Evidence map›Paper›PMID 26500320›Full record

Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2015

Promoting physical activity in older people in general practice: ProAct65+ cluster randomised controlled trial.

Steve Iliffe, Denise Kendrick, Richard Morris, Mark Griffin, Deborah Haworth, Hannah Carpenter, Tahir Masud, Dawn A Skelton, Susie Dinan-Young, Ann Bowling and 2 more

Open access · bronzeAbstract readMulticenter StudyPragmatic Clinical TrialRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 6 pooled it
3.0field-weighted citation impact, top 9% 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.

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

36 citing papers in PubMed, 6 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Osteoporosis and fracture as risk factors for self-harm and suicide: a systematic review and meta-analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Interventions for preventing falls in Parkinson's disease.The Cochrane database of systematic reviews · 2022
    Pooled it
  5. Exercise for preventing falls in older people living in the community.The Cochrane database of systematic reviews · 2019
    Pooled it
  6. Pooled it
  7. Trial
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  10. The feasibility and RE-AIM evaluation of the TAME health pilot study.The international journal of behavioral nutrition and physical activity · 2017
    Trial
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  15. 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

12 authors at 8 institutions in 3 countries.

Steve IliffeUniversity College London, London.
Denise KendrickUniversity of Nottingham, Nottingham.
Richard MorrisUniversity of Bristol, Bristol.
Mark GriffinUniversity College London, London.
Deborah HaworthUniversity College London, London.
Hannah CarpenterUniversity of Nottingham, Nottingham.
Tahir MasudNottingham University Hospitals NHS Trust, Nottingham.
Dawn A SkeltonSchool of Health and Life Sciences, Glasgow Caledonian University, Glasgow.
Susie Dinan-YoungUniversity College London, London.
Ann BowlingUniversity of Southampton.
Heather Gage
ProAct65+ research team
University College London · GBHealth & Life (Taiwan) · TWNottingham University Hospitals NHS Trust · GBPrimary Health Care · QAUniversity of Bristol · GBUniversity of Nottingham · GBUniversity of Southampton · GBUniversity of Surrey · GB

Funding

Department of Health 06/36/04
6 · The paper itself

Abstract

backgroundRegular physical activity reduces falls, hip fractures, and all-cause mortality, but physical activity levels are low in older age groups.

aimTo evaluate two exercise programmes promoting physical activity among older people. DESIGN AND

settingPragmatic three-arm, parallel-design cluster randomised controlled trial involving 1256 people aged ≥65 years (of 20 507 invited) recruited from 43 general practices in London, Nottingham, and Derby.

methodPractices were randomised to the class-based Falls Management Exercise programme (FaME), the home-based Otago Exercise Program (OEP), or usual care. The primary outcome was the proportion reaching the recommended physical activity target 12 months post-intervention. Secondary outcomes included falls, quality of life, balance confidence, and costs.

resultsIn total, 49% of FaME participants reached the physical activity target compared with 38% for usual care (adjusted odds ratio 1.78, 95% confidence interval [CI] =1.11 to 2.87, P = 0.02). Differences between FaME and usual care persisted 24 months after intervention. There was no significant difference comparing those in the OEP (43% reaching target at 12 months) and usual-care arms. Participants in the FaME arm added around 15 minutes of moderate-to-vigorous physical activity per day to their baseline level; this group also had a significantly lower rate of falls (incident rate ratio 0.74, 95% CI = 0.55 to 0.99, P = 0.042). Balance confidence was significantly improved in both intervention arms. The mean cost per extra person achieving the physical activity target was £1740. Attrition and rates of adverse reactions were similar.

conclusionThe FaME programme increases self-reported physical activity for at least 12 months post-intervention and reduces falls in people aged ≥65 years, but uptake is low. There was no statistically significant difference in reaching the target, or in falls, between the OEP and usual-care arms.

Indexed as

ExercisePrimary Health CareRisk Reduction BehaviorAgedEnglandFeasibility StudiesHealth PromotionHumansLondonQuality of LifeSurveys and Questionnairesaged peopleexercise promotionfallsgeneral practicephysical activity

Identifiers

PMID26500320
PMCPMC4617267
OpenAlexW2288720342

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.