Evidence map›Paper›PMID 23248351›Full record

Trial reportJournal of aging and health2013

A randomized trial of a community-based cognitive intervention for obese senior adults.

Cornelia Beck, Jennifer Kleiner Fausett, Rebecca A Krukowski, Carol E Cornell, T Elaine Prewitt, Shelly Lensing, Zoran Bursac, Holly C Felix, ShaRhonda Love, Graham McDougall and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of aging and health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 6 pooled it
–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

9 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Article
  8. Review
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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

11 authors.

Cornelia BeckCollege of Medicine, Department of Geriatrics, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA. beckcornelia@uams.edu
Jennifer Kleiner Fausett
Rebecca A Krukowski
Carol E Cornell
T Elaine Prewitt
Shelly Lensing
Zoran Bursac
Holly C Felix
ShaRhonda Love
Graham McDougall
Delia Smith West

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR029884 · NCRR · UNIV OF ARKANSAS FOR MED SCIS · PI LOWERY, CURTIS L · 2009 to 2011
$11.4M
Translation of Obesity and Cognition Research in a Rural State via Senior CentersR18DP001145 · DP · UNIV OF ARKANSAS FOR MED SCIS · PI WEST, DELIA SMITH · 2007 to 2009
$1.3M
NCCDPHP CDC HHS R18 DP001145NCRR NIH HHS 1UL1RR029884NCRR NIH HHS UL1 RR029884
6 · The paper itself

Abstract

objectiveTo determine whether a cognitive intervention delivered by lay health educators (LHEs) in senior centers was effective in improving cognition in obese older adults.

methodsThis cluster randomized trial was conducted in 16 senior centers from which 228 senior adults were recruited. The centers were randomized to either the cognitive intervention or a control, weight-loss intervention. The primary outcome variable, cognitive function, was measured using the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS).

resultsAnalyses of RBANS indices as continuous variables did not indicate significant differences between arms. However, after adjusting for baseline delayed memory, gender, and baseline body mass index, seniors in the cognitive intervention arm had a 2.7 times higher odds of a reliable improvement (clinically significant) in delayed memory from baseline as compared to those in the control intervention (95% CI, 1.3-5.6, p = .011). The intervention effect was not significant for the proportion showing reliable improvement in immediate memory or in attention. Attendance at the 12-session program was high with an average of 83% (67%-92%) sessions attended and 87% of participants in the cognitive arm indicating they would recommend the program. DISCUSSION: Cognitive interventions can be effectively delivered in the community by LHEs.

Indexed as

AgedArkansasCluster AnalysisCognitionCognitive Behavioral TherapyCommunity Health ServicesEvidence-Based PracticeFemaleFollow-Up StudiesHealth Services for the AgedHumansMaleNeuropsychological TestsObesityProgram EvaluationRural Health Services

Identifiers

PMID23248351
PMCPMC3947810

What OpenQuestion holds

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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 OpenQuestion graph.