Evidence map›Paper›PMID 28183809›Full record

SynthesisBMJ open2017

Specifying the content of home-based health behaviour change interventions for older people with frailty or at risk of frailty: an exploratory systematic review.

Benjamin Gardner, Ana Jovicic, Celia Belk, Kalpa Kharicha, Steve Iliffe, Jill Manthorpe, Claire Goodman, Vari M Drennan, Kate Walters

2 registry-linked trialsOpen access · goldAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 pooled it
2.8field-weighted citation impact, top 11% 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.

NCT05304429 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Application of a Nutritional Counseling Program on the Frailty of Older Adults in the Mexican Population

TypeinterventionalSponsorInstituto Tecnologico y de Estudios Superiores de MontereyRan2022 to 2022Enrolled80ConditionsFrailty SyndromeArmsnutrition education, nutritional counseling
NCT07027241 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Multicomponent Exercise and Nutrition Based Frailty Intervention in Postoperative Hip Fracture Inpatients

TypeinterventionalSponsorRoyal College of Surgeons, IrelandRan2025 to 2026Enrolled50ConditionsHip Fractures (ICD-10 72.01-72.2), Frailty at Older Adults, Strength Training, Resistance TrainingArmsExercise Intervention, Usual Care, Nutritional Intervention
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 4 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Perceived Benefits of an Adaptive Tai Chi Program Among Veterans with Ambulatory Limitations.International journal of environmental research and public health · 2025
    Article
  12. Article
  13. Article
  14. The impact of yoga on aging physiology: A review.The journal of nutrition, health & aging · 2024
    Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. A Toolkit for Co-Designing towards Community-Based Active Ageing: Lessons Learned during Development.International journal of environmental research and public health · 2022
    Article
  20. 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

9 authors at 4 institutions in 1 country.

Benjamin GardnerDepartment of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.ORCID 0000-0003-1223-5934
Ana JovicicDepartment of Primary Care and Population Health, University College London, Royal Free Hospital, London, UK.
Celia BelkDepartment of Primary Care and Population Health, University College London, Royal Free Hospital, London, UK.
Kalpa KharichaDepartment of Primary Care and Population Health, University College London, Royal Free Hospital, London, UK.
Steve IliffeDepartment of Primary Care and Population Health, University College London, Royal Free Hospital, London, UK.
Jill ManthorpeSocial Care Workforce Research Unit, King's College London, London, UK.
Claire GoodmanCentre for Research in Primary and Community Care, University of Hertfordshire, Hertfordshire, UK.
Vari M DrennanCentre for Health and Social Care Research, Kingston University & St George's, University of London, London, UK.
Kate WaltersDepartment of Primary Care and Population Health, University College London, Royal Free Hospital, London, UK.ORCID 0000-0003-2173-2430
The Royal Free Hospital · GBKing's College London · GBSt George's, University of London · GBUniversity of Hertfordshire · GB

Funding

Department of Health HTA/12/192/10
6 · The paper itself

Abstract

objectivesTo identify trials of home-based health behaviour change interventions for frail older people, describe intervention content and explore its potential contribution to intervention effects.

design15 bibliographic databases, and reference lists and citations of key papers, were searched for randomised controlled trials of home-based behavioural interventions reporting behavioural or health outcomes.

settingParticipants' homes.

participantsCommunity-dwelling adults aged ≥65 years with frailty or at risk of frailty. PRIMARY AND SECONDARY OUTCOME MEASURES: Trials were coded for effects on thematically clustered behavioural, health and well-being outcomes. Intervention content was described using 96 behaviour change techniques, and 9 functions (eg, education, environmental restructuring).

results19 eligible trials reported 22 interventions. Physical functioning was most commonly assessed (19 interventions). Behavioural outcomes were assessed for only 4 interventions. Effectiveness on most outcomes was limited, with at most 50% of interventions showing potential positive effects on behaviour, and 42% on physical functioning. 3 techniques (instruction on how to perform behaviour, adding objects to environment, restructuring physical environment) and 2 functions (education and enablement) were more commonly found in interventions showing potential than those showing no potential to improve physical function. Intervention content was not linked to effectiveness on other outcomes.

conclusionsInterventions appeared to have greatest impact on physical function where they included behavioural instructions, environmental modification and practical social support. Yet, mechanisms of effects are unclear, because impact on behavioural outcomes has rarely been considered. Moreover, the robustness of our findings is also unclear, because interventions have been poorly reported. Greater engagement with behavioural science is needed when developing and evaluating home-based health interventions. PROSPERO REGISTRATION NUMBER: ID=CRD42014010370.

Indexed as

Frail ElderlyHealth BehaviorAgedBehavior TherapyCost-Benefit AnalysisFrailtyHumansRandomized Controlled Trials as TopicResearch DesignBehaviour changeFrailtyInterventionOlder peopleSystematic review

Identifiers

PMID28183809
PMCPMC5306507
OpenAlexW2587116719

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.