Evidence map›Paper›PMID 39159805›Full record

ArticleContemporary clinical trials2024

On the Move in the community: Protocol for a hybrid 1 trial examining effectiveness and fidelity of a community-based group exercise program for older adults.

Jennifer S Brach, Jessie M VanSwearingen, Janet Freburger, Bryan J Weiner, John J Zanardelli, Subashan Perera

Abstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

6 authors.

Jennifer S BrachDepartment of Physical Therapy, University of Pittsburgh, Pittsburgh, PA, United States of America. Electronic address: jbrach@pitt.edu.
Jessie M VanSwearingenDepartment of Physical Therapy, University of Pittsburgh, Pittsburgh, PA, United States of America.
Janet FreburgerDepartment of Physical Therapy, University of Pittsburgh, Pittsburgh, PA, United States of America.
Bryan J WeinerDepartment of Global Health, University of Washington, Seattle, WA, United States of America.
John J ZanardelliDepartment of Physical Therapy, University of Pittsburgh, Pittsburgh, PA, United States of America.
Subashan PereraDivision of Geriatric Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States of America; Department of Biostatistics, University of Pittsburgh, Pittsburgh, PA, United States of America.

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
Supplement to Effectiveness of the On the Move group exercise program to improve mobility in community-dwelling older adultsR01AG071520 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BRACH, JENNIFER S · 2021 to 2025
$3.2M
MIDCAREER INVESTIGATOR AWARD IN TRANSLATIONAL PATIENT-ORIENTED RESEARCH IN AGINGK24AG057728 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BRACH, JENNIFER S · 2018 to 2022
$658k
NIA NIH HHS K24 AG057728NIA NIH HHS P30 AG024827NIA NIH HHS R01 AG071520
6 · The paper itself

Abstract

backgroundOn the Move (OTM), a group exercise program to improve mobility in older adults, is efficacious when delivered by research staff. The next step in the development of OTM as a fully implementable intervention is to conduct an effectiveness study in which the intervention is delivered in community settings by community providers.

methodsWe describe the methods of a hybrid 1 cluster randomized, single-blind, intervention trial to compare the effectiveness of OTM to a delayed intervention control in 502 community-dwelling older adults across 44 sites. OTM classes are taught by certified instructors in the community twice a week for 12 weeks. Control centers receive no intervention for the first 12 weeks followed by 12-weeks of OTM classes. Participants are assessed at baseline, 12 and 24 weeks. The primary outcome is gait speed. Intervention fidelity, measured by adherence and competence in intervention delivery, is assessed by review of instructor intervention diaries and observation. Organizational, instructor, and participant-level factors which may impact fidelity are assessed using questionnaires, focus groups, and structured interviews.

conclusionThe findings of this trial will 1) establish the effectiveness of OTM on improvements in walking and post-intervention persistence of benefits, 2) assess intervention fidelity and identify the impact of organizational, instructor, and participant level factors on fidelity, and 3) determine the extent to which fidelity moderates the effectiveness of OTM. The information derived from this project will provide valuable insight into the real-world effectiveness of OTM as a health promotion program for improving mobility in older adults.

Indexed as

ExerciseHealth PromotionAgedAged, 80 and overFemaleHumansMaleRandomized Controlled Trials as TopicResearch DesignSingle-Blind MethodWalking SpeedAgingEffectivenessExerciseIntervention fidelityMobility

Identifiers

PMID39159805
PMCPMC12303233

What OpenQuestion holds

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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.