Evidence map›Paper›PMID 21636614›Full record

Trial reportJournal of epidemiology and community health2012

Effectiveness of a lifestyle intervention in promoting the well-being of independently living older people: results of the Well Elderly 2 Randomised Controlled Trial.

Florence Clark, Jeanne Jackson, Mike Carlson, Chih-Ping Chou, Barbara J Cherry, Maryalice Jordan-Marsh, Bob G Knight, Deborah Mandel, Jeanine Blanchard, Douglas A Granger and 7 more

Erratum issued 3 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of epidemiology and community health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 3 registered trials, which are not on this map. Cited by 118 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 8 pooled it
52.7field-weighted citation impact, top 1% 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.

NCT02287155 naunknown statusnot on this mapstarted 2015, after this paper: background citation

Occupation Based Health-Promotion Program for People Aged Over 60: "Bliib Gsund"

TypeinterventionalSponsorJulie PageRan2015 to 2016Enrolled16ConditionsHealthyArmsoccupation based health promotion
NCT02946593 nacompletednot on this mapstarted 2017, after this paper: background citation

Stroll Safe Outdoor Fall Prevention Program

TypeinterventionalSponsorNew York UniversityRan2017 to 2017Enrolled24ConditionsAccidental FallsArmsStroll Safe outdoor fall prevention program, Outdoor fall prevention brochure
NCT05462626 nacompletednot on this mapstarted 2022, after this paper: background citation

Quality of Life and Occupational Performance in Community-Dwelling Older Adults: a Telehealth Lifestyle Pilot

TypeinterventionalSponsorCreighton UniversityRan2022 to 2023Enrolled12ConditionsLifestyle, Healthy, Quality of Life, AgingArmsHolistic Occupational Performance Empowerment (HOPE) Lifestyle Program
3 · Its place in the literature

Who cites it

118 citing papers in PubMed, 8 syntheses or guidelines pooled it, 438 citations in OpenAlex.

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  6. Use of Salivary Diurnal Cortisol as an Outcome Measure in Randomised Controlled Trials: a Systematic Review.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2016
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  8. Effect of occupation- and activity-based interventions on instrumental activities of daily living performance among community-dwelling older adults: a systematic review.The American journal of occupational therapy : official publication of the American Occupational Therapy Association
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58 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

17 authors at 4 institutions in 1 country.

Florence ClarkDivision of Occupational Science and Occupational Therapy, School of Dentistry, University of Southern California, 1540 Alcazar Street, CHP 133, Los Angeles, CA 90089-9003, USA. fclark@usc.edu
Jeanne Jackson
Mike Carlson
Chih-Ping Chou
Barbara J Cherry
Maryalice Jordan-Marsh
Bob G Knight
Deborah Mandel
Jeanine Blanchard
Douglas A Granger
Rand R Wilcox
Mei Ying Lai
Brett White
Joel Hay
Claudia Lam
Abbey Marterella
Stanley P Azen
University of Southern California · USBioscience Research · USCalifornia State University, Fullerton · USOregon Health & Science University · US

Funding

Health Mediating Effects of the Well Elderly ProgramR01AG021108 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CLARK, FLORENCE A. · 2004 to 2007
$2.2M
NIA NIH HHS R01 AG021108
6 · The paper itself

Abstract

backgroundOlder people are at risk for health decline and loss of independence. Lifestyle interventions offer potential for reducing such negative outcomes. The aim of this study was to determine the effectiveness and cost-effectiveness of a preventive lifestyle-based occupational therapy intervention, administered in a variety of community-based sites, in improving mental and physical well-being and cognitive functioning in ethnically diverse older people.

methodsA randomised controlled trial was conducted comparing an occupational therapy intervention and a no-treatment control condition over a 6-month experimental phase. Participants included 460 men and women aged 60-95 years (mean age 74.9 ± 7.7 years; 53% <$12000 annual income) recruited from 21 sites in the greater Los Angeles metropolitan area.

resultsIntervention participants, relative to untreated controls, showed more favourable change scores on indices of bodily pain, vitality, social functioning, mental health, composite mental functioning, life satisfaction and depressive symptomatology (ps<0.05). The intervention group had a significantly greater increment in quality-adjusted life years (p<0.02), which was achieved cost-effectively (US $41218/UK £24868 per unit). No intervention effect was found for cognitive functioning outcome measures.

conclusionsA lifestyle-oriented occupational therapy intervention has beneficial effects for ethnically diverse older people recruited from a wide array of community settings. Because the intervention is cost-effective and is applicable on a wide-scale basis, it has the potential to help reduce health decline and promote well-being in older people. Trial Registration clinicaltrials.gov identifier: NCT0078634.

Indexed as

Geriatric AssessmentHealth Status IndicatorsLife StyleQuality of LifeAgedAged, 80 and overCognitionComparative Effectiveness ResearchCross-Over StudiesFemaleHealth BehaviorHealth PromotionHealth Services for the AgedHumansLos AngelesMale

Identifiers

PMID21636614
PMCPMC3412049
OpenAlexW2149395296

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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 OpenQuestion graph.