zahira AhmedNIHR Biomedical Research Centre, Department of Respiratory Sciences, University of Leicester, Leicester, UK.
Shaun BarberClinical Trials Unit, University of Leicester, Leicester, UK.ORCID https://orcid.org/0000-0002-8073-2687
Gwen BarwellClinical Trials Unit, University of Leicester, Leicester, UK.ORCID https://orcid.org/0009-0002-8500-175X
Sophie E BrownMRC/CSO Social and Public Health Sciences Unit, School of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Sarah DeanUniversity of Exeter Medical School, Exeter, UK.
Carlos EchevarriaNewcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Rachael A EvansNIHR Biomedical Research Centre, Department of Respiratory Sciences, University of Leicester, Leicester, UK.ORCID https://orcid.org/0000-0002-1667-868X
Tracy IbbotsonGeneral Practice and Primary Care, School of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID https://orcid.org/0000-0002-9224-6467
Bhautesh D JaniGeneral Practice and Primary Care, School of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID https://orcid.org/0000-0001-7348-514X
Kate JollyDepartment of Applied Health Sciences, University of Birmingham, Birmingham, UK.
James R ManifieldRespiratory Sciences, University of Leicester, Leicester, UK.
Frances S MairGeneral Practice and Primary Care, School of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID https://orcid.org/0000-0001-9780-1135
Emma McIntoshHealth Economics and Health Technology Assessment, School of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Daniel MillerThe Reach for Health Centre, Daventry, UK.
Paula OrmandySchool of Health and Society, University of Salford, Manchester, UK.
Susan M SmithDepartment of Public Health and Primary Care, Trinity College Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0001-6027-2727
Sharon A SimpsonMRC/CSO Social and Public Health Sciences Unit, School of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID https://orcid.org/0000-0002-6219-1768
Ghazala WaheedClinical Trials Unit, University of Leicester, Leicester, UK.ORCID https://orcid.org/0000-0002-5142-110X
Rod S TaylorMRC/CSO Social and Public Health Sciences Unit, School of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Sally J SinghNIHR Biomedical Research Centre, Department of Respiratory Sciences, University of Leicester, Leicester, UK.
On Behalf Of The Perform Research TeamSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Exercise and self-management support may be clinically effective and cost-effective treatments for a range of individual long-term conditions (LTCs), as they activate multiple beneficial physiological and psychological mechanisms. We aimed to develop a complex intervention to deliver exercise and self-management support for people with multiple LTCs (MLTCs). Methods: Following the Person Based Approach to intervention development, we conducted ten co-development workshops with people with MLTCs, family and friends; healthcare providers; service commissioners and policymakers. The workshops iteratively identified the unmet needs of people with MLTCs and informed a programme theory outlining theoretical mechanisms of change and intervention strategies to change the targeted behaviours. They also identified ideas for efficient delivery and service providers' training needs. Mixed methods feedback from the Personalised Exercise-Rehabilitation FOR people with Multiple long-term conditions (PERFORM) feasibility study (reported elsewhere) informed intervention refinement. Results: A diverse group of stakeholders (26 people with MLTCs/supporters, 13 service providers, 16 experts in chronic illness and 14 service commissioners) helped to develop the PERFORM intervention. This included 16 supervised exercise sessions and 16 'Health and Wellbeing' self-management support sessions, delivered in hospital or community settings over eight weeks, plus check-in sessions at four and six months. The self-management sessions covered maintenance of exercise/physical activity, healthy eating and managing common symptoms (pain, fatigue, breathlessness, stress). Conclusion: The PERFORM intervention is a comprehensive, evidence-informed, theoretically driven self-management and exercise-based rehabilitation intervention, co-developed with people with MLTCs, service providers and service commissioners. PERFORM is now ready for evaluation regarding clinical effectiveness and cost-effectiveness.

Indexed as

behaviour changeexercisehealth-related quality of lifeintervention developmentmultimorbiditymultiple long-term conditionsrehabilitationself-management

Identifiers

PMID40980747
PMCPMC12446826

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.