Evidence map›Paper›PMID 39855890›Full record

Trial reportThe Journal of frailty & aging2025

Age Self Care-Resilience, a medical group visit program targeting pre-frailty: A mixed methods pilot clinical trial.

Julia V Loewenthal, Wren Burton, Shaida Kamali, Subha Ramani, Peter M Wayne, Ariela R Orkaby, Louise Aronson

Abstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The Journal of frailty & aging, 2025. 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. Article
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

7 authors.

Julia V LoewenthalDivision of Aging, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. Electronic address: jloewenthal@bwh.harvard.edu.
Wren BurtonDivision of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; Osher Center for Integrative Health, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Shaida KamaliUniversity of Oklahoma College of Medicine, Oklahoma City, OK, USA.
Subha RamaniDivision of General Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Peter M WayneDivision of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; Osher Center for Integrative Health, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Ariela R OrkabyDivision of Aging, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; New England GRECC (Geriatric Research, Education, and Clinical Center), VA Boston Healthcare System, Boston, MA, USA.
Louise AronsonDivision of Geriatrics and Osher Center for Integrative Health, University of California, San Francisco, San Francisco, CA, USA.

Funding

Combined Chiropractic Care and Tai Chi for Chronic Non-Specific Neck PainR34AT011368 · NCCIH · BRIGHAM AND WOMEN'S HOSPITAL · PI WAYNE, PETER MICHAEL · 2022 to 2024
$951k
NCCIH NIH HHS L30 AT012557NCCIH NIH HHS R34 AT011368
6 · The paper itself

Abstract

backgroundPre-frailty is highly prevalent and multimodal lifestyle interventions are effective for preventing transition to frailty. However, little is known about the potential for medical group visits (MGV) to prevent frailty progression.

objectivesTo assess the feasibility and acceptability of the MGV Age Self Care-Resilience.

designSingle-arm mixed methods pilot clinical trial.

settingVirtual MGV delivered in an ambulatory setting at a U.S. academic medical center.

participantsCommunity-dwelling older adults (n = 11; age 65+) with pre- to mild frailty.

interventionAge Self Care-Resilience, an 8-week virtual MGV (90-minute sessions once per week) with sessions focused on physical activity, nutrition, social engagement, mind-body practice, and home environment modification. MEASUREMENTS: Primary outcomes were feasibility of recruitment, attendance, satisfaction, and feasibility of study measurements, collected via quantitative and qualitative approaches. Exploratory outcomes included frailty, psychosocial health, and physical function.

resultsA priori feasibility criteria were met for recruitment, with 15 (48 %) of those screened (31) meeting eligibility criteria, 11 (35 %) enrolling (mean age 74.5 yrs), and recruitment completed in less than one month. The nine participants who completed the study attended a mean of 7.2 of 8 sessions and completed 100 % of baseline and follow-up study measures; participants completed 58 % of the home practice log. Themes from participant interviews included: (1) mixed reactions to the recruitment term "pre-frailty;" (2) finding group participation as meaningful and empowering; and (3) perception that the program positively changed attitudes and lifestyle behaviors.

conclusionsAge Self Care-Resilience is feasible and acceptable to pre- to mildly frail older adults. Next steps include evaluating the efficacy of Age Self Care-Resilience for preventing frailty progression with a fully powered randomized controlled trial.

Indexed as

Frail ElderlyFrailtyResilience, PsychologicalSelf CareAgedAged, 80 and overExerciseFeasibility StudiesFemaleGeriatric AssessmentHumansIndependent LivingMalePilot ProjectsFrailtyGeriatricsMedical group visitsPre-frailtyShared medical appointments

Identifiers

PMID39855890
PMCPMC12183939

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.