Trial reportThe Gerontologist2011
Attempts to reach the oldest and frailest: recruitment, adherence, and retention of urban elderly persons to a falls reduction exercise program.
Trial report in The Gerontologist, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- Nutrition Interventions on Muscle-Related Components of Sarcopenia in Females: A Systematic Review of Randomized Controlled Trials.Calcified tissue international · 2024Pooled it
- Exercise for reducing falls in people living with and beyond cancer.The Cochrane database of systematic reviews · 2018Pooled it
- Strategies to improve engagement of 'hard to reach' older people in research on health promotion: a systematic review.BMC public health · 2017Pooled it
- Interventions for preventing falls in older people living in the community.The Cochrane database of systematic reviews · 2012Pooled it
- Impaired sleep, depressive symptoms, and pain as determinants of physical activity and exercise intervention adherence: an exploratory analysis of a randomized clinical trial.BMC geriatrics · 2025Trial
- Thai Older People's Willingness (Intention) to Participate in a Care Prevention, Community Group Exercise Program: An Assessment before Implementing an Intervention Trial in Chiang Mai, Northern Thailand.International journal of environmental research and public health · 2021Trial
- Trial
- Recruiting older people at nutritional risk for clinical trials: what have we learned?BMC research notes · 2015Trial
- Digital technologies in care for older adults living alone: a scoping review.Innovation in aging · 2026Review
- Physical activity six months after a severe fall - moderating factors in older individuals.BMC geriatrics · 2025Article
- Identifying recruitment strategies to improve the reach of evidence-based health promotion, disease prevention, and disease self-management interventions: a scoping review.Frontiers in public health · 2025Article
- Vitality at home: a phenomenological study of tele-exercise in women aged 80 and older.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2024Article
- Determinants of exercise adherence in sedentary middle-aged and older adults.Psychophysiology · 2024Article
- Effectiveness of evidence-based fall prevention programs to reduce loneliness in the United States.Frontiers in public health · 2024Article
- Recruiting patients for falls prevention in the emergency department - worth the challenge.BMC geriatrics · 2023Observational
- Predictors of real-world adherence to prescribed home exercise in older patients with a risk of falling: A prospective observational study.Aging medicine (Milton (N.S.W)) · 2023Article
- Novel Technology-driven Approaches to Enhance Mobility and Reduce Falls in Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023Article
- A Collaborative Implementation Strategy to Increase Falls Prevention Training Using the Age-Friendly Health Systems Approach.International journal of environmental research and public health · 2022Article
- Adherence Is More Than Just Being Present: Example of a Lay-Led Home-Based Programme with Physical Exercise, Nutritional Improvement and Social Support, in Prefrail and Frail Community-Dwelling Older Adults.International journal of environmental research and public health · 2021Article
- Fall awareness behaviour and its associated factors among community dwelling older adults.BMC geriatrics · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
purpose of the studyTo assess the recruitment, adherence, and retention of urban elderly, predominantly African Americans to a falls reduction exercise program. DESIGN AND
methodsThe randomized controlled trial was designed as an intervention development pilot study. The goal was to develop a culturally sensitive intervention for elderly persons who suffered a fall and visited an emergency department (ED). Participants were taught exercises during 4 on-site group classes and encouraged to continue exercising at home for 12 weeks and attend additional on-site monthly classes. The protocol included a specifically designed intervention for increasing retention through trained community interventionists drawn from the participants' neighborhoods.
resultsThe screening of 1,521 ED records after falling yielded the recruitment of 204 patients aged 65 years and older. Half were randomized into the falls prevention program. Of the 102 people in the intervention group, 92 completed the final 6-month assessment, 68 attended all on-site sessions, but only 1 reported exercising at home all 12 weeks. Those who lived alone were more likely (p = .03) and those with symptoms of depression were less likely (p = .05) to attend all on-site exercise classes. The final recruitment rate was estimated as 31.8%. The final retention rates were 90.2% and 87.3% for the intervention and control groups, respectively. IMPLICATIONS: Recruitment of frail elderly African American patients is resource intensive. Adherence to the on-site exercise classes was better than to the home-based component of the program. These findings have implications for the design of future community-based exercise programs and trials.
Indexed as
Identifiers
What OpenQuestion holds
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 OpenQuestion graph.