Evidence map›Paper›PMID 31703707›Full record

Trial reportHealth and quality of life outcomes2019

The effectiveness of the "SMG" model for health-promoting lifestyles among empty nesters: a community intervention trial.

Chichen Zhang, Xiao Zheng, Ruifang Zhu, Lihong Hou, Xiaozhao Yousef Yang, Jiao Lu, Feng Jiang, Tingzhong Yang

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Health and quality of life outcomes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 19% 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

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

  1. Pooled it
  2. Article
  3. 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

8 authors at 4 institutions in 2 countries.

Chichen ZhangSchool of Health Services Management, Southern Medical University, Guangzhou, Guangdong, China. zhangchichen@sina.com.ORCID http://orcid.org/0000-0003-1095-9939
Xiao ZhengSchool of Health Services Management, Southern Medical University, Guangzhou, Guangdong, China.
Ruifang ZhuSchool of Nursing, Shanxi Medical University, Taiyuan, Shanxi, China.
Lihong HouCenter for Health Management and Policy Research, Shanxi Medical University, Taiyuan, Shanxi, China.
Xiaozhao Yousef YangDepartment of Political Science and Sociology, Murray State University, Murray, KY, USA.
Jiao LuCenter for Health Management and Policy Research, Shanxi Medical University, Taiyuan, Shanxi, China.
Feng JiangLibrary, Shanxi Medical University, Taiyuan, Shanxi, China.
Tingzhong YangSchool of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Shanxi Medical University · CNMurray State University · USSouthern Medical University · CNZhejiang University · CN

Funding

China Postdoctoral Science Foundation Project 2019M652133Fund Program for the Selected Post Doctorate in Zhejiang Province zj20180138National Natural Science Foundation of China 71874104Planning Project of Shanxi Philosophy and Social Science founded by Shanxi Philosophy and Social Science Planning Office 2018B205Program for the Philosophy and Social Sciences Key Research Base of Higher Learning Institutions of Shanxi 201801019
6 · The paper itself

Abstract

backgroundWith the disintegration of the extended family in recent years, the empty-nest phenomenon is increasingly common in China and the health of empty nesters is attracting more attention. Lifestyles, accounting for 53% in determining death, play a vital role in improving the health of individuals. However, it was rarely studied in promoting the health of empty nesters. In this study, we proposed a "SMG" model in empty nesters, including the self-management, mutual management, and group management, to implement health-promoting lifestyles interventions among empty nesters to provide an effective means to improve their lifestyles and health.

methodsWe conducted a prospective intervention on 350 empty nesters in three communities located in Taiyuan, China. One hundred sixty-seven empty nesters were randomly assigned to the intervention group with SMG-based health-promoting lifestyles interventions used for 7-months, and 183 were randomly assigned to the control group with no measures imposed. The Health-Promoting Lifestyle Profile (HPLP-C) was used to rate the lifestyles of empty nesters. Generalized estimation model was used to analyze the differences between the intervention and control groups over time, adjusted for education and employment.

resultsAfter 7 months of health-promoting lifestyles intervention, HPLP-C score and each dimension score in the intervention group all increase from baseline. There were significant differences after intervention associated with time and group interaction effects in aspects of HPLP-C (mean score = 8.838, 95%CI:6.369-11.306), self-realization (mean score = 1.443, 95%CI:0.352-2.534), Health responsibility (mean score = 1.492, 95%CI:0.477-2.508), physical activity (mean score = 1.031, 95%CI:0.572-1.491), nutrition (mean = 0.827, 95%CI:0.177-1.476), interpersonal relations (mean = 2.917, 95%CI:2.365-3.469) and stress management (mean score = 0.729, 95%CI:0.131-1.327). And education is contributing to the effect of the health-promoting lifestyle intervention (Estimate:8.833, p < 0.001).

conclusionsSMG-based health-promoting lifestyles intervention in empty nesters effectively improved the lifestyles of empty nesters, and the outcome was affected by education. Lifestyle change requires ongoing intervention, and community service centres must be involved in implementing the "SMG" model to provide ongoing support and improve the effect of interventions among empty nesters.

trial registrationChinese Clinical Trial ChiCTR1800015884. Registration date: 26-04-2018. Retrospectively registered.

Indexed as

Healthy LifestyleAgedAged, 80 and overChinaFamily CharacteristicsFemaleHealth PromotionHumansInterpersonal RelationsMaleMiddle AgedProspective StudiesQuality of LifeEmpty nestersHealth managementHealth-promoting lifestylesInterventionThe “SMG” model

Identifiers

PMID31703707
PMCPMC6839261
OpenAlexW2983570750

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.