Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2019
Effectiveness of a Disability Preventive Intervention for Minority and Immigrant Elders: The Positive Minds-Strong Bodies Randomized Clinical Trial.
Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 4 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
27 citing papers in PubMed, 4 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Community Health Worker-Delivered Mental Health Interventions for Latine Populations in the U.S.: A Systematic Literature Review.Administration and policy in mental health · 2025Pooled it
- Community-based complex interventions to sustain independence in older people, stratified by frailty: a systematic review and network meta-analysis.Health technology assessment (Winchester, England) · 2024Pooled it
- Community based complex interventions to sustain independence in older people: systematic review and network meta-analysis.BMJ (Clinical research ed.) · 2024Pooled it
- Community health worker interventions for older adults with complex health needs: A systematic review.Journal of the American Geriatrics Society · 2021Pooled it
- Enabling health and maintaining independence for older people at home: the 'HomeHealth' Randomised Controlled Trial.Health technology assessment (Winchester, England) · 2026Trial
- Combined Psychoeducational and Exercise Training Intervention to Improve Mental Health and Physical Functioning in Late-Life: A Randomized Controlled Trial.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026Trial
- Building community capacity in mental health care with the Strong Minds-Strong Communities programme: a randomised controlled trial in the USA.Lancet (London, England) · 2025Trial
- Role of social determinants in anxiety and depression symptoms during COVID-19: A longitudinal study of adults in North Carolina and Massachusetts.Behaviour research and therapy · 2022Trial
- Association of everyday discrimination with health outcomes among Asian and non-Asian US older adults before and during the COVID-19 pandemic.Frontiers in public health · 2022Trial
- The Impact of Social Support on Treatment Participation and Completion in a Disability Prevention Intervention for Older Adults.Journal of aging and healthTrial
- Benefit and Uptake: A Mixed Methods Study Exploring Older Adults' Experiences With a Psychoeducational and Exercise Training Maintenance Intervention.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026Article
- Cultural Adaptations in Community Health Worker-Delivered Mental Health Interventions for U.S Latine Populations.Journal of racial and ethnic health disparities · 2026Article
- Do Contemplative Practices Promote Trauma Recovery? A Narrative Review from 2018 to 2023.Healthcare (Basel, Switzerland) · 2025Review
- Community health worker training on older adults: A qualitative needs assessment.Journal of the American Geriatrics Society · 2024Article
- Attitudes and perceptions toward the COVID-19 risk-mitigation strategies among racially and ethnically diverse older adults in the United States and Puerto Rico: a qualitative study.Ethnicity & health · 2024Article
- Late life anxiety and depression symptoms, and suicidal behaviors in racial/ethnic minority older adults in community-based organizations and community clinics in the U.S.Cultural diversity & ethnic minority psychology · 2024Article
- Needs and Attitudes Related to the Adoption of Evidence-Based Practices Among Latinx Mental Health Professionals.Administration and policy in mental health · 2023Article
- The effect of research on life satisfaction in middle-aged and older adults: physical disability and physical activity as a parallel and serial mediation analysis.BMC geriatrics · 2023Article
- Attitudes toward COVID-19 Vaccine Uptake: A Qualitative Study of Mostly Immigrant Racial/Ethnic Minority Older Adults.Geriatrics (Basel, Switzerland) · 2023Article
- A New Agenda for Optimizing Investments in Community Mental Health and Reducing Disparities.The American journal of psychiatry · 2022Review
Corrections and comments
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Authors and funding
23 authors at 7 institutions in 2 countries.
Funding
Abstract
objectiveTo test the acceptability and effectiveness of a disability prevention intervention, Positive Minds-Strong Bodies (PMSB), offered by paraprofessionals to mostly immigrant elders in four languages.
designRandomized trial of 307 participants, equally randomized into intervention or enhanced usual care.
settingCommunity-based organizations in Massachusetts, New York, Florida, and Puerto Rico serving minority elders. Data collected at baseline, 2, 6, and 12 months, between May 2015 and March 2019.
participantsEnglish-, Spanish-, Mandarin-, or Cantonese-speaking adults, age 60+, not seeking disability prevention services, but eligible per elevated mood symptoms and minor to moderate physical dysfunction.
interventionsTen individual sessions of cognitive behavioral therapy (PM) concurrently offered with 36 group sessions of strengthening exercise training (SB) over 6 months compared to enhanced usual care. MEASUREMENTS: Acceptability defined as satisfaction and attendance to >50% of sessions. Effectiveness determined by changes in mood symptoms (HSCL-25 and GAD-7), functional performance (SPPB), self-reported disability (LLFDI), and disability days (WHODAS 2.0).
resultsAround 77.6% of intervention participants attended over half of PM Sessions; 53.4% attended over half of SB sessions. Intent-to-treat analyses at 6 months showed significant intervention effects: improved functioning per SPPB and LLFDI, and lowered mood symptoms per HSCL-25. Intent-to-treat analyses at 12 months showed that effects remained significant for LLFDI and HSCL-25, and disability days (per WHODAS 2.0) significantly decreased 6-month after the intervention.
conclusionsPMSB offered by paraprofessionals in community-based organizations demonstrates good acceptability and seems to improve functioning, with a compliance-benefit effect showing compliance as an important determinant of the intervention response.
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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.