Evidence map›Paper›PMID 39780066›Full record

Trial reportBMC geriatrics2025

A park-based group mobility program for older adults with difficulty walking outdoors: a qualitative process evaluation of the Getting Older Adults Outdoors (GO-OUT) randomized controlled trial.

Kristina M Kokorelias, Jacquie Ripat, Ruth Barclay, C Allyson Jones, Nancy E Mayo, Theresa Grant, Stephanie Scodras, Kyla Alsbury-Nealy, Charlotte Ryder-Burbidge, Nancy M Salbach

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2025. 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. Trial
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

10 authors.

Kristina M KokoreliasDepartment of Medicine, Geriatrics, Sinai Health System and University Health Network, Toronto, ON, Canada.ORCID http://orcid.org/0000-0002-1277-472X
Jacquie RipatDepartment of Occupational Therapy, University of Manitoba, Winnipeg, MB, Canada.ORCID http://orcid.org/0000-0002-2763-4340
Ruth BarclayDepartment of Physical Therapy, University of Manitoba, Winnipeg, MB, Canada.ORCID http://orcid.org/0000-0002-2961-5821
C Allyson JonesDepartment of Physical Therapy, University of Alberta, Edmonton, AB, Canada.ORCID http://orcid.org/0000-0002-3952-3234
Nancy E MayoSchool of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada.ORCID http://orcid.org/0000-0003-2066-7120
Theresa GrantBruyère Research Institute, Ottawa, ON, Canada.
Stephanie ScodrasRehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada.ORCID http://orcid.org/0000-0002-2081-3960
Kyla Alsbury-NealyRehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada.ORCID http://orcid.org/0000-0002-3560-0917
Charlotte Ryder-BurbidgeDepartment of Physical Therapy, University of Alberta, Edmonton, AB, Canada.ORCID http://orcid.org/0000-0002-2203-731X
Nancy M SalbachRehabilitation Sciences Institute, University of Toronto, Toronto, ON, Canada. nancy.salbach@utoronto.ca.ORCID http://orcid.org/0000-0002-6178-0691

Funding

CIHR 376439
6 · The paper itself

Abstract

backgroundThe Getting Older Adults Outdoors (GO-OUT) randomized controlled trial showed that a workshop and 10-week park-based outdoor walk group (OWG) was superior to the workshop and 10 weekly reminders (WR) with increasing walking capacity, but not outdoor walking activity, health-promoting behavior, or successful aging, among older adults with difficulty walking outdoors. The objective of this planned process evaluation was to explore participants' perceptions of mechanisms of impact of and contextual factors influencing experiences with the interventions to help explain the observed intervention effects on study outcomes.

methodsA qualitative descriptive study involving semi-structured interviews conducted at 6-months post-baseline was conducted. A directed content analysis was undertaken.

participantsWe interviewed 27 adults (52% male, 48% female, mean age 76 years) from the OWG (n = 13) and WR group (n = 14).

resultsWe identified two themes including: "Holding Me Accountable to Walk More Frequently", and "We Walked Farther, With More Ease and Confidence, and We Felt Better". Participants in both groups described how the OWG and WR programs provided some degree of structure and accountability to others that increased their motivation to walk outdoors. Participants described how the OWG led to improved walking capacity (e.g., increased walking distance) and confidence. Interacting with people during OWG sessions led to a sense of enjoyment, and well-being.

conclusionsCommunity programs that incorporate structure, accountability, and opportunities for social interaction, can help improve motivation to increase outdoor walking activity and a sense of belonging for older adults with difficulty walking outdoors. Park-based OWG programs appear to convey additional important benefits related to improved physical function and well-being.

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

Indexed as

WalkingAgedAged, 80 and overFemaleHealth PromotionHumansMaleMobility LimitationParks, RecreationalQualitative ResearchCommunity exercise programOlder adultsOutdoor walkingParksPhysical activityQualitative process evaluationRandomized controlled trialTask-oriented training

Identifiers

PMID39780066
PMCPMC11707900

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.