Evidence map›Paper›PMID 39265155›Full record

Trial reportJMIR aging2024

A Voice-Activated Device Exercise and Social Engagement Program for Older Adult-Care Partner Dyads: Pilot Clinical Trial and Focus Group Study Evaluating the Feasibility, Use, and Estimated Functional Impact of EngAGE.

Megan Huisingh-Scheetz, Roscoe F Nicholson Iii, Saira Shervani, Chelsea Smith, Margaret Danilovich, Laura Finch, Yadira Montoya, Louise C Hawkley

Abstract readClinical Trial
In one paragraph

Trial report in JMIR aging, 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. Review
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.

Megan Huisingh-ScheetzDepartment of Medicine, University of Chicago, Chicago, IL, United States.ORCID 0000-0002-3997-5791
Roscoe F Nicholson IiiDepartment of Medicine, University of Chicago, Chicago, IL, United States.ORCID 0000-0001-9391-2129
Saira ShervaniDepartment of Medicine, University of Chicago, Chicago, IL, United States.ORCID 0009-0000-3185-5413
Chelsea SmithDepartment of Medicine, University of Chicago, Chicago, IL, United States.ORCID 0009-0008-0693-2227
Margaret DanilovichCenter for Jewish Elderly, Chicago, IL, United States.ORCID 0000-0003-3468-2495
Laura FinchNORC at the University of Chicago, Chicago, IL, United States.ORCID 0000-0003-2389-349X
Yadira MontoyaNORC at the University of Chicago, Chicago, IL, United States.ORCID 0009-0001-7148-4263
Louise C HawkleyNORC at the University of Chicago, Chicago, IL, United States.ORCID 0000-0001-7876-8560

Funding

Voice-Activated Technology to Improve Mobility & Reduce Health Disparities: EngAGEing African American Older Adult-Care Partner DyadsP50MD017349 · NIMHD · UNIVERSITY OF CHICAGO · PI HUANG, ELBERT S., LYNCH, ELIZABETH B · 2021 to 2025
$24.3M
Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI ELBERT S. HUANG · 2011 to 2026
$10.0M
Early Frailty Biomarkers: Patterns of Activity and Energy ExpenditureK23AG049106 · NIA · UNIVERSITY OF CHICAGO · PI HUISINGH-SCHEETZ, MEGAN J · 2016 to 2021
$924k
NIA NIH HHS K23 AG049106NIDDK NIH HHS P30 DK092949NIMHD NIH HHS P50 MD017349
6 · The paper itself

Abstract

backgroundMaintaining exercise is essential for healthy aging but difficult to sustain. EngAGE is a socially motivated exercise program delivered over a voice-activated device that targets older adult-care partner dyads.

objectiveThis 10-week pilot study aimed to assess EngAGE feasibility and use, obtain user experience feedback, and estimate potential impact on function.

methodsIn total, 10 older adults aged ≥65 years were recruited from an independent living residence together with their self-identified care partners. EngAGE delivered National Institute on Aging Go4Life exercises to older adults daily, while care partners received progress reports and prompts to send encouraging messages that were read aloud by the device to the older adult. Older adults' use was tracked, and physical function was assessed at baseline and follow-up. Follow-up focus group data provided qualitative feedback.

resultsOn average, participants completed 393.7 individual exercises over the 10-week intervention period or 39.4 exercises/wk (range 48-492, median 431, IQR 384-481, SD 112.4) without injury and used EngAGE on an average of 41 of 70 days or 4.1 d/wk (range 7-66, median 51, IQR 23-56, and SD 21.2 days). Mean grip strength increased nonsignificantly by 1.3 kg (preintervention mean 26.3 kg, SD 11.0; postintervention mean 27.6 kg, SD 11.6; P=.34), and 4 of 10 participants improved by a minimal clinically important difference (MCID) of 2.5 kg. Further, the time for 5-repeated chair stands significantly reduced by 2.3 seconds (preintervention mean 12, SD 3.6 s; postintervention mean 9.7, SD 2.7 s; P=.02), and 3 of 9 participants improved by an MCID of -2.3 seconds. Furthermore, 3-meter usual walk performance was brisk at baseline (mean 2.1, SD 0.4 s) and decreased by 0.1 seconds (postintervention 2, SD 0.4 s; P=.13), although 5 of 9 participants improved by a MCID of 0.05 m/s. Qualitative results showed perceived benefits, favored program features, and areas for improvement.

conclusionsWe present a pilot study of a new voice-activated device application customized to older adult users that may serve as a guide to other technology development for older adults. Our pilot study served to further refine the application and to inform a larger trial testing EngAGE's impact on functional outcomes, a necessary step for developing evidence-based technology tools.

Indexed as

Feasibility StudiesFocus GroupsAgedAged, 80 and overCaregiversExerciseExercise TherapyFemaleHumansIndependent LivingMalePilot ProjectsSocial Participationactivityageingagingcare-givercaregivercare-giverscaregiverscare-givingcaregivingcare-takercaretakercare-takerscaretakerscare-takingcaretakingdigital healthelderelderlyexerciseexercisesexercisingfrailfrailtygeriatricgeriatricsgerontologyhealth devicesmobile phonenew devicesolder adultolder adultsolder peopleolder persononline exercisesparticipatory designphysical activitytechnologytechnology developmentvoice-activated devicevoice-activated devicesvoice activationweakweakness

Identifiers

PMID39265155
PMCPMC11427853

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.