Evidence map›Paper›PMID 39478450›Full record

Trial reportBMC geriatrics2024

Combining motivational and exercise intervention components to reverse pre-frailty and promote self-efficacy among community-dwelling pre-frail older adults: a randomized controlled trial.

Juan Fang, Jianping Ren, Jinjing Wang, Xiantao Qiu, Shiyan Zhang, Shuang Yuan, Liangfeng Wu, Lin Xie

Registry-linked trialAbstract readRandomized Controlled Trial
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 NCT06519695 (A Study on the Exercise Intervention Mode of Modern Exercises and Traditional Chinese Exercises for the Community-Dwelling Pre-frail Elderly), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

NCT06519695 naunknown statusnot on this map

A Study on the Exercise Intervention Mode of Modern Exercises and Traditional Chinese Exercises for the Community-Dwelling Pre-frail Elderly: Based on the Wellness Motivation Theory

TypeinterventionalSponsorHangzhou Normal UniversityRan2022 to 2024Enrolled144ConditionsOlder AdultsArmsMulticomponent exercises
3 · Its place in the literature

Who cites it

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

  1. The effectiveness of nudge-based physical activity interventions in frail older adults: a systematic review.The international journal of behavioral nutrition and physical activity · 2026
    Pooled it
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  10. Moving4notfrailNursing reports (Pavia, Italy) · 2025
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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

8 authors.

Juan Fang *School of Public Health, Hangzhou Normal University, Hangzhou, 311121, China.
Jianping Ren *School of Public Health, Hangzhou Normal University, Hangzhou, 311121, China. jpren2016@163.com.
Jinjing WangSchool of Public Health, Hangzhou Normal University, Hangzhou, 311121, China.
Xiantao QiuSchool of Public Health, Hangzhou Normal University, Hangzhou, 311121, China.
Shiyan ZhangSchool of Public Health, Hangzhou Normal University, Hangzhou, 311121, China.
Shuang YuanSchool of Public Health, Hangzhou Normal University, Hangzhou, 311121, China.
Liangfeng WuSchool of Public Health, Hangzhou Normal University, Hangzhou, 311121, China.
Lin XieSchool of Clinical Medicine, Hangzhou Normal University, Hangzhou, 311121, China.

Funding

Scientific Research Fund of Zhejiang Provincial Education Department Y202351104Zhejiang Province Public Welfare Technology Application Research Project LGF21G030003Zhejiang Province Traditional Chinese Medicine Science and Technology Program Project 2023ZF034
6 · The paper itself

Abstract

backgroundExercise is effective in preventing frailty status in older adults, but the effect of an exercise program based on Wellness Motivation Theory (WMT) on the frailty status, self-efficacy for exercise, and quality of life for older adults with pre-frailty remains unclear. Our objective was to examine the efficacy of a multicomponent exercise program based on WMT on frailty status, self-efficacy, and quality of life among pre-frail older adults.

methodsThis was a randomized controlled trial of pre-frail older adults aged from 60 years to 85 years. Participants in the intervention group performed exercise three times a week for 24 weeks, once at a community health service station instructed by two researchers and two times at home. Participants in the control group were given one-time advice on physical activity. The assessor was the only one blinded. The primary outcome was the reversal rate of pre-frailty. The secondary outcomes included self-efficacy and quality of life.

resultsOne hundred and forty-four participants were randomized into two groups (n = 72 in the intervention group and n = 72 in the control group) and analyzed. After 24 weeks, the proportion of pre-frailty was significantly lower in the intervention group than in control (31.8% versus 74.6%, P < 0.001). The absolute risk reduction was 42.8% [95% CI, 25.1-57.1]. In the 8th week and the 24th week, the frailty score of the intervention group was significantly lower than that of the control group. There were significant improvements in self-efficacy at week 2, week 8, and week 24. In weeks 8 and 24, participants in the intervention group reported a higher quality of life than the control group. There were no exercise-related injuries or falls among the participants.

conclusionsThe exercise intervention based on WMT for pre-frail older adults could reverse pre-frailty, increase self-efficacy for exercise, and improve the quality of life in older Chinese. STUDY REGISTRATION DETAILS: This study was registered in www. CLINICALTRIALS: gov on the 25th of July, 2024, with the identifier NCT06519695. REPORTING

methodThe Consolidated Standards of Reporting Trials (CONSORT) checklist was used in this study for properly reporting how the randomized trial was conducted.

Indexed as

Exercise TherapyFrail ElderlyFrailtyMotivationQuality of LifeSelf EfficacyAgedAged, 80 and overFemaleHumansMaleMiddle AgedAgedExerciseFrailtyQuality of lifeSelf-efficacy

Identifiers

PMID39478450
PMCPMC11523852

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.