Evidence map›Paper›PMID 38728263›Full record

SynthesisPloS one2024

The effects of co-designed physical activity interventions in older adults: A systematic review and meta-analysis.

Amanda Zacharuk, Alison Ferguson, Chelsea Komar, Nicole Bentley, Alexandra Dempsey, Michelle Louwagie, Sachi O'Hoski, Cassandra D'Amore, Marla Beauchamp

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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, 1 synthesis or guideline pooled it.

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

Amanda ZacharukSchool of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
Alison FergusonSchool of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
Chelsea KomarSchool of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
Nicole BentleySchool of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
Alexandra DempseySchool of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
Michelle LouwagieSchool of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
Sachi O'HoskiSchool of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
Cassandra D'AmoreSchool of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.ORCID 0000-0001-5374-444X
Marla BeauchampSchool of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.ORCID 0000-0003-2843-388X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysical activity (PA) declines with age despite the knowledge that physical inactivity is a leading cause of disease, death, and disability worldwide. To better tailor PA interventions to older adults, researchers are turning to the collaborative principles of co-design. The purpose of this systematic review was to compare the effectiveness of co-designed PA interventions and standard care for increasing PA and other health outcomes (i.e., physical function, quality of life, mental health, functional independence, attendance and attrition rates) in older adults.

methodsA search was conducted in MEDLINE, AgeLine, CINAHL, Embase, and SPORTDiscus. Records were screened by independent pairs of reviewers. Primary research studies conducted among community-dwelling older adults (age 60+) comparing co-designed PA interventions to standard care were considered for inclusion. Controls included wait-list control, usual care, sham interventions, PA interventions without the use of co-design, and no intervention. A random effects meta-analysis was conducted, and the standardized mean difference (SMD) was used to report effect estimates. Quality of evidence was rated using GRADE.

resultsOf 16,191 studies screened, eight (N = 16,733) were included in this review. Most studies reported results favouring the effect of co-design on physical activity; however, only two studies (N = 433) could be pooled for meta-analysis resulting in a SMD of 0.28, (95% CI = -0.13 to 0.69; p = 0.19; I2 = 56%) immediately post-intervention. The GRADE quality of evidence was very low. The quantitative analysis of three studies reported improved physical function.

conclusionThis review did not demonstrate that co-designed PA interventions are more effective than standard care for increasing PA in older adults; however, evidence was limited and of very low quality. Further well-designed trials are warranted to better understand the impacts of co-designed PA interventions and how to best implement them into practice.

trial registrationPROSPERO registration number: CRD42022314217.

Indexed as

ExerciseQuality of LifeAgedAged, 80 and overHumansMental HealthMiddle Aged

Identifiers

PMID38728263
PMCPMC11086838

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.