Evidence map›Paper›PMID 38540641›Full record

ArticleHealthcare (Basel, Switzerland)2024

Barriers and Enablers to a Hospital-to-Home, Combined Exercise and Nutrition, Self-Managed Program for Pre-Frail and Frail Hospitalised Older Adults.

Chad Yixian Han, Georgia Middleton, Jersyn Doh, Alison Yaxley, Yogesh Sharma, Claire Baldwin, Michelle Miller

Open access · goldAbstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. A qualitative descriptive study on the perspectives and experiences of multidisciplinary HCPs in providing nutritional care to older adults with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    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

7 authors at 1 institution in 1 country.

Chad Yixian HanCaring Futures Institute, College of Nursing and Health Science, Flinders University, Adelaide, SA 5042, Australia.ORCID 0000-0002-0756-6344
Georgia MiddletonCaring Futures Institute, College of Nursing and Health Science, Flinders University, Adelaide, SA 5042, Australia.ORCID 0000-0003-2456-9122
Jersyn DohCaring Futures Institute, College of Nursing and Health Science, Flinders University, Adelaide, SA 5042, Australia.
Alison YaxleyCaring Futures Institute, College of Nursing and Health Science, Flinders University, Adelaide, SA 5042, Australia.ORCID 0000-0001-9808-4748
Yogesh SharmaCollege of Medicine and Public Health, Flinders University, Adelaide, SA 5042, Australia.ORCID 0000-0002-7716-2599
Claire BaldwinCaring Futures Institute, College of Nursing and Health Science, Flinders University, Adelaide, SA 5042, Australia.ORCID 0000-0002-5022-8498
Michelle MillerCaring Futures Institute, College of Nursing and Health Science, Flinders University, Adelaide, SA 5042, Australia.ORCID 0000-0002-4435-4148
Flinders University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSelf-managed exercise and nutrition interventions can alleviate pre-frailty and frailty but understanding of adherence to them is lacking. This study aimed to explore the experiences of, and barriers and enablers to, a hospital-to-home self-managed combined exercise and nutrition program for hospitalised older adults living with pre-frailty and frailty.

methodsA hybrid approach to data- and theory-driven descriptive thematic analysis identified experiences, barriers, and enablers to participation in a 3-month, self-managed, exercise-nutrition, hospital-to-home frailty-support program. Pre-frail and frail older adult patients ≥ 65 years admitted to the acute medical unit at a South Australian tertiary hospital were recruited. Individual semi-structured interviews were audio-recorded, transcribed verbatim, and analysed descriptively, using the Theoretical Domains Framework.

resultsThe nutrition component of the program found 11 common barriers and 18 common enablers. The exercise component included 14 barriers and 24 enablers. Intentions, Social influences, Environmental context/resource and Emotions served as primary barriers towards adherence to both components. Common enablers for both components included Knowledge, Social identity, Environmental context/resource, Social influences, and Emotions.

conclusionsThis research revealed important factors affecting adherence to a self-managed exercise-nutrition program in pre-frail and frail older adults within the environment, resources, and emotion domains that should be considered when designing other intervention programs in this population group.

Indexed as

barriers and enablersexercisefrailtynutritionolder adults

Identifiers

PMID38540641
PMCPMC10970091
OpenAlexW4392917003

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.