Trial reportThe journal of nutrition, health & aging2013
Adherence to a physical activity intervention among older adults in a post-transitional middle income country: a quantitative and qualitative analysis.
Trial report in The journal of nutrition, health & aging, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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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
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.
- The association between the built environment and intervention-facilitated physical activity: a narrative systematic review.The international journal of behavioral nutrition and physical activity · 2022Pooled it
- Facilitators and Barriers to Adherence and Engagement in a Lifestyle Intervention for High-Risk Older Adults: A Multi-Trial Analysis.Nutrients · 2026Trial
- Trial
- Barriers to Physical Activity in Low Back Pain Patients following Rehabilitation: A Secondary Analysis of a Randomized Controlled Trial.BioMed research international · 2017Trial
- Does a walking intervention work equally in low and high walkable areas? A large-scale incentive program in Japan.The international journal of behavioral nutrition and physical activity · 2026Article
- Examining the referral of patients with elevated blood pressure to health resources in an under-resourced community in South Africa.BMC public health · 2024Article
- Reasons for (not) participating in a community-based health promotion program for low-income multi-problem households in the Netherlands: A qualitative study.Health & social care in the community · 2021Article
- Functional ability is associated with higher adherence to behavioral interventions in mild cognitive impairment.The Clinical neuropsychologist · 2020Article
- Barriers and facilitators to adherence to walking group exercise in older people living with dementia in the community: a systematic review.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2020Review
- Article
- Older people's adherence to community-based group exercise programmes: a multiple-case study.BMC public health · 2017Article
- Do wearable activity trackers have a place in pharmacies?Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC · 2015Article
- Reaching older people with PA delivered in football clubs: the reach, adoption and implementation characteristics of the Extra Time Programme.BMC public health · 2015Article
- Barriers associated with reduced physical activity in COPD patients.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2014Article
- Neighbourhood green space, physical function and participation in physical activities among elderly men: the Caerphilly Prospective study.The international journal of behavioral nutrition and physical activity · 2014Article
- Barriers to and enablers of physical activity in patients with COPD following a hospital admission: a qualitative study.International journal of chronic obstructive pulmonary disease · 2014Article
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 2 countries.
Funding
Abstract
objectivesThe effectiveness of community level interventions depends to a great extent on adherence. Currently, information on factors related to adherence in older adults from developing countries is scarce. Our aim was to identify factors associated to adherence to a physical activity intervention in older adults from a post-transitional middle income country. DESIGN, SETTING AND
participantsUsing a combination of quantitative and qualitative methods we studied 996 older Chilean subjects (65-67.9 years at baseline) with low to medium socioeconomic status from 10 health centers randomized to receive a physical activity intervention as part of the CENEX cluster trial (ISRCTN48153354). MEASUREMENTS: Using a multilevel regression model, the relationship between adherence (defined a priori as attendance at a minimum of 24 physical activity classes spread over at least 12 months) and individual, intervention-related and contextual factors was evaluated. We also conducted 40 semi-structured interviews with older adults (n=36) and instructors (n=4). Transcripts of the interviews were analyzed using content analysis to identify barriers and facilitators to adherence.
resultsAdherence to physical activity intervention was 42.6% (CI 95% 39.5 to 45.6). Depression, diabetes mellitus, percentage of impoverished households and rate of arrests for violent crimes in the neighborhood predicted less adherence (p<0.05) while being retired, participation in physical activity prior to the intervention, and green areas per habitant were positively associated with adherence (p<0.05). The qualitative interviews identified three primary barriers to adherence: current health problems, lack of time due to commitments for caring for family members, and being employed, and two primary facilitators to adherence: the health benefits attributed to the intervention and the opportunity the classes provided for social interaction with others.
conclusionIn order to enhance effectiveness of community exercise interventions, strategies to improve participation should be targeted to older adults from deprived areas and those with psychological and medical conditions.
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