Evidence map›Paper›PMID 38928950›Full record

Trial reportInternational journal of environmental research and public health2024

Reframing Communication about Fall Prevention Programs to Increase Older Adults' Intentions to Participate.

Meike C van Scherpenseel, Lidia J van Veenendaal, Saskia J Te Velde, Elise Volk, Di-Janne J A Barten, Cindy Veenhof, Marielle H Emmelot-Vonk, Amber Ronteltap

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of environmental research and public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

8 authors.

Meike C van ScherpenseelResearch Group Innovation of Human Movement Care, Research Center for Healthy and Sustainable Living, HU University of Applied Sciences Utrecht, 35011AA Utrecht, The Netherlands.ORCID 0000-0002-0253-5100
Lidia J van VeenendaalResearch Group Proactive Care for Older Adult People Living at Home, Research Center for Healthy an Sustainable Living, HU University of Applied Sciences Utrecht, 3501AA Utrecht, The Netherlands.
Saskia J Te VeldeResearch Group Innovation of Human Movement Care, Research Center for Healthy and Sustainable Living, HU University of Applied Sciences Utrecht, 35011AA Utrecht, The Netherlands.ORCID 0000-0002-4674-8052
Elise VolkResearch Group Innovation of Human Movement Care, Research Center for Healthy and Sustainable Living, HU University of Applied Sciences Utrecht, 35011AA Utrecht, The Netherlands.
Di-Janne J A BartenResearch Group Innovation of Human Movement Care, Research Center for Healthy and Sustainable Living, HU University of Applied Sciences Utrecht, 35011AA Utrecht, The Netherlands.ORCID 0000-0002-1398-7970
Cindy VeenhofResearch Group Innovation of Human Movement Care, Research Center for Healthy and Sustainable Living, HU University of Applied Sciences Utrecht, 35011AA Utrecht, The Netherlands.ORCID 0000-0003-0970-2896
Marielle H Emmelot-VonkDepartment of Geriatrics, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands.
Amber RonteltapResearch Group Innovation of Human Movement Care, Research Center for Healthy and Sustainable Living, HU University of Applied Sciences Utrecht, 35011AA Utrecht, The Netherlands.

Funding

Regieorgaan SIA, part of the Dutch Research Council RAAK.PRO03.099
6 · The paper itself

Abstract

introductionFalls and fall-related injuries in community-dwelling older adults are a growing global health concern. Despite effective exercise-based fall prevention programs (FPPs), low enrollment rates persist due to negative connotations associated with falls and aging. This study aimed to investigate whether positive framing in communication leads to a higher intention to participate in an FPP among community-dwelling older adults.

methodsWe conducted a two-sequence randomized crossover study. We designed two flyers, a standard flyer containing standard terminology regarding FPPs for older adults, and a reframed flyer highlighting fitness and activity by reframing 'fall prevention' as an 'exercise program' and 'old' as 'over 65 years'. With a Mann-Whitney U test, we investigated group differences regarding the intention to participate between the flyers. A sensitivity analysis and subgroup analyses were performed. We conducted qualitative thematic analysis on open-ended answers to gain a deeper understanding of participants' intention to participate.

resultsIn total, we included 133 participants. Findings indicated a significantly higher intention to participate in the reframed flyer (median = 4; interquartile range = 1-6) compared to the standard flyer (median = 2; interquartile range = 1-4) ( DISCUSSION: The results in favor of the reframed flyer provide practical insights for designing and implementing effective (mass-)media campaigns on both (inter)national and local levels, as well as for interacting with this population on an individual basis. Aging-related terminology in promotional materials hinders engagement, underscoring the need for more positive messaging and leaving out terms such as 'older'. Tailored positively framed messages and involving diverse older adults in message development are essential for promoting participation in FPPs across various population subgroups to promote participation in FPPs among community-dwelling older adults.

Indexed as

Accidental FallsCross-Over StudiesIntentionAgedAged, 80 and overCommunicationExerciseFemaleHumansIndependent LivingMalecommunicationcommunity-dwelling older adultsfall prevention programreframing

Identifiers

PMID38928950
PMCPMC11203759

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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.