Evidence map›Paper›PMID 38031101›Full record

ArticleTrials2023

A peer-volunteer led active ageing programme to prevent decline in physical function in older people at risk of mobility disability (Active, Connected, Engaged [ACE]): study protocol for a randomised controlled trial.

Afroditi Stathi, Janet Withall, Diane Crone, Helen Hawley-Hague, Rebecca Playle, Emma Frew, Sally Fenton, Melvyn Hillsdon, Christopher Pugh, Chris Todd and 11 more

Open access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

21 authors at 9 institutions in 2 countries.

Afroditi StathiSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK. a.stathi@bham.ac.uk.
Janet WithallSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.ORCID http://orcid.org/0000-0003-0196-5309
Diane CroneCentre for Health, Activity and Wellbeing Research, Cardiff Metropolitan University, Cyncoed Campus, Cyncoed Road, Cardiff, CF23 6XD, UK.
Helen Hawley-HagueSchool of Health Sciences, University of Manchester, Oxford Road, Manchester, M13 9PL, UK.
Rebecca PlayleCentre for Trials Research, Cardiff University, Cardiff, CF14 4YS, UK.
Emma FrewInstitute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Sally FentonSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Melvyn HillsdonDepartment of Public Health and Sports Science, University of Exeter, Exeter, EX1 2LU, UK.
Christopher PughCentre for Health, Activity and Wellbeing Research, Cardiff Metropolitan University, Cyncoed Campus, Cyncoed Road, Cardiff, CF23 6XD, UK.
Chris ToddSchool of Health Sciences, University of Manchester, Oxford Road, Manchester, M13 9PL, UK.
Kate JollyInstitute of Applied Health Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Nick CavillCavill Associates Ltd, Manchester, UK.
Max WesternCentre for Motivation and Health Behaviour Change, Department for Health, University of Bath, Bath, BA2 4SY, UK.
Sarah RocheRoyal Voluntary Service, Stoke-On-Trent, UK.
Nigel KirbyCentre for Trials Research, Cardiff University, Cardiff, CF14 4YS, UK.
Elisabeth BoultonAge UK, London, UK.
Janice ThompsonSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Katie ChatwinSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Amy DaviesSchool of Health Sciences, University of Manchester, Oxford Road, Manchester, M13 9PL, UK.
Zsofia SzekeresCentre for Health, Activity and Wellbeing Research, Cardiff Metropolitan University, Cyncoed Campus, Cyncoed Road, Cardiff, CF23 6XD, UK.
Colin GreavesSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
University of Birmingham · GBCardiff Metropolitan University · GBCardiff University · GBUniversity of Manchester · GBAge UK · GBManchester Academic Health Science Centre · GBMore Associates · GBUniversity of Bath · GBUniversity of Exeter · GB

Funding

Public Health Research Programme 130156
6 · The paper itself

Abstract

backgroundThe Active Connected Engaged [ACE] study is a multi-centre, pragmatic, two-arm, parallel-group randomised controlled trial [RCT] with an internal pilot phase. The ACE study incorporates a multi-level mixed methods process evaluation including a systems mapping approach and an economic evaluation. ACE aims to test the effectiveness and cost-effectiveness of a peer-volunteer led active ageing intervention designed to support older adults at risk of mobility disability to become more physically and socially active within their communities and to reduce or reverse, the progression of functional limitations associated with ageing. METHODS/

designCommunity-dwelling, older adults aged 65 years and older (n = 515), at risk of mobility disability due to reduced lower limb physical functioning (Short Physical Performance Battery (SPPB) score of 4-9 inclusive) will be recruited. Participants will be randomised to receive either a minimal control intervention or ACE, a 6-month programme underpinned by behaviour change theory, whereby peer volunteers are paired with participants and offer them individually tailored support to engage them in local physical and social activities to improve lower limb mobility and increase their physical activity. Outcome data will be collected at baseline, 6, 12 and 18 months. The primary outcome analysis (difference in SPPB score at 18 months) will be undertaken blinded to group allocation. Primary comparative analyses will be on an intention-to-treat (ITT) basis with due emphasis placed on confidence intervals. DISCUSSION: ACE is the largest, pragmatic, community-based randomised controlled trial in the UK to target this high-risk segment of the older population by mobilising community resources (peer volunteers). A programme that can successfully engage this population in sufficient activity to improve strength, coordination, balance and social connections would have a major impact on sustaining health and independence. ACE is also the first study of its kind to conduct a full economic and comprehensive process evaluation of this type of community-based intervention. If effective and cost-effective, the ACE intervention has strong potential to be implemented widely in the UK and elsewhere.

trial registrationISRCTN, ISRCTN17660493. Registered on 30 September 2021. Trial Sponsor: University of Birmingham, Contact: Dr Birgit Whitman, Head of Research Governance and Integrity; Email: researchgovernance@contacts.bham.ac.uk. Protocol Version 5 22/07/22.

Indexed as

AgingExerciseAgedCost-Benefit AnalysisHumansMulticenter Studies as TopicPhysical Therapy ModalitiesPragmatic Clinical Trials as TopicQuality of LifeRandomized Controlled Trials as TopicVolunteersCommunityDisability preventionFrailtyMobilityPeer-volunteersPhysical activityRandomised controlled trialWell-being

Identifiers

PMID38031101
PMCPMC10687817
OpenAlexW4389135489

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.