Evidence map›Paper›PMID 38082248›Full record

Trial reportBMC geriatrics2023

A park-based group mobility program for older adults with difficulty walking outdoors: a quantitative process evaluation of the Getting Older Adults Outdoors (GO-OUT) randomized controlled trial.

Ruth Barclay, Sandra C Webber, Francine Hahn, C Allyson Jones, Nancy E Mayo, Shajicaa Sivakumaran, Yixiu Liu, Philip D Chilibeck, Nancy M Salbach

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

Trial report in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03292510 (Getting Older Adults OUTdoors), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.2field-weighted citation impact, top 12% 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.

NCT03292510 nacompletednot on this map

Getting Older Adults OUTdoors (GO-OUT): A Randomized Controlled Trial of a Theory-based, Task-oriented, Outdoor Walking Program for Older Adults With Difficulty Walking Outdoors

TypeinterventionalSponsorUniversity of TorontoRan2018 to 2020Enrolled190ConditionsOlder Adults With Decreased Outdoor Walking AbilityArmsGO-OUT Group, Workshop Group
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

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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

9 authors at 6 institutions in 1 country.

Ruth Barclay *Department of Physical Therapy, University of Manitoba, Winnipeg, MB, Canada.ORCID 0000-0002-2961-5821
Sandra C Webber *Department of Physical Therapy, University of Manitoba, Winnipeg, MB, Canada.ORCID 0000-0001-7238-4638
Francine HahnDepartment of Physical Therapy, University of Manitoba, Winnipeg, MB, Canada.
C Allyson JonesDepartment of Physical Therapy, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0002-3952-3234
Nancy E MayoSchool of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada.ORCID 0000-0003-2066-7120
Shajicaa SivakumaranDepartment of Physical Therapy, University of Toronto, 160-500 University Avenue, Toronto, ON, M5G 1V7, Canada.
Yixiu LiuDepartment of Community Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.ORCID 0000-0002-1989-9832
Philip D ChilibeckCollege of Kinesiology, University of Saskatchewan, Saskatoon, SK, Canada.ORCID 0000-0003-3973-5939
Nancy M SalbachDepartment of Physical Therapy, University of Toronto, 160-500 University Avenue, Toronto, ON, M5G 1V7, Canada. nancy.salbach@utoronto.ca.ORCID 0000-0002-6178-0691
University of Manitoba · CAMcGill University · CAUniversity Health Network · CAUniversity of Alberta · CAUniversity of Saskatchewan · CAUniversity of Toronto · CA

Funding

CIHR 376439
6 · The paper itself

Abstract

backgroundProcess evaluations of randomized controlled trials (RCTs) of community exercise programs are important to help explain the results of a trial and provide evidence of the feasibility for community implementation. The objectives of this process evaluation for a multi-centre RCT of outdoor walking interventions for older adults with difficulty walking outdoors, were to determine: 1) implementation fidelity (the extent to which elements of the intervention were delivered as specified in the original protocol) and 2) participant engagement (the receipt of intervention components by the participants) in the Getting Older Adults Outdoors (GO-OUT) trial.

methodsGO-OUT participants attended an active 1-day workshop designed to foster safe, outdoor walking skills. After the workshop, 190 people at 4 sites were randomized to an outdoor walk group (OWG) (n = 98) which met 2x/week for 10 weeks, or the weekly reminders (WR) group (n = 92) which received a phone reminder 1x/week for 10 weeks. The OWG had 5 components - warm-up, continuous distance walk, task-oriented walking activities, 2

resultsAll sites implemented the workshop according to the protocol. Participants were engaged in all 8 activity stations of the workshop. WR were provided to 96% of the participants in the WR intervention group. The 5 components of the OWG sessions were implemented in over 95% of the sessions, as outlined in the protocol. Average attendance in the OWG was not high - 15% of participants did not attend any sessions and 64% of participants in the OWG attended > 50% of the sessions. Evaluations with accelerometry and GPS during week 3 and 9 OWG sessions suggest that participants who attended were engaged and active during the OWG.

conclusionsThis process evaluation helps explain the main study findings and demonstrates the flexibility required in the protocol for safe and feasible community implementation. Future research could explore the use of additional behaviour change strategies to optimize attendance for community implementation.

trial registrationClinicalTrials.gov NCT03292510 Date of registration: September 25, 2017.

Indexed as

Mobility LimitationWalkingAgedExerciseExercise TherapyHumansCommunity exercise programOlder adultsOutdoor walkingParksPhysical activityProcess evaluationRandomized controlled trialTask-oriented training

Identifiers

PMID38082248
PMCPMC10712059
OpenAlexW4389564534

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.