Evidence map›Paper›PMID 38618537›Full record

ArticleBMJ nutrition, prevention & health2023

Physiotherapy-led telehealth and exercise intervention to improve mobility in older people receiving aged care services (TOP UP): protocol for a randomised controlled type 1 hybrid effectiveness-implementation trial.

Rik Dawson, Marina Pinheiro, Vasikaran Nagathan, Morag Taylor, Kim Delbaere, Juliana Olivera, Abby Haynes, Jenny Rayner, Leanne Hassett, Catherine Sherrington

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ nutrition, prevention & health, 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 29% 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. Trial
  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

10 authors at 3 institutions in 1 country.

Rik DawsonSydney Musculoskeletal Health, Faculty of Health and Medicine, School of Public Health, The University of Sydney Institute for Musculoskeletal Health, Sydney, New South Wales, Australia.ORCID 0000-0001-9652-4711
Marina PinheiroSydney Musculoskeletal Health, Faculty of Health and Medicine, School of Public Health, The University of Sydney Institute for Musculoskeletal Health, Sydney, New South Wales, Australia.
Vasikaran NagathanFaculty of Health and Medicine, School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
Morag TaylorFalls, Balance and Injury Research Centre, Neuroscience Research Australia, Randwick, New South Wales, Australia.
Kim DelbaereFalls, Balance and Injury Research Centre, Neuroscience Research Australia, Randwick, New South Wales, Australia.
Juliana OliveraSydney Musculoskeletal Health, Faculty of Health and Medicine, School of Public Health, The University of Sydney Institute for Musculoskeletal Health, Sydney, New South Wales, Australia.
Abby HaynesSydney Musculoskeletal Health, Faculty of Health and Medicine, School of Public Health, The University of Sydney Institute for Musculoskeletal Health, Sydney, New South Wales, Australia.
Jenny RaynerSydney Local Health District, Sydney, New South Wales, Australia.
Leanne HassettSydney Musculoskeletal Health, Faculty of Health and Medicine, School of Public Health, The University of Sydney Institute for Musculoskeletal Health, Sydney, New South Wales, Australia.
Catherine SherringtonSydney Musculoskeletal Health, Faculty of Health and Medicine, School of Public Health, The University of Sydney Institute for Musculoskeletal Health, Sydney, New South Wales, Australia.
The University of Sydney · AUUNSW Sydney · AUSydney Local Health District · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Deteriorating mobility and falls reduce independence and quality of life for older people receiving aged care services. This trial aims to establish effectiveness on the mobility of older people, and explore cost-effectiveness and implementation of a telehealth physiotherapy programme. Method and analysis: This type 1 hybrid effectiveness-implementation randomised controlled trial will involve 240 people aged 65+ years receiving aged care services in community or residential settings. Participants will be randomised to either: (1) the Telehealth Physiotherapy for Older People (TOP UP) Program or (2) a wait-list control group. The 6-month intervention includes 10 physiotherapy sessions delivered by videocall (Zoom). The intervention will include the local support of an aged care worker and online exercise resources. Primary outcome is mobility at 6 months post randomisation measured by the Short Physical Performance Battery. Secondary outcomes include rate of falls, sit-to-stand, quality of life, and goal attainment at 6 months after randomisation. Regression models will assess the effect of group allocation on mobility and the other continuously scored secondary outcomes, adjusting for baseline scores. The number of falls per person over 6 months will be analysed using negative binomial regression models to estimate between-group differences. An economic analysis will explore the cost-effectiveness of the TOP UP programme compared with usual care. Implementation outcomes and determinants relating to the intervention's reach, fidelity, exercise dose delivered, adoption, feasibility, acceptability, barriers and facilitators will be explored using mixed methods. Conclusion: This is the first trial to investigate the effectiveness, cost-effectiveness and implementation of a physiotherapy intervention in aged care delivered solely by telehealth internationally. The study has strong aged care co-design and governance and is guided by steering and advisory committees that include staff from aged care service providers and end-users. Trial results will be disseminated via peer-reviewed articles, conference presentations and lay summaries. Trial registration number: The trial is registered with the Australian New Zealand Clinical Trials Registry (ACTRN 12621000734864).

Indexed as

Aged CarePhysiotherapyRandomised Controlled TrialTelehealth

Identifiers

PMID38618537
PMCPMC11009537
OpenAlexW4388653455

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.