Evidence map›Paper›PMID 25888596›Full record

ArticleJournal of epidemiology and community health2015

Effect of a community intervention programme promoting social interactions on functional disability prevention for older adults: propensity score matching and instrumental variable analyses, JAGES Taketoyo study.

Hiroyuki Hikichi, Naoki Kondo, Katsunori Kondo, Jun Aida, Tokunori Takeda, Ichiro Kawachi

Abstract read
In one paragraph

Article in Journal of epidemiology and community health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 1 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

99 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Social cohesion, social capital and mental health: current evidence and future research directions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026
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  18. Social factors associated with everyday functioning in older Black adults.Journal of the International Neuropsychological Society : JINS · 2025
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  20. Review

39 more citing papers are in PubMed but not listed here.

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

6 authors.

Hiroyuki HikichiCenter for Preventive Medical Science, Chiba University, Chiba, Japan Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA.
Naoki KondoSchool of Public Health, The University of Tokyo, Tokyo, Japan.
Katsunori KondoCenter for Preventive Medical Science, Chiba University, Chiba, Japan Centor for Well-being and Society, Nihon Fukushi University, Nagoya, Japan.
Jun AidaDepartment of International and Community Oral Health, Tohoku University Graduate School of Density, Sendai, Japan.
Tokunori TakedaFaculty of Rehabilitation and Care, Seijoh University, Tokai, Japan.
Ichiro KawachiDepartment of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe efficacy of promoting social interactions to improve the health of older adults is not fully established due to residual confounding and selection bias.

methodsThe government of Taketoyo town, Aichi Prefecture, Japan, developed a resident-centred community intervention programme called 'community salons', providing opportunities for social interactions among local older residents. To evaluate the impact of the programme, we conducted questionnaire surveys for all older residents of Taketoyo. We carried out a baseline survey in July 2006 (prior to the introduction of the programme) and assessed the onset of functional disability during March 2012. We analysed the data of 2421 older people. In addition to the standard Cox proportional hazard regression, we conducted Cox regression with propensity score matching (PSM) and an instrumental variable (IV) analysis, using the number of community salons within a radius of 350 m from the participant's home as an instrument.

resultsIn the 5 years after the first salon was launched, the salon participants showed a 6.3% lower incidence of functional disability compared with non-participants. Even adjusting for sex, age, equivalent income, educational attainment, higher level activities of daily living and depression, the Cox adjusted HR for becoming disabled was 0.49 (95% CI 0.33 to 0.72). Similar results were observed using PSM (HR 0.52, 95% CI 0.33 to 0.83) and IV-Cox analysis (HR 0.50, 95% CI 0.34 to 0.74).

conclusionsA community health promotion programme focused on increasing social interactions among older adults may be effective in preventing the onset of disability.

Indexed as

Activities of Daily LivingSocial ParticipationAgedCommunity NetworksFemaleGeriatric AssessmentHealth PromotionHumansIncidenceJapanMalePersons with DisabilitiesPropensity ScoreProportional Hazards ModelsSurveys and QuestionnairesAGEINGDISABILITYGERONTOLOGYHEALTH PROMOTIONSocial activities

Identifiers

PMID25888596
PMCPMC4552922

What OpenQuestion holds

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LicenceCC BY-NC
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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.