Evidence map›Paper›PMID 32951215›Full record

Trial reportJournal of the American Geriatrics Society2021

Disability Prevention Program Improves Life-Space and Falls Efficacy: A Randomized Controlled Trial.

Minhui Liu, Qian-Li Xue, Laura N Gitlin, Jennifer L Wolff, Jack Guralnik, Bruce Leff, Sarah L Szanton

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07092176 (Randomized Controlled Study on Fall Prevention in Community-Dwelling Older Adults), which is not on this map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
5.8field-weighted citation impact, top 5% 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.

NCT07092176 narecruitingnot on this mapstarted 2026, after this paper: background citation

Randomized Controlled Study on Fall Prevention in Community-Dwelling Older Adults: Physiatry Based Steady Strides Intervention vs Primary Care

TypeinterventionalSponsorSteady Strides: Fall Prevention and Stroke Rehabilitation Medical InstituteRan2026 to 2029Enrolled102ConditionsFall Prevention, FallsArmsSteady Strides
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Exploring Indoor Home Environment Factors Influencing Fear of Falling: A Systematic Review.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Pooled it
  4. Pooled it
  5. Global Positioning System Indicators of Community Mobility and Future Health Outcomes Among Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Trial
  6. Trial
  7. Review
  8. Article
  9. Article
  10. Development of Prognostic Prediction Model to Estimate Mortality for Frail Oldest Old: Prospective Cohort Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023
    Article
  11. Review
  12. Article
  13. Article
  14. Review
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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

7 authors at 3 institutions in 2 countries.

Minhui LiuCentral South University Xiangya School of Nursing, Changsha, China.ORCID 0000-0002-4554-3135
Qian-Li XueDivision of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Laura N GitlinJohns Hopkins University School of Nursing, Baltimore, Maryland, USA.
Jennifer L WolffDepartment of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
Jack GuralnikDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Bruce LeffDivision of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Sarah L SzantonJohns Hopkins University School of Nursing, Baltimore, Maryland, USA.ORCID 0000-0001-5418-4982
Johns Hopkins University · USCentral South University · CNUniversity of Maryland, Baltimore · US

Funding

Reducing disability via a bundled bio-behavioral-environmental approachR01AG040100 · NIA · JOHNS HOPKINS UNIVERSITY · PI SZANTON, SARAH L · 2012 to 2016
$3.0M
NIA NIH HHS R01 AG040100NIH HHS R01AG040100
6 · The paper itself

Abstract

objectivesTo evaluate the effects of a home-based disability prevention program on life-space and falls efficacy among low-income older adults.

designSingle-blind two-arm randomized controlled trial.

settingParticipants' homes.

participantsParticipants were low-income cognitively intact older adults (≥65 years old) with restricted daily activities. Our analytic sample for life-space (n = 194) and falls efficacy (n = 233) varied as the life-space measure was introduced 4 months after the trial began.

interventionUp to six 1-hour home visits with an occupational therapist; up to four 1-hour home visits with a registered nurse; and up to $1,300 worth of home repairs, modifications, and assistive devices with a handyman, during a course of 4 months. MEASUREMENTS: Life-space was measured by the Homebound Mobility Assessment; falls efficacy was measured using the 10-item Tinetti Falls Efficacy Scale at baseline and 5 months.

resultsParticipants were on average 75 years old, predominantly Black (86%) and female (85%-86%). Compared with participants in the control group, participants receiving the intervention were more likely to have improved versus decreased life-space in areas of bathroom (adjusted odds ratio (OR) = 3.95; 95% confidence interval (CI) = 1.20-12.97), front or back porch, patio, or deck (adjusted OR = 2.67; 95% CI = 1.05-6.79), stairs (adjusted OR = 4.09; 95% CI = 1.34-12.48), leaving the house for any reason other than for health care (adjusted OR = 2.40; 95% CI = 1.01-5.73), and overall life-space (adjusted OR = 2.15; 95% CI = 1.10-4.19). Participants who received the intervention also had an 11% improvement in falls efficacy in performing daily activities (exponentiated coefficient = 1.12; 95% CI = 1.04-1.21).

conclusionLife-space and falls efficacy were improved through a multicomponent, person-directed, home-based disability prevention intervention. Findings suggest that this intervention should be translated into different settings to promote independent aging.

Indexed as

Independent LivingNurses, Community HealthSelf-Help DevicesAccidental FallsActivities of Daily LivingAgedFemaleHouse CallsHumansMaleOccupational TherapyPovertySingle-Blind Methoddisabilityfalls efficacyinterventionlife-spacephysical independence

Identifiers

PMID32951215
PMCPMC8344360
OpenAlexW3087541722

What OpenQuestion holds

Textmetadata
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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.