Evidence map›Paper›PMID 39890154›Full record

ArticleBMJ open2025

Understanding how older people with mild frailty engage with behaviour change to support their independence: a qualitative study.

Yolanda Barrado-Martín, Rachael Frost, Jessica Catchpole, Tasmin Alanna Rookes, Sarah Gibson, Christina Avgerinou, Benjamin Gardner, Rebecca L Gould, Paul Chadwick, Jane Hopkins and 7 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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

17 authors.

Yolanda Barrado-MartínCentre for Ageing Population Studies, Research Department of Primary Care and Population Health, University College London, London, UK y.barrado@ucl.ac.uk.ORCID http://orcid.org/0000-0002-9912-6345
Rachael FrostCentre for Ageing Population Studies, Research Department of Primary Care and Population Health, University College London, London, UK.ORCID http://orcid.org/0000-0003-3523-0052
Jessica CatchpoleCentre for Ageing Population Studies, Research Department of Primary Care and Population Health, University College London, London, UK.
Tasmin Alanna RookesCentre for Ageing Population Studies, Research Department of Primary Care and Population Health, University College London, London, UK.ORCID http://orcid.org/0000-0001-6330-7059
Sarah GibsonBradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
Christina AvgerinouCentre for Ageing Population Studies, Research Department of Primary Care and Population Health, University College London, London, UK.
Benjamin GardnerDepartment of Psychology, University of Surrey, Guildford, UK.
Rebecca L GouldDivision of Psychiatry, University College London, London, UK.
Paul ChadwickDivision of Psychology & Language Sciences, University College London, London, UK.
Jane HopkinsPatient and Public Involvement Contributor, London, UK.
Vari M DrennanCentre for Health and Social Care Research, Kingston University, London, UK.
Kalpa KharichaHealth and Social Care Workforce Research Unit, The Policy Institute, King's College London, London, UK.
Louise MarstonResearch Department of Primary Care and Population Health, University College London, London, UK.ORCID http://orcid.org/0000-0002-9973-1131
Rashmi KumarPatient and Public Involvement Contributor, London, UK.
Rekha ElaswarapuPatient and Public Involvement Contributor, London, UK.ORCID http://orcid.org/0000-0002-7695-931X
Claire JowettPatient and Public Involvement Contributor, Birmingham, UK.
Kate R WaltersCentre for Ageing Population Studies, Research Department of Primary Care and Population Health, University College London, London, UK.ORCID http://orcid.org/0000-0003-2173-2430

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore barriers and facilitators to behaviour change in older people with mild frailty.

designQualitative study.

settingCommunity-dwelling older people living with mild frailty.

participants64 older people with mild frailty, workers delivering the service and stakeholders.

methodsSemistructured interviews were conducted between July 2022 and May 2023 with participants in a randomised controlled trial ('HomeHealth') of a 6-month, home-based, personalised goal setting intervention, based around the Capability-Opportunity-Motivation-Behaviour model. We purposively sampled older participants receiving the service (n=49), workers delivering it (n=7) and stakeholders supporting its delivery (n=8). Interviews explored participation experiences, including engagement, perceived progress and impact. Transcripts were analysed using thematic analysis.

resultsKey themes included frailty symptoms and adapting/compensating for these, self-efficacy and beliefs about capacity or need for change, familiarity with goal-setting processes and health-related knowledge, accessibility of services and outdoor environments, and enabling social support. Participants were empowered to change behaviours with support, where personalised meaningful goals were set. These were maintained where they led to a tangible outcome and had increased self-efficacy; however, new health challenges and lack of intrinsic motivation could be barriers.

conclusionsRegular and continued empathic person-centred support helps empower mildly frail people who are motivated to change their behaviour. Identifying those willing and able to identify their need for change may be key to maximise service use impact. TRIAL REGISTRATION NUMBER: ISRCTN54268283.

Indexed as

Frail ElderlyFrailtyHealth BehaviorIndependent LivingAgedAged, 80 and overFemaleHumansInterviews as TopicMaleMotivationQualitative ResearchSelf EfficacySocial SupportFrailtyHealth Services for the AgedPatient-Centered CarePsychosocial InterventionPUBLIC HEALTHQUALITATIVE RESEARCH

Identifiers

PMID39890154
PMCPMC11784424

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.