Evidence map›Paper›PMID 29614960›Full record

Trial reportBMC geriatrics2018

Chair based exercise in community settings: a cluster randomised feasibility study.

K R Robinson, A L Long, P Leighton, S Armstrong, R Pulikottill-Jacob, J R F Gladman, A L Gordon, P Logan, K A Anthony, R H Harwood and 2 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 14% 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.

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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. 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

12 authors at 3 institutions in 1 country.

K R RobinsonDivision of Rehabilitation and Ageing. Medical School, University of Nottingham, Nottingham, UK. Katie.robinson@nottingham.ac.uk.ORCID 0000-0003-1458-8186
A L LongDivision of Medical Sciences and Graduate Entry Medicine, University of Nottingham, Nottingham, UK.
P LeightonSchool of Medicine, University of Nottingham, Nottingham, UK.
S ArmstrongSchool of Medicine, University of Nottingham, Nottingham, UK.
R Pulikottill-JacobClinical Trials Unit, University of Warwick, Coventry, UK.
J R F GladmanDivision of Rehabilitation and Ageing. Medical School, University of Nottingham, Nottingham, UK.
A L GordonDivision of Medical Sciences and Graduate Entry Medicine, University of Nottingham, Nottingham, UK.
P LoganDivision of Rehabilitation and Ageing. Medical School, University of Nottingham, Nottingham, UK.
K A AnthonyDivision of Rehabilitation and Ageing. Medical School, University of Nottingham, Nottingham, UK.
R H HarwoodNottingham Biomedical Research Centre (BRC): Musculoskeletal Disease (MSK) theme, Nottingham, UK.
P E BlackshawMedical Physics, Queens Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK.
T MasudNottingham Biomedical Research Centre (BRC): Musculoskeletal Disease (MSK) theme, Nottingham, UK.
University of Nottingham · GBNottingham University Hospitals NHS Trust · GBUniversity of Warwick · GB

Funding

Department of Health PB-PG-0613-31012
6 · The paper itself

Abstract

backgroundSome older people who find standard exercise programmes too strenuous may be encouraged to exercise while remaining seated - chair based exercises (CBE). We previously developed a consensus CBE programme (CCBE) following a modified Delphi process. We firstly needed to test the feasibility and acceptability of this treatment approach and explore how best to evaluate it before undertaking a definitive trial.

methodsA feasibility study with a cluster randomised controlled trial component was undertaken to 1. Examine the acceptability, feasibility and tolerability of the intervention and 2. Assess the feasibility of running a trial across 12 community settings (4 day centres, 4 care homes, 4 community groups). Centres were randomised to either CCBE, group reminiscence or usual care. Outcomes were collected to assess the feasibility of the trial parameters: level of recruitment interest and eligibility, randomisation, adverse events, retention, completion of health outcomes, missing data and delivery of the CCBE. Semi- structured interviews were conducted with participants and care staff following the intervention to explore acceptability.

results48% (89 out of 184 contacted) of eligible centres were interested in participating with 12 recruited purposively. 73% (94) of the 128 older people screened consented to take part with 83 older people then randomised following mobility testing. Recruitment required greater staffing levels and resources due to 49% of participants requiring a consultee declaration. There was a high dropout rate (40%) primarily due to participants no longer attending the centres. The CCBE intervention was delivered once a week in day centres and community groups and twice a week in care homes. Older people and care staff found the CCBE intervention largely acceptable.

conclusionThere was a good level of interest from centres and older people and the CCBE intervention was largely welcomed. The trial design and governance procedures would need to be revised to maximise recruitment and retention. If the motivation for a future trial is physical health then this study has identified that further work to develop the CCBE delivery model is warranted to ensure it can be delivered at a frequency to elicit physiological change. If the motivation for a future trial is psychological outcomes then this study has identified that the current delivery model is feasible.

trial registrationISRCTN27271501 . Date registered: 30/01/2018.

Indexed as

MotivationAgedAged, 80 and overExerciseExercise TherapyFeasibility StudiesFemaleFrailtyHumansMaleCare homesExerciseOlder people

Identifiers

PMID29614960
PMCPMC5883353
OpenAlexW2806994722

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.