Evidence map›Paper›PMID 25701101›Full record

Trial reportArchives of physical medicine and rehabilitation2015

Does self-efficacy mediate functional change in older adults participating in an exercise program after hip fracture? A randomized controlled trial.

Feng-Hang Chang, Nancy K Latham, Pengsheng Ni, Alan M Jette

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Archives of physical medicine and rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Interventions for improving mobility after hip fracture surgery in adults.The Cochrane database of systematic reviews · 2022
    Pooled it
  4. Trial
  5. Trial
  6. Observational
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. The Live Long Walk Strong Rehabilitation Program Study: Design and Methods.Archives of rehabilitation research and clinical translation · 2022
    Article
  15. Development of a Coaching Protocol to Enhance Self-efficacy Within Outpatient Physical Therapy.Archives of rehabilitation research and clinical translation · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Article
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

4 authors.

Feng-Hang ChangGraduate Institute of Injury Prevention and Control, Taipei Medical University, Taipei, Taiwan; Health and Disability Research Institute, Boston University School of Public Health, Boston, MA. Electronic address: fhchang@bu.edu.
Nancy K LathamHealth and Disability Research Institute, Boston University School of Public Health, Boston, MA.
Pengsheng NiHealth and Disability Research Institute, Boston University School of Public Health, Boston, MA.
Alan M JetteHealth and Disability Research Institute, Boston University School of Public Health, Boston, MA.

Funding

Efficacy of a Post-Rehabilitation Exercise InterventionR01NR010815 · NINR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI JETTE, ALAN MAURICE · 2007 to 2011
$2.2M
NINR NIH HHS 5R01NR010815NINR NIH HHS R01 NR010815
6 · The paper itself

Abstract

objectivesTo examine whether self-efficacy mediated the effect of the Home-based Post-Hip Fracture Rehabilitation program on activity limitations in older adults after hip fracture and whether the mediating effect was different between sex and age groups.

designRandomized controlled trial.

settingCommunity.

participantsParticipants with hip fracture (N=232; mean age ± SD, 79±9.4y) were randomly assigned to intervention (n=120, 51.7%) and attention control (n=112, 48.3%) groups.

interventionsThe 6-month intervention, the Home-based Post-Hip Fracture Rehabilitation, is a functionally oriented, home-based exercise program. Data were collected at baseline, postintervention (6mo), and follow-up (9mo).

main outcome measuresActivity Measure for Post-Acute Care.

resultsThe mediating effect of the Home-based Post-Hip Fracture Rehabilitation program on Basic Mobility function through self-efficacy for exercise was significant at 9 months (βindirect=.21). Similarly, the mediating effect of the intervention on Daily Activity function through self-efficacy for exercise was significant at 9 months (βindirect=.49). In subgroup analyses, the mediating effect was significant at 9 months in the younger group (age, ≤79y) in comparison to the older group and was significant in women in comparison to men.

conclusionsSelf-efficacy may play a partial mediating role in the effect on some longer-term functional outcomes in the Home-based Post-Hip Fracture Rehabilitation intervention. The results suggest that program components that target self-efficacy should be incorporated in future hip fracture rehabilitation interventions. Age and sex of the targeted participants may also need to be considered when developing interventions.

Indexed as

Activities of Daily LivingExercise TherapySelf EfficacyAgedAge FactorsFemaleHip FracturesHumansMaleSex FactorsActivities of daily livingAgingHip fracturesMobility limitationRehabilitationSelf-efficacy

Identifiers

PMID25701101
PMCPMC4600403

What OpenQuestion holds

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Registered trials

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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.