ArticleBMC geriatrics2016
The effects of a life goal-setting technique in a preventive care program for frail community-dwelling older people: a cluster nonrandomized controlled trial.
Article in BMC geriatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers, 2 of them syntheses that pooled it.
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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.
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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.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Delaying and reversing frailty: a systematic review of primary care interventions.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Pooled it
- Effects of health care interventions on quality of life among frail elderly: a systematized review.Clinical interventions in aging · 2019Pooled it
- Article
- Feasibility and User Experience of an AI-Supported mHealth Intervention for Remote Life Goal Setting Based on Flow Theory: Exploratory Within-Participant Study.JMIR formative research · 2026Article
- Effectiveness of Nutritional Interventions in Pre-Frail or Frail Older Adults: A Scoping Review.Journal of clinical medicine · 2026Review
- Typologies of physical education experts' perspectives on designing physical activity program guidelines for older adults in urban-rural community centers: a Q-methodology study.Frontiers in public health · 2025Article
- Active use of local exercise facilities can improve physical performance of community-dwelling older adults.Journal of physical therapy science · 2024Article
- Goal setting in later life: an international comparison of older adults' defined goals.BMC geriatrics · 2024Article
- Correlation between frailty and reduction in cortical thickness in patients with chronic obstructive pulmonary disease.Scientific reports · 2024Article
- The association of frailty on cardiac rehabilitation goal achievement.Frontiers in cardiovascular medicine · 2024Article
- Changes in Satisfaction with Meaningful Activities and Onset of Depressive Symptoms among Community-Dwelling Japanese Older Adults: A Population-Based Study Before and During the COVID-19 Pandemic.Journal of the American Medical Directors Association · 2023Article
- Protocols and Features of Goal-Setting-Based Intervention for Frail Older Adults in Community Exercise Facilities.International journal of environmental research and public health · 2023Article
- Article
- Applications of Medium-Chain Triglycerides in Foods.Frontiers in nutrition · 2022Review
- The Relationship between Health Consciousness and Home-Based Exercise in China during the COVID-19 Pandemic.International journal of environmental research and public health · 2020Article
- A supervised exercise intervention fails to improve depressive symptoms and quality of life among sedentary older adults with HIV infection.AIDS care · 2020Article
- Efficacy of multidomain interventions to improve physical frailty, depression and cognition: data from cluster-randomized controlled trials.Journal of cachexia, sarcopenia and muscle · 2020Article
- Erratum to: The effects of a life goal-setting technique in a preventive care program for frail community-dwelling older people: a cluster nonrandomized controlled trial.BMC geriatrics · 2017Article
Corrections and comments
- Erratum issued
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFrailty among older people is associated with an increased risk of needing care. There have been many reports on preventive care programs for frail older people, but few have shown positive effects on disability prevention. Physical exercise programs for frail older people affect elements such as physical fitness and balance, but are less effective for disability outcomes and are not followed up in the longer term. We developed a life goal-setting technique (LGST). Our objective was to determine the effect of a LGST plus standard preventive care program for community-dwelling frail older people.
methodsWe used a cluster nonrandomized controlled trial with seven intervention and nine matched control groups, with baseline assessment and follow-up at 3, 6, and 9 months. Participants were 176 frail older people, aged 65 years or over, living in the community in Izumi, Osaka, Japan. All participants attended regular 120 min preventive care exercise classes each week, over 3 months. They also received oral care and nutrition education. The intervention groups alone received life goal-setting support. We assessed outcomes longitudinally, comparing pre-intervention with follow-up. The primary outcome measure was health improvement according to the Japanese Ministry of Health, Labour and Welfare's "Kihon Checklist" for assessment of frailty and quality of life (QOL), analyzed with a two-way ANOVA and post-test comparison. Secondary outcomes included physical functions and assessment of life goals.
resultsThe improvement on the Kihon Checklist for the intervention group was approximately 60 % from baseline to 9-months follow-up; the control group improved by approximately 40 %. The difference between groups was significant at 3-month (p = 0.043) and 6-month (p = 0.015) follow-ups but not at 9-month (p = 0.098) follow-up. Analysis of QOL yielded a significant time × group interaction effect (p = 0.022). The effect was significant at 3 months in the intervention group, but at no time in the control group.
conclusionA 3-month exercise program helped to decrease frailty and improve QOL in frail older people, and the addition of LGST increased its effectiveness. The LGST is a feasible and promising intervention for reducing risk of needing care.
trial registrationUMIN000021485 . Registered 15 March 2016.
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