Evidence map›Paper›PMID 27716095›Full record

Trial reportBMC geriatrics2016

For whom is a health-promoting intervention effective? Predictive factors for performing activities of daily living independently.

Synneve Dahlin-Ivanoff, Kajsa Eklund, Katarina Wilhelmson, Lina Behm, Greta Häggblom-Kronlöf, Lena Zidén, Sten Landahl, Susanne Gustafsson

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC geriatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00877058 (Elderly Persons at the Risk Zone - a Randomized Controlled Trial of a Community Based Preventive Multiprofessional Program for Old Persons at Risk of Frailty), which is not on this map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 25% 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.

NCT00877058 nacompletednot on this map

Elderly Persons at the Risk Zone - a Randomized Controlled Trial of a Community Based Preventive Multiprofessional Program for Old Persons at Risk of Frailty

TypeinterventionalSponsorVardalinstitutet The Swedish Institute for Health SciencesRan2008 to 2011Enrolled459ConditionsFrail Elderly PersonsArmspreventive home visit, senior meetings
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
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

8 authors at 2 institutions in 1 country.

Synneve Dahlin-IvanoffDepartment of Health and Rehabilitation, The Sahlgrenska Academy at the University of Gothenburg, Institute of Neuroscience and Physiology, Box 455, SE 405 30, Gothenburg, Sweden. synneve.dahlin-ivanoff@gu.se.
Kajsa EklundDepartment of Health and Rehabilitation, The Sahlgrenska Academy at the University of Gothenburg, Institute of Neuroscience and Physiology, Box 455, SE 405 30, Gothenburg, Sweden.
Katarina WilhelmsonInstitute of Neuroscience and Physiology, University of Gothenburg Centre for Ageing and Health (AgeCap), SE 405 30, Gothenburg, Sweden.
Lina BehmDepartment of Health Sciences, Faculty of Medicine, Lund University, SE 221 00, Lund, Sweden.
Greta Häggblom-KronlöfDepartment of Health and Rehabilitation, The Sahlgrenska Academy at the University of Gothenburg, Institute of Neuroscience and Physiology, Box 455, SE 405 30, Gothenburg, Sweden.
Lena ZidénDepartment of Health and Rehabilitation, The Sahlgrenska Academy at the University of Gothenburg, Institute of Neuroscience and Physiology, Box 455, SE 405 30, Gothenburg, Sweden.
Sten LandahlInstitute of Neuroscience and Physiology, University of Gothenburg Centre for Ageing and Health (AgeCap), SE 405 30, Gothenburg, Sweden.
Susanne GustafssonDepartment of Health and Rehabilitation, The Sahlgrenska Academy at the University of Gothenburg, Institute of Neuroscience and Physiology, Box 455, SE 405 30, Gothenburg, Sweden.
University of Gothenburg · SELund University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth-promoting interventions tailored to support older persons to remain in their homes, so-called "ageing in place" is important for supporting or improving their health. The health-promoting programme "Elderly Persons in the Risk Zone," (EPRZ) was set up for this purpose and has shown positive results for maintaining independence in activities of daily living for older persons 80 years and above at 1- and 2 year follow-ups. The aim of this study was to explore factors for maintaining independence in the EPRZ health-promoting programme.

methodsTotal of 459 participants in the original trial was included in the analysis; 345 in the programme arm and 114 in the control arm. Thirteen variables, including demographic, health, and programme-specific indicators, were chosen as predictors for independence of activities of daily living. Logistic regression was performed separately for participants in the health promotion programme and in the control arm.

resultsIn the programme arm, being younger, living alone and self-rated lack of tiredness in performing mobility activities predicted a positive effect of independence in activities of daily living at 1-year follow-up (odds ratio [OR] 1.18, 1.73, 3.02) and 2-year, (OR 1.13, 2.01, 2.02). In the control arm, being less frail was the only predictor at 1-year follow up (OR 1.6 1.09, 2.4); no variables predicted the outcome at the 2-year follow-up.

conclusionsOlder persons living alone - as a risk of ill health - should be especially recognized and offered an opportunity to participate in health-promoting programmes such as "Elderly Persons in the Risk Zone". Further, screening for subjective frailty could form an advantageous guiding principle to target the right population when deciding to whom health-promoting intervention should be offered.

trial registrationThe original clinical trial was registered at ClinicalTrials.gov. Identifier: NCT00877058 , April 6, 2009.

Indexed as

AgingHealth PromotionMobility LimitationActivities of Daily LivingAged, 80 and overDemographyFemaleFrail ElderlyHealth Services Needs and DemandHealth Status DisparitiesHumansIndependent LivingLogistic ModelsMaleRisk AssessmentRisk Factors80 and overActivities of daily living (ADL)AgedAgeingFrail elderlyHealth promotionLogistic regression

Identifiers

PMID27716095
PMCPMC5052718
OpenAlexW2529199401

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.