Evidence map›Paper›PMID 28338849›Full record

Trial reportAge and ageing2017

A preventative lifestyle intervention for older adults (lifestyle matters): a randomised controlled trial.

Gail Mountain, Gill Windle, Daniel Hind, Stephen Walters, Anju Keertharuth, Robin Chatters, Kirsty Sprange, Claire Craig, Sarah Cook, Ellen Lee and 6 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Age and ageing, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 8 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

36 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  5. The impact of loneliness and social isolation on health state utility values: a systematic literature review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
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  8. Pre-discharge prognostic factors of physical function among older adults with hip fracture surgery: a systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019
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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

16 authors.

Gail MountainSchool of Health and Related Research, University of Sheffield, Regent Court 30 Regent Street, Sheffield S1 4DA, UK.
Gill WindleDementia Services Development Centre, University of Bangor, Wales, Bangor, UK.
Daniel HindSchool of Health and Related Research, University of Sheffield, Regent Court 30 Regent Street, Sheffield S1 4DA, UK.
Stephen WaltersSchool of Health and Related Research, University of Sheffield, Regent Court 30 Regent Street, Sheffield S1 4DA, UK.
Anju KeertharuthSchool of Health and Related Research, University of Sheffield, Regent Court 30 Regent Street, Sheffield S1 4DA, UK.
Robin ChattersSchool of Health and Related Research, University of Sheffield, Regent Court 30 Regent Street, Sheffield S1 4DA, UK.
Kirsty SprangeSchool of Medicine, University of Nottingham, Nottingham, Nottinghamshire, UK.
Claire CraigCentre for Health and Social Care Research, Sheffield Hallam University, Sheffield, South Yorkshire, UK.
Sarah CookCentre for Health and Social Care Research, Sheffield Hallam University, Sheffield, South Yorkshire, UK.
Ellen LeeSchool of Health and Related Research, University of Sheffield, Regent Court 30 Regent Street, Sheffield S1 4DA, UK.
Tim ChaterSchool of Health and Related Research, University of Sheffield, Regent Court 30 Regent Street, Sheffield S1 4DA, UK.
R WoodsDementia Services Development Centre, University of Bangor, Wales, Bangor, UK.
Louise NewbouldSchool of Health and Related Research, University of Sheffield, Regent Court 30 Regent Street, Sheffield S1 4DA, UK.
Lauren PowellSchool of Health and Related Research, University of Sheffield, Regent Court 30 Regent Street, Sheffield S1 4DA, UK.
Katy ShortlandSheffield NIHR Clinical Research Facility, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Jennifer RobertsDementia Services Development Centre, University of Bangor, Wales, Bangor, UK.

Funding

Medical Research Council G1001406
6 · The paper itself

Abstract

Objectives: to test whether an occupation-based lifestyle intervention can sustain and improve the mental well-being of adults aged 65 years or over compared to usual care, using an individually randomised controlled trial. Participants: 288 independently living adults aged 65 years or over, with normal cognition, were recruited from two UK sites between December 2011 and November 2015. Interventions: lifestyle Matters is a National Institute for Health and Care Excellence recommended multi-component preventive intervention designed to improve the mental well-being of community living older people at risk of decline. It involves weekly group sessions over 4 months and one to one sessions. Main outcome measures: the primary outcome was mental well-being at 6 months (mental health (MH) dimension of the SF-36). Secondary outcomes included physical health dimensions of the SF-36, extent of depression (PHQ-9), quality of life (EQ-5D) and loneliness (de Jong Gierveld Loneliness Scale), assessed at 6 and 24 months. Results: data on 262 (intervention = 136; usual care = 126) participants were analysed using intention to treat analysis. Mean SF-36 MH scores at 6 months differed by 2.3 points (95 CI: -1.3 to 5.9; P = 0.209) after adjustments. Conclusions: analysis shows little evidence of clinical or cost-effectiveness in the recruited population with analysis of the primary outcome revealing that the study participants were mentally well at baseline. The results pose questions regarding how preventive interventions to promote well-being in older adults can be effectively targeted in the absence of proactive mechanisms to identify those who at risk of decline. Trial Registration: ISRCTN67209155.

Indexed as

Group ProcessesHealth PromotionMental HealthOccupational HealthQuality of LifeRisk Reduction BehaviorAgedAged, 80 and overAge FactorsAgingCost-Benefit AnalysisDepressionEnglandFemaleHealth Care CostsHumansmental healthoccupational healthOlder peoplerandomised controlled trial

Identifiers

PMID28338849
PMCPMC5860501

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.