Evidence map›Paper›PMID 37220521›Full record

Trial reportClinical interventions in aging2023

Individualized Hospital to Home, Exercise-Nutrition Self-Managed Intervention for Pre-Frail and Frail Hospitalized Older Adults: The INDEPENDENCE Randomized Controlled Pilot Trial.

Chad Yixian Han, Yogesh Sharma, Alison Yaxley, Claire Baldwin, Richard Woodman, Michelle Miller

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical interventions in aging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
4.3field-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.

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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
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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

6 authors at 1 institution in 1 country.

Chad Yixian HanCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia.ORCID 0000-0002-0756-6344
Yogesh SharmaCollege of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.ORCID 0000-0002-7716-2599
Alison YaxleyCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia.ORCID 0000-0001-9808-4748
Claire BaldwinCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia.ORCID 0000-0002-5022-8498
Richard WoodmanCollege of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.ORCID 0000-0002-4094-1222
Michelle MillerCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia.ORCID 0000-0002-4435-4148
Flinders University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Pre-frailty and frailty in older adults are associated with poor health outcomes and increase health-care costs, and further worsening during hospitalization. This study aimed to examine the effect of an individualized hospital to home, exercise-nutrition self-managed intervention for pre-frail and frail hospitalized older adults. Patients and Methods: Older adults admitted to an acute medical unit of a tertiary hospital in South Australia who were pre-frail or frail were recruited from September 2020 to June 2021, randomized to either control or intervention group and followed up at 3 and 6 months. The outcome variables were program adherence, frailty status by the Edmonton Frail Scale (EFS) score, lower extremity physical function, handgrip strength, nutritional status, cognition, mood, health-related quality of life, risk of functional decline, unplanned readmissions. Results: Participants were 79.2 ±6.6 years old, 63% female, mostly frail (67%), with EFS of 8.6±1.9. Adherence to the inpatient and home visits/telehealth intervention were high (91±13% and 92±21%, respectively). Intention-to-treat analysis using linear regression models showed that participants in the intervention group had significantly greater reduction in EFS at 3 (-3.0; 95% CI: -4.8 to -3.0) and 6 months (-2.5; 95% CI: -3.8 to -1.0, Conclusion: This study provided evidence of acceptability to a patient self-managed exercise-nutrition program that may benefit and alleviate pre-frailty and frailty in hospitalised older adults.

Indexed as

FrailtySelf-ManagementAgedAged, 80 and overFemaleFrail ElderlyHand StrengthHospital to Home TransitionHumansMalePilot ProjectsQuality of LifeTertiary Care Centersexercisefrailtynutrition therapyself-management

Identifiers

PMID37220521
PMCPMC10200110
OpenAlexW4377042093

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.