ArticlePloS one2019
Factors influencing adherence to home-based strength and balance exercises among older adults with mild cognitive impairment and early dementia: Promoting Activity, Independence and Stability in Early Dementia (PrAISED).
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic review of process evaluations for psychosocial interventions designed to improve the wellbeing and quality of life of community-dwelling people with dementia and their carers.International journal of geriatric psychiatry · 2022Pooled it
- Facilitators and Barriers to Physical Activity Participation in Older Adults With Mild Cognitive Impairment or Dementia: A Systematic Review Based on the COM-B Model.American journal of Alzheimer's disease and other dementiasPooled it
- Maintaining independence at home after a fall: a process evaluation of the MAINTAIN multicomponent intervention for people living with dementia.Age and ageing · 2025Trial
- Promoting Activity, Independence, and Stability in Early Dementia and mild cognitive impairment (PrAISED): randomised controlled trial.BMJ (Clinical research ed.) · 2023Trial
- Promoting activity, Independence and stability in early dementia (PrAISED): a, multisite, randomised controlled, feasibility trial.BMC geriatrics · 2019Trial
- Effect of social support and social network on the risk of hearing aids abandonment among older adults with hearing loss.BMC geriatrics · 2026Article
- Neighborhood social environment and physical activity among persons living with dementia.The Gerontologist · 2026Article
- Changes in attitudes toward hearing loss and hearing aids and their association with hearing‑aid abandonment among experienced older adults hearing‑aid users.BMC geriatrics · 2026Article
- A scoping review and comprehensive needs assessment for developing an intergenerational cognitive and physical activity program for MCI patients and their adult children.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Factors associated with dietary and exercise compliance among elderly with chronic conditions of hypertension and type 2 diabetes mellitus residing in rural areas of coastal Karnataka: A community-based cross-sectional study.Journal of education and health promotion · 2024Article
- Barriers to self-management engagement among community-dwelling older adults with mild cognitive impairment: a qualitative study.Frontiers in psychiatry · 2024Article
- Factors Affecting Physical Activity in People with Dementia: A Systematic Review and Narrative Synthesis.Behavioral sciences (Basel, Switzerland) · 2023Review
- Exploring the Potential of Technology to Promote Exercise Snacking for Older Adults Who Are Prefrail in the Home Setting: User-Centered Design Study.JMIR aging · 2023Article
- Article
- How to implement person-centred care and support for dementia in outpatient and home/community settings: Scoping review.BMC health services research · 2022Article
- Client, caregiver, volunteer, and therapist views on a voluntary supported group exercise programme for older adults with dementia.BMC geriatrics · 2020Article
- Barriers and facilitators to adherence to walking group exercise in older people living with dementia in the community: a systematic review.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2020Review
- Home/community-based interventions to improve function in persons with mild cognitive impairment/early dementia.Geriatric nursing (New York, N.Y.)Review
- Development of a customized booklet of foot-ankle exercises for people with diabetes mellitus as a management and prevention tool for musculoskeletal complications: A customized booklet of foot-ankle exercises for people with diabetes.Brazilian journal of physical therapyArticle
- Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundOlder adults with dementia are at a high risk of losing abilities and of accidental falls. Promoting Activity, Independence and Stability in Early Dementia (PrAISED) is a 12-month person-centred exercise and activity programme which aims to increase activity and independence whilst reducing falls in people with early dementia. In this patient group, as well as many others, poor adherence to exercise interventions can undermine treatment effectiveness. We aimed to explore patterns of barriers and facilitators influencing PrAISED participants' adherence to home-based strength and balance exercises.
methodsParticipants were a subsample of 20 individuals with mild cognitive impairment or early dementia and their carer(s) taking part in the PrAISED programme. Participants (with the support of a carer where necessary) kept a daily exercise diary. Participants' adherence were categorised based upon reported number of times a week they undertook the PrAISED strength and balance exercises over a 4 month period (<3 times a week = low adherence, 3-4 = meeting adherence expectations, >5 = exceeding adherence expectations). Semi-structured interviews were conducted in month 4 of the PrAISED programme to explore barriers and facilitators to adherence. A mixture of deductive and inductive thematic analysis was employed with themes categorised using the Theoretical Domains Framework.
findingsParticipants completed on average 98 minutes of home-based strength and balance exercises per week, 3.8 sessions per week, for an average of 24 minutes per session. Five participants were categorised as exceeding adherence expectations, 7 as meeting adherence expectations, and 8 as low adherers. Analysis of interview data based on self-reported adherence revealed six interacting themes: 1) routine, 2) practical and emotional support, 3) memory support, 4) purpose, 5) past experiences of sport and exercise, and 6) belief in and experience of benefits.
conclusionsIdentifiable cognitive, psychological, and practical factors influence adherence to exercise, and should be addressed in future development of interventions with this population.
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Registered trials
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