Evidence map›Paper›PMID 30604208›Full record

ArticleAging clinical and experimental research2019

Study protocol of a randomised controlled trial to examine the impact of a complex intervention in pre-frail older adults.

Ruth Teh, Ngaire Kerse, Debra L Waters, Leigh Hale, Avinesh Pillai, Evelingi Leilua, Esther Tay, Anna Rolleston, Richard Edlin, Eruera Maxted and 2 more

Erratum issuedOpen access · hybridAbstract readClinical Trial Protocol
In one paragraph

Article in Aging clinical and experimental research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 26% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Ruth TehDepartment of General Practice and Primary Health Care, School of Population Health, University of Auckland, Auckland, New Zealand. r.teh@auckland.ac.nz.
Ngaire KerseSchool of Population Health, University of Auckland, Auckland, New Zealand.
Debra L WatersDepartment of Medicine, School of Physiotherapy, University of Otago, Dunedin, New Zealand.
Leigh HaleCentre for Health, Activity and Rehabilitation Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand.
Avinesh PillaiDepartment of Statistics, Faculty of Science, University of Auckland, Auckland, New Zealand.
Evelingi LeiluaDepartment of General Practice and Primary Health Care, School of Population Health, University of Auckland, Auckland, New Zealand.
Esther TayDepartment of General Practice and Primary Health Care, School of Population Health, University of Auckland, Auckland, New Zealand.
Anna RollestonThe Centre of Health, Tauranga, New Zealand.
Richard EdlinHealth Systems Group, School of Population Health, University of Auckland, Auckland, New Zealand.
Eruera MaxtedLakes District Health Board, Rotorua, New Zealand.
Claire HeppenstallDepartment of Medicine, University of Otago, Christchurch, New Zealand.
Martin J ConnollyDepartment of Geriatric Medicine, University of Auckland, Auckland, New Zealand.
University of Auckland · NZUniversity of Otago · NZRotorua Hospital · NZThe Centre for Health (New Zealand) · NZ

Funding

Health Research Council of New Zealand 14/604Ministry of Business, Innovation and Employment 12815/1, SUB1341
6 · The paper itself

Abstract

backgroundFrailty is a multidimensional geriatric syndrome associated with functional loss. The Senior Chef (SC, nutrition) and SAYGO (strength and balance exercise) programmes are well accepted among older adults but the impact of each, or a combination of both, on the frailty syndrome in pre-frail older adults is unknown.

aimsTo determine the effectiveness and cost-effectiveness of a complex intervention consisting of the SC and/or SAYGO programmes to prevent progression of frailty in pre-frail older adults.

methodsA multi-centre randomised controlled assessor-blinded study. The four intervention groups are SC, an 8-week nutrition education and cooking class; SAYGO, a 10-week strength and balance exercise class; SC plus SAYGO, and a social group (Control). Community-dwelling adults aged 75+ (60 + Māori and Pasifika) in New Zealand are recruited through health providers. Participants are not terminally ill or with advanced dementia, and have a score of 1 or 2 on the FRAIL questionnaire. Baseline assessments are completed using standardised questionnaires prior to randomisation. Four follow-up assessments are completed: immediately after intervention, 6, 12 and 24 months post-intervention. The primary outcome is frailty score, secondary outcomes are falls, physical function, quality of life, food intake, physical activity, and sustainability of the strategy. Study outcomes will be analysed using intention-to-treat approach. Cost analyses will be completed to determine if interventions are cost effective relative to the control group. DISCUSSION: This trial is designed to be a real world rigorous assessment of whether the two intervention strategies can prevent progression of frailty in older people. If successful, this will generate valuable information about effectiveness of this nutrition and exercise strategy, and provide insights for their implementation.

trial registrationAustralian and New Zealand Clinical Trials Registry number-ACTRN12614000827639.

Indexed as

Frail ElderlyAccidental FallsAgedAged, 80 and overAustraliaCost-Benefit AnalysisExerciseExercise TherapyFemaleFrailtyHumansIndependent LivingMaleMulticenter Studies as TopicOutcome Assessment, Health CareQuality of LifeCost effectivenessFrailtyNutritionOlder adultsPhysical activity

Identifiers

PMID30604208
PMCPMC9203378
OpenAlexW2907468522

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.