Trial reportThe international journal of behavioral nutrition and physical activity2018
Cluster randomized controlled trial of a multilevel physical activity intervention for older adults.
Trial report in The international journal of behavioral nutrition and physical activity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 29 papers, 7 of them syntheses that pooled 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.
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.
MIPARC - Multilevel Intervention for Physical Activity in Retirement Communities
Community Intervention to impRove CVD Risk Factor controL in Young AmErican Indians: The CIRCLE Study
A Randomized Controlled Trial in Lombok: Assessing Factors Influencing Acceptance and Adherence to Multiple Micronutrient Supplementation (MMS) Using Digital Tools
Who cites it
29 citing papers in PubMed, 7 syntheses or guidelines pooled it, 69 citations in OpenAlex.
- Toward inclusive healthy ageing: a systematic review of equity in healthy ageing interventions.International journal for equity in health · 2026Pooled it
- Pooled it
- Pooled it
- Effectiveness of Peer-Led Wellbeing Interventions in Retirement Living: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Interventions for reducing sedentary behaviour in community-dwelling older adults.The Cochrane database of systematic reviews · 2021Pooled it
- Safety and Effectiveness of Long-Term Exercise Interventions in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials.Sports medicine (Auckland, N.Z.) · 2020Pooled it
- Challenges of conducting research in long-term care facilities: a systematic review.BMC geriatrics · 2018Pooled it
- Effects of self-monitoring using an accelerometer on physical activity of older people with long-term care insurance in Japan: a randomized controlled trial.European geriatric medicine · 2024Trial
- Physical Activity Intervention for Leisure-Time Activity Levels Among Older Adults: A Cluster Randomized Trial.JAMA network open · 2023Trial
- Health effects and cost-effectiveness of a multilevel physical activity intervention in low-income older adults; results from the PEP4PA cluster randomized controlled trial.The international journal of behavioral nutrition and physical activity · 2022Trial
- Change in GPS-assessed walking locations following a cluster-randomized controlled physical activity trial in older adults, results from the MIPARC trial.Health & place · 2021Trial
- Changes in Moderate Intensity Physical Activity Are Associated With Better Cognition in the Multilevel Intervention for Physical Activity in Retirement Communities (MIPARC) Study.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2019Trial
- Understanding Multilevel Correlates of Long-Term Physical Activity Trajectories Among Middle-Aged and Older Adults: A Machine-Learning Analysis.Behavioral sciences (Basel, Switzerland) · 2026Article
- Leveraging Neighborhood-Level Interventions to Improve Cardiovascular Health: A Scoping Review.Circulation. Population health and outcomes · 2026Article
- Association of objectively measured physical activity with phase angle obtained from bioelectrical impedance analysis in older adults with disabilities under the long-term care insurance system.Journal of physiological anthropology · 2025Article
- Personalised, GIS-based counselling to promote habitual walking in mobility-limited and chronically ill older adults: protocol of the MOBITEC-Routes randomised controlled trial.BMC geriatrics · 2025Article
- Multilevel Interventions Demonstrate Mixed Effectiveness for Improving Blood Pressure Outcomes: A Rapid Review.Healthcare (Basel, Switzerland) · 2025Review
- Modifiable determinants of older adults' physical activity and sedentary behavior in community and healthcare settings: a DE-PASS systematic review and meta-analysis.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2025Article
- Nonpharmacologic Management of Hypertension in Older Adults.Clinics in geriatric medicine · 2024Review
- The Independent Walking for Brain Health Intervention for Older Adults: Protocol for a Pilot Randomized Controlled Trial.JMIR research protocols · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundOlder adults are the least active population group. Interventions in residential settings may support a multi-level approach to behavior change.
methodsIn a cluster randomized control trial, 11 San Diego retirement communities were assigned to a physical activity (PA) intervention or a healthy aging attention control condition. Participants were 307 adults over 65 years old. The multilevel PA intervention was delivered with the assistance of peer leaders, who were trained older adult from the retirement communities. Intervention components included individual counseling & self-monitoring with pedometers, group education sessions, group walks, community advocacy and pedestrian community change projects. Intervention condition by time interactions were tested using generalized mixed effects regressions. The primary outcomes was accelerometer measured physical activity. Secondary outcomes were blood pressure and objectively measured physical functioning.
resultsOver 70% of the sample were 80 years or older. PA significantly increased in the intervention condition (56 min of moderate-vigorous PA per week; 119 min of light PA) compared with the control condition and remained significantly higher across the 12 month study. Men and participants under 84 years old benefited most from the intervention. There was a significant decrease in systolic (p < .007) and diastolic (p < .02) blood pressure at 6 months. Physical functioning improved but the changes were not statistically significant.
conclusionsIntervention fidelity was high demonstrating feasibility. Changes in PA and blood pressure achieved were comparable to other studies with much younger participants. Men, in particular, avoided a year-long decline in PA.
trial registrationclincialtrials.gov Identifier: NCT01155011 .
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What OpenQuestion holds
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.