ArticleClinical trials (London, England)2009
Confronting challenges in intervention research with ethnically diverse older adults: the USC Well Elderly II Trial.
Article in Clinical trials (London, England), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Community-based complex interventions to sustain independence in older people, stratified by frailty: a systematic review and network meta-analysis.Health technology assessment (Winchester, England) · 2024Pooled it
- Associations of Lifestyle Intervention Effect with Blood Pressure and Physical Activity among Community-Dwelling Older Americans with Hypertension in Southern California.International journal of environmental research and public health · 2020Trial
- Understanding the Mechanisms of Change in a Lifestyle Intervention for Older Adults.The Gerontologist · 2018Trial
- Predictors of retention among African American and Hispanic older adult research participants in the Well Elderly 2 randomized controlled trial.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2014Trial
- Recruiting hospitalized Mexican American elder adults and caregivers: challenges and strategies.Research in gerontological nursing · 2013Trial
- Effectiveness of a lifestyle intervention in promoting the well-being of independently living older people: results of the Well Elderly 2 Randomised Controlled Trial.Journal of epidemiology and community health · 2012Trial
- Predictors of computer use in community-dwelling, ethnically diverse older adults.Human factors · 2011Trial
- Social Prescription Interventions Addressing Social Isolation and Loneliness in Older Adults: Meta-Review Integrating On-the-Ground Resources.Journal of medical Internet research · 2023Review
- Effect of a Lifestyle-Based Intervention on Health-Related Quality of Life in Older Adults with Hypertension.Journal of aging research · 2018Article
- Occupational therapy for elderly. Evidence mapping of randomised controlled trials from 2004-2012.Zeitschrift fur Gerontologie und Geriatrie · 2015Article
- Development and validation of the activity significance personal evaluation (ASPEn) scale.Australian occupational therapy journal · 2014Article
- Diurnal patterns and associations among salivary cortisol, DHEA and alpha-amylase in older adults.Physiology & behavior · 2014Article
- Cortisol diurnal patterns, associations with depressive symptoms, and the impact of intervention in older adults: results using modern robust methods aimed at dealing with low power due to violations of standard assumptions.Hormones and behavior · 2014Article
- A HETEROSCEDASTIC METHOD FOR COMPARING REGRESSION LINES AT SPECIFIED DESIGN POINTS WHEN USING A ROBUST REGRESSION ESTIMATOR.Journal of data science : JDS · 2013Article
- Methodological challenges in physical activity research with older adults.Western journal of nursing research · 2013Article
- A model for the design and implementation of a participant recruitment registry for clinical studies of older adults.Clinical trials (London, England) · 2012Article
- Psychometric properties of reverse-scored items on the CES-D in a sample of ethnically diverse older adults.Psychological assessment · 2011Article
- The Meaningful Activity Participation Assessment: a measure of engagement in personally valued activities.International journal of aging & human development · 2010Article
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
backgroundCommunity-dwelling older adults are at risk for declines in physical health, cognition, and psychosocial well-being. However, their enactment of active and health-promoting lifestyles can reduce such declines. PURPOSE: The purpose of this article is to describe the USC Well Elderly II study, a randomized clinical trial designed to test the effectiveness of a healthy lifestyle program for elders, and document how various methodological challenges were addressed during the course of the trial.
methodsIn the study, 460 ethnically diverse elders recruited from a variety of sites in the urban Los Angeles area were enrolled in a randomized experiment involving a crossover design component. Within either the first or second 6-month phase of their study involvement, each elder received a lifestyle intervention designed to improve a variety of aging outcomes. At 4-5 time points over an 18-24 month interval, the research participants were assessed on measures of healthy activity, coping, social support, perceived control, stress-related biomarkers, perceived physical health, psychosocial well-being, and cognitive functioning to test the effectiveness of the intervention and document the process mechanisms responsible for its effects.
resultsThe study protocol was successfully implemented, including the enrollment of study sites, the recruitment of 460 older adults, administration of the intervention, adherence to the plan for assessment, and establishment of a large computerized data base. LIMITATIONS: Methodological challenges were encountered in the areas of site recruitment, participant recruitment, testing, and intervention delivery.
conclusionsThe completion of clinical trials involving elders from numerous local sites requires careful oversight and anticipation of threats to the study design that stem from: (a) social situations that are particular to specific study sites; and (b) physical, functional, and social challenges pertaining to the elder population.
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