Evidence map›Paper›PMID 39243012›Full record

Trial reportBMC geriatrics2024

Short-term effects of a park-based group mobility program on increasing outdoor walking in older adults with difficulty walking outdoors: the Getting Older Adults Outdoors (GO-OUT) randomized controlled trial.

Nancy M Salbach, Nancy E Mayo, Sandra C Webber, C Allyson Jones, Lisa M Lix, Jacquie Ripat, Theresa Grant, Cornelia van Ineveld, Philip D Chilibeck, Razvan G Romanescu and 2 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03292510 (Getting Older Adults OUTdoors), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT03292510 nacompletednot on this map

Getting Older Adults OUTdoors (GO-OUT): A Randomized Controlled Trial of a Theory-based, Task-oriented, Outdoor Walking Program for Older Adults With Difficulty Walking Outdoors

TypeinterventionalSponsorUniversity of TorontoRan2018 to 2020Enrolled190ConditionsOlder Adults With Decreased Outdoor Walking AbilityArmsGO-OUT Group, Workshop Group
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Trial
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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

12 authors.

Nancy M SalbachDepartment of Physical Therapy, Rehabilitation Sciences Institute, University of Toronto, 160-500 University Avenue, Toronto, ON, M5G 1V7, Canada. nancy.salbach@utoronto.ca.ORCID https://orcid.org/0000-0002-6178-0691
Nancy E MayoSchool of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada.ORCID https://orcid.org/0000-0003-2066-7120
Sandra C WebberDepartment of Physical Therapy, University of Manitoba, Winnipeg, MB, Canada.ORCID https://orcid.org/0000-0001-7238-4638
C Allyson JonesDepartment of Physical Therapy, University of Alberta, Edmonton, AB, Canada.ORCID https://orcid.org/0000-0002-3952-3234
Lisa M LixDepartment of Community Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.ORCID https://orcid.org/0000-0001-8685-3212
Jacquie RipatDepartment of Occupational Therapy, University of Manitoba, Winnipeg, MB, Canada.ORCID https://orcid.org/0000-0002-2763-4340
Theresa GrantBruyère Research Institute, Ottawa, ON, Canada.
Cornelia van IneveldSection of Geriatric Medicine, University of Manitoba, Winnipeg, MB, Canada.
Philip D ChilibeckCollege of Kinesiology, University of Saskatchewan, Saskatoon, SK, Canada.ORCID https://orcid.org/0000-0003-3973-5939
Razvan G RomanescuDepartment of Community Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.ORCID https://orcid.org/0000-0002-3175-5399
Susan ScottMcGill University Health Centre Research Institute, Montreal, QC, Canada.
Ruth BarclayDepartment of Physical Therapy, University of Manitoba, Winnipeg, MB, Canada.ORCID https://orcid.org/0000-0002-2961-5821

Funding

CIHR 376439
6 · The paper itself

Abstract

backgroundWe estimated the short-term effects of an educational workshop and 10-week outdoor walk group (OWG) compared to the workshop and 10 weekly reminders (WR) on increasing outdoor walking (primary outcome) and walking capacity, health-promoting behavior, and successful aging defined by engagement in meaningful activities and well-being (secondary outcomes) in older adults with difficulty walking outdoors.

methodsIn a 4-site, parallel-group randomized controlled trial, two cohorts of community-living older adults (≥ 65 years) reporting difficulty walking outdoors participated. Following a 1-day workshop, participants were stratified and randomized to a 10-week OWG in parks or 10 telephone WR reinforcing workshop content. Masked evaluations occurred at 0, 3, and 5.5 months. We modeled minutes walked outdoors (derived from accelerometry and global positioning system data) using zero-inflated negative binomial regression with log link function, imputing for missing observations. We modeled non-imputed composite measures of walking capacity, health-promoting behavior, and successful aging using generalized linear models with general estimating equations based on a normal distribution and an unstructured correlation matrix. Analyses were adjusted for site, participation on own or with a partner, and cohort.

resultsWe randomized 190 people to the OWG (n = 98) and WR interventions (n = 92). At 0, 3, and 5.5 months, median outdoor walking minutes was 22.56, 13.04, and 0 in the OWG, and 24.00, 26.07, and 0 in the WR group, respectively. There was no difference between groups in change from baseline in minutes walked outdoors based on incidence rate ratio (IRR) and 95% confidence interval (CI) at 3 months (IRR = 0.74, 95% CI 0.47, 1.14) and 5.5 months (IRR = 0.77, 95% CI 0.44, 1.34). Greater 0 to 3-month change in walking capacity was observed in the OWG compared to the WR group (βz-scored difference = 0.14, 95% CI 0.02, 0.26) driven by significant improvement in walking self-efficacy; other comparisons were not significant.

conclusionsA group, park-based OWG was not superior to WR in increasing outdoor walking activity, health-promoting behavior or successful aging in older adults with difficulty walking outdoors; however, the OWG was superior to telephone WR in improving walking capacity through an increase in walking self-efficacy. Community implementation of the OWG is discussed.

trial registrationClinicalTrials.gov NCT03292510 Date of registration: September 25, 2017.

Indexed as

WalkingAgedAged, 80 and overFemaleHealth PromotionHumansIndependent LivingMaleMobility LimitationParks, RecreationalTime FactorsCommunity exercise programOlder adultsOutdoor walkingParksPhysical activityRandomized controlled trialTask-oriented trainingWalking capacityWalking self-efficacy

Identifiers

PMID39243012
PMCPMC11378552

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.