Evidence map›Paper›PMID 34448856›Full record

Trial reportEuropean journal of public health2021

Facilitators and barriers to implementing lifestyle intervention programme to prevent cognitive decline.

Jenni Kulmala, Anna Rosenberg, Tiia Ngandu, Katri Hemiö, Tarja Tenkula, Arja Hyytiä, Minna Vienola, Minna Huhtamäki-Kuoppala, Anneli Saarinen, Saana Korkki and 3 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Involving Societal Stakeholders in Dementia Risk Reduction: An Explorative Study.Health expectations : an international journal of public participation in health care and health policy · 2026
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  7. Article
  8. Observational
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  10. Review
  11. Article
  12. Article
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  15. Review
  16. Article
  17. Barriers and Facilitators of Implementing a Healthy Lifestyle Intervention at Workplaces in South Africa.International journal of environmental research and public health · 2024
    Article
  18. Article
  19. Article
  20. 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

13 authors at 8 institutions in 3 countries.

Jenni KulmalaFaculty of Social Sciences (Health Sciences) and Gerontology Research Center (GEREC), Tampere University, Tampere, Finland.
Anna RosenbergInstitute of Clinical Medicine/Neurology, University of Eastern Finland, Kuopio, Finland.ORCID 0000-0003-1456-7991
Tiia NganduDepartment of Public Health and Welfare, Population Health Unit, Finnish Institute for Health and Welfare, Helsinki, Finland.
Katri HemiöDepartment of Public Health and Welfare, Population Health Unit, Finnish Institute for Health and Welfare, Helsinki, Finland.
Tarja TenkulaSouthern Ostrobothnia Central Hospital, Seinäjoki, Finland.
Arja HyytiäSouthern Ostrobothnia Central Hospital, Seinäjoki, Finland.
Minna VienolaHärmä Rehabilitation Center, Ylihärmä, Finland.
Minna Huhtamäki-KuoppalaSouth Ostrobothnia Memory Association, Ylihärmä, Finland.
Anneli SaarinenCity of Seinäjoki, Finland.
Saana KorkkiDepartment of Psychology, University of Cambridge, Cambridge, UK.
Tiina LaatikainenDepartment of Public Health and Welfare, Population Health Unit, Finnish Institute for Health and Welfare, Helsinki, Finland.ORCID 0000-0002-6614-4782
Alina SolomonInstitute of Clinical Medicine/Neurology, University of Eastern Finland, Kuopio, Finland.
Miia KivipeltoDepartment of Public Health and Welfare, Population Health Unit, Finnish Institute for Health and Welfare, Helsinki, Finland.
University of Eastern Finland · FIFinnish Institute for Health and Welfare · FIKarolinska Institutet · SEKarolinska University Hospital · SENorthern Ostrobothnia Hospital District · FISeinäjoki University of Applied Sciences · FITampere University · FIUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Finnish Intervention Study to Prevent Cognitive Impairment and Disability is a randomized controlled trial that has tested the efficacy of a multidomain intervention targeting modifiable risk factors to prevent cognitive impairment/dementia. A combination of healthy diet, physical, social and cognitive activity, and management of cardiovascular risks was shown to be an effective model to promote brain health among older people. The aim of this qualitative study was to explore healthcare professionals' perceptions of facilitators and barriers to implementing this lifestyle programme into health care.

methodsFour semi-structured focus group interviews were conducted among healthcare professionals working in primary care and in non-governmental organizations (N=27). Participants were asked to discuss their perceptions of facilitators and barriers for implementing the multidomain intervention into clinical practice. Interviews were analyzed using content analysis.

resultsBarriers and facilitators described by the healthcare professionals were related to infrastructure and resources, client's personal characteristics and the lifestyle intervention itself. These main categories included several sub-categories related to knowledge, motivation, resources, individualization and collaboration. The interviewees pointed out that more education on dementia prevention is needed, the work should be coordinated efficiently, resources to provide preventive health care should be adequate and multiprofessional collaboration is needed.

conclusionsTransferring a lifestyle intervention from a trial-setting to real life requires knowledge about the factors that influence effective implementation. Identifying drivers and constraints of successful implementation helps to design and tailor future prevention programmes, increases motivation and adherence and supports system change.

Indexed as

Cognitive DysfunctionLife StyleAgedHealth PersonnelHumansMotivationQualitative Research

Identifiers

PMID34448856
PMCPMC8505000
OpenAlexW3196200754

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.