Evidence map›Paper›PMID 39616365›Full record

Trial reportBMC geriatrics2024

FallFitness exercise program provided using the train-the-trainer approach for community-dwelling older adults: a randomized controlled trial.

Marina Arkkukangas, Karin Strömqvist Bååthe, Julia Hamilton, Ali Hassan, Michail Tonkonogi

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 NCT06265480 (FallFitness Fallprevention Exercise Program for Community-dwelling Older Adults), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

NCT06265480 naunknown statusnot on this map

FallFitness Fallprevention Exercise Program for Community-dwelling Older Adults

TypeinterventionalSponsorDalarna UniversityRan2024 to 2025Enrolled100ConditionsFall Injury, Fall, Self EfficacyArmsFallFitness intervention group
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
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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

5 authors.

Marina ArkkukangasDepartment of Medicine, School of Health and Welfare, Dalarna University, Falun, Sweden. marina.arkkukangas@fou.sormland.se.
Karin Strömqvist BååtheDepartment of Medicine, School of Health and Welfare, Dalarna University, Falun, Sweden.
Julia HamiltonSabbatsbergs Department of Geriatric Medicine, Region Stockholm, Stockholm, Sweden.
Ali HassanResearch and Development Department, Region Sörmland, Eskilstuna, Sweden.
Michail TonkonogiDepartment of Medicine, School of Health and Welfare, Dalarna University, Falun, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFalls and fall-related injuries remain a global challenge and threat to the health of older adults. Specific strength and balance exercises are effective in preventing falls among community-dwelling older adults. Nevertheless, provision of evidence-based fall prevention interventions to a broad population represents a healthcare challenge, indicating that new models for promoting exercise among community-dwelling older adults need to be addressed. Here, we aimed to evaluate the effects of a peer-led group-based exercise intervention provided using the train-the-trainer approach and targeting physical performance, activity level, handgrip strength, quality of life, fall-related self-efficacy, fear of falling, and falling techniques compared with a control group at 8-week follow-up.

methodsThis randomized controlled trial (RCT) included trainers and participants who were recruited from four collaborating regional organizations for retired persons. The intervention was planned to be provided in five municipalities in Sweden, depending on the location of the registered trainers. Eligible participants included adults aged ≥ 60 years who could walk independently and understand written and oral information in Swedish. The FallFitness multicomponent exercise program delivered weekly strength, balance, and falling techniques over eight weeks. It was evaluated using the train-the-trainer approach. Fourteen older adults were eligible for trainer education, and 101 participants were randomly allocated for the FallFitness exercise (n = 50) or a control group (n = 51).

resultsAfter 8 weeks of peer-led training, the short multicomponent exercise program significantly improved the physical activity levels (p = 0.036) and backward and sideways falling techniques (p < 0.001) compared to those in the control group. Fear of falling significantly decreased in the exercise group (p = 0.009). Other outcomes in this study showed to be non-significant.

conclusionsThe multicomponent exercise program provided in eight sessions using the train-the-trainer approach may be effective in promoting physical activity and the learning of motor skills and safe landing strategies. Furthermore, the FallFitness exercise program may reduce the fear of falling and may be both time- and cost-effective.

trial registrationClinicalTrials.gov, NCT06265480 (20240208).

Indexed as

Accidental FallsExercise TherapyIndependent LivingAgedAged, 80 and overExerciseFemaleHumansMaleMiddle AgedPostural BalanceQuality of LifeSwedenFalling techniquesFallsOlder adultsPublic health

Identifiers

PMID39616365
PMCPMC11607805

What OpenQuestion holds

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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.