Evidence map›Paper›PMID 38253435›Full record

Trial reportBritish journal of sports medicine2024

Effect of a coaching intervention to enhance physical activity and prevent falls in community-dwelling people aged 60+ years: a cluster randomised controlled trial.

Juliana S Oliveira, Catherine Sherrington, Chris Rissel, Kirsten Howard, Allison Tong, Dafna Merom, James Wickham, Adrian E Bauman, Stephen R Lord, Richard I Lindley and 6 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in British journal of sports medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. 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

16 authors.

Juliana S OliveiraSydney Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia juliana.oliveira@sydney.edu.au.ORCID http://orcid.org/0000-0002-8044-8520
Catherine SherringtonSydney Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0001-8934-4368
Chris RisselSydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
Kirsten HowardSydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
Allison TongSydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
Dafna MeromSchool of Health Sciences, Western Sydney University, Sydney, New South Wales, Australia.
James WickhamSchool of Dentistry and Medical Sciences, Charles Sturt University, Orange, New South Wales, Australia.
Adrian E BaumanPrevention Research Collaboration, Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
Stephen R LordNeuroscience Research Australia, Randwick, New South Wales, Australia.
Richard I LindleySydney Medical School, Discipline of Medicine, The University of Sydney, Sydney, New South Wales, Australia.
Judy M SimpsonSydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
Margaret Allman-FarinelliNutrition and Dietetics, School of Nursing, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Catherine KirkhamSydney Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia.
Elisabeth RamsaySydney Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia.
Sandra O'RourkeSydney Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia.
Anne TiedemannSydney Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the effect of a coaching intervention compared with control on physical activity and falls rate at 12 months in community-dwelling people aged 60+ years.

designCluster randomised controlled trial.

settingCommunity-dwelling older people.

participants72 clusters (605 participants): 37 clusters (290 participants) randomised to the intervention and 35 (315 participants) to control.

interventionIntervention group received written information, fall risk assessment and prevention advice by a physiotherapist, activity tracker and telephone-based coaching from a physiotherapist focused on safe physical activity. Control group received written information and telephone-based dietary coaching. Both groups received up to 19 sessions of telephone coaching over 12 months. OUTCOMES: The co-primary outcomes were device-measured physical activity expressed in counts per minute at 12 months and falls rate over 12 months. Secondary outcomes included the proportion of fallers, device-measured daily steps and moderate-to-vigorous physical activity (MVPA), self-reported hours per week of physical activity, body mass index, eating habits, goal attainment, mobility-related confidence, quality of life, fear of falling, risk-taking behaviour, mood, well-being and disability.

resultsThe mean age of participants was 74 (SD 8) years, and 70% (n=425) were women. There was no significant effect of the intervention on device-measured physical activity counts per minute (mean difference 5 counts/min/day, 95% CI -21 to 31), or falls at 12 months (0.71 falls/person/year in intervention group and 0.87 falls/person/year in control group; incidence rate ratio 0.86, 95% CI 0.65 to 1.14). The intervention had a positive significant effect on device-measured daily steps and MVPA, and self-reported hours per week of walking, well-being, quality of life, and disability. No significant between-group differences were identified in other secondary outcomes.

conclusionA physical activity and fall prevention programme including fall risk assessment and prevention advice, plus telephone-based health coaching, did not lead to significant differences in physical activity counts per minute or falls rate at 12 months. However, this programme improved other physical activity measures (ie, daily steps, MVPA, hours per week of walking), overall well-being, quality of life and disability. TRIAL REGISTRATION NUMBER: ACTRN12615001190594.

Indexed as

Independent LivingMentoringAgedExerciseFearFemaleHumansMaleQuality of LifeAccidental FallsAgingPhysical activity

Identifiers

PMID38253435
PMCPMC10982628

What OpenQuestion holds

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LicenceCC BY
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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.