Evidence map›Paper›PMID 28724351›Full record

Trial reportBMC geriatrics2017

Impact of a lay-led home-based intervention programme on quality of life in community-dwelling pre-frail and frail older adults: a randomized controlled trial.

A Kapan, E Winzer, S Haider, S Titze, K Schindler, C Lackinger, T E Dorner

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC geriatrics, 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 18 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 5 pooled it
1.4field-weighted citation impact, top 19% 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.

NCT01991639 nacompletednot on this map

Nutrition Intervention and Physical Training in Malnourished, Frail, Community-dwelling, Elderly Subjects Carried Out by Trained Lay "Buddies"

TypeinterventionalSponsorMedical University of ViennaRan2014 to 2015Enrolled80ConditionsFrail Elderly, MalnutritionArmsNutritional and physical activity intervention
NCT06225271 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

Effects of the Combined Intervention of Exercise, Fruit, and Vitamin Supplementation on Frailty in Older Adults: A Cohort-based Cluster- Randomized Controlled Trial

TypeinterventionalSponsorNanjing Medical UniversityRan2024 to 2026Enrolled934ConditionsFrailtyArmsthe combined intervention of exercise, fruit, and vitamin supplementation
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 5 syntheses or guidelines pooled it, 38 citations in OpenAlex.

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  17. Home Exercise Interventions in Frail Older Adults.Current geriatrics reports · 2020
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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

7 authors at 3 institutions in 1 country.

A KapanCentre for Public Health, Department of Social and Preventive Medicine, Medical University of Vienna, Kinderspitalgasse 15/1, 1090, Vienna, Austria. Kapan@gmx.at.ORCID 0000-0002-4007-0973
E WinzerCentre for Public Health, Department of Social and Preventive Medicine, Medical University of Vienna, Kinderspitalgasse 15/1, 1090, Vienna, Austria.
S HaiderCentre for Public Health, Department of Social and Preventive Medicine, Medical University of Vienna, Kinderspitalgasse 15/1, 1090, Vienna, Austria.
S TitzeInstitute of Sport Science, University of Graz, Graz, Austria.
K SchindlerDivision of Endocrinology and Metabolism, Department of Medicine, Medical University of Vienna, Vienna, Austria.
C LackingerDepartment of Health Promotion and Prevention, Sportunion Austria, Vienna, Austria.
T E DornerCentre for Public Health, Department of Social and Preventive Medicine, Medical University of Vienna, Kinderspitalgasse 15/1, 1090, Vienna, Austria.
Medical University of Vienna · ATAustrian Institute for Sports Medicine · ATUniversity of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to the demographic ageing process and the increasing number of pre-frail and frail individuals, new lifestyle interventions to enhance the quality of life (QoL) in community-dwelling older adults are necessary. Therefore, we performed a randomised controlled trial (RCT) to compare effects of a lay-led home-based physical and nutritional intervention programme with social support alone on different QoL domains in community-dwelling pre-frail and frail older adults.

methodsIn this analysis within a RCT (12 weeks), lay volunteers visited one-on-one pre-frail or frail older adults at home twice a week. Participants in the physical training and nutritional intervention (PTN) group performed six strength exercises and discussed main nutritional issues during each visit. The social support (SOSU) group received home visits twice a week for social exchanges. The QoL was assessed with the WHOQOL-BREF and the WHOQOL-OLD instruments. Analyses of covariance (ANCOVA) were used to examine differences between groups with baseline values as the covariate. Changes within groups were assessed with paired t-tests.

resultsEighty participants (n = 39 in the PTN group and n = 41 in the SOSU group) were included. No significant differences were found between the two groups except in past, present and future activities domain [β = 3.66 (95% confidence interval 0.13 to 7.18)] in favour of the PTN group. However, there was some evidence of greater within group improvements in the PTN group particularly in overall QoL, social relations and social participation. In the SOSU group, no significant effect was observed in any QoL domain.

conclusionA combination of a home-based physical and nutritional intervention was not more effective compared to social support alone, on QoL in community-dwelling pre-frail and frail older adults. However, the small but significant improvement within the PTN group suggests that a home-based physical and nutritional intervention delivered by volunteers may influence the QoL in a positive way.

trial registrationThe study protocol was registered on 6 November 2013 at ClinicalTrials.gov (identifier: NCT01991639 ).

Indexed as

House CallsSocial SupportAgedAged, 80 and overEarly Medical InterventionExercise TherapyFemaleFollow-Up StudiesFrail ElderlyHumansIndependent LivingMaleNutritional SupportQuality of LifeFrailtyHome-based programmeQuality of lifeVolunteer

Identifiers

PMID28724351
PMCPMC5517808
OpenAlexW2736391882

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.