Evidence map›Paper›PMID 40107697›Full record

ArticleBMJ open2025

Effects of combining positive psychological intervention and lifestyle intervention on improving cardiovascular health for at-risk older adults: study protocol of a Chinese multicentric community-based randomised controlled trial (ACCOMPLI-CH).

Xiaomei Liu, Boyu Zhai, Xinyi Zhu, Zhiwei Zheng, Jing Yu, Baoxi Wang, Hui Zeng, Lijuan Jiang, Chunbo Li, Deping Liu and 4 more

Abstract readClinical Trial Protocol
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 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

14 authors.

Xiaomei LiuCenter on Aging Psychology, State Key Laboratory of Cognitive Science and Mental Health, Institute of Psychology Chinese Academy of Sciences, Beijing, China.ORCID http://orcid.org/0000-0003-4780-7779
Boyu ZhaiCenter on Aging Psychology, State Key Laboratory of Cognitive Science and Mental Health, Institute of Psychology Chinese Academy of Sciences, Beijing, China.
Xinyi ZhuCenter on Aging Psychology, State Key Laboratory of Cognitive Science and Mental Health, Institute of Psychology Chinese Academy of Sciences, Beijing, China.
Zhiwei ZhengCenter on Aging Psychology, State Key Laboratory of Cognitive Science and Mental Health, Institute of Psychology Chinese Academy of Sciences, Beijing, China.
Jing YuFaculty of Psychology, Southwest University, Chongqing, China.
Baoxi WangKey Laboratory of Jiangxi Province for Psychology and Cognition Science, School of Psychology, Jiangxi Normal University, Nanchang, China.
Hui ZengXiangya School of Nursing, Central South University, Changsha, China.
Lijuan JiangShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Chunbo LiShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Deping LiuDepartment of Cardiology, Beijing Hospital, National Center of Gerontology, Chinese Academy of Medical Sciences Institute of Geriatric Medicine, Beijing, China.
Tiemei ZhangThe Key Laboratory of Geriatrics, Beijing Institute of Geriatrics, Beijing Hospital/National Center of Gerontology, National Health Commission of the People's Republic of China, Beijing, China.
Yao YaoChina Center for Health Development Studies, Peking University, Beijing, China.
Xiangjun YinDivision of Elderly Health, National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Juan LiCenter on Aging Psychology, State Key Laboratory of Cognitive Science and Mental Health, Institute of Psychology Chinese Academy of Sciences, Beijing, China lijuan@psych.ac.cn.ORCID http://orcid.org/0000-0003-2780-9523

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCardiovascular health is influenced by various factors, including not only physiological and behavioural ones but also psychological well-being. However, when developing comprehensive preventive approaches, psychological interventions often receive less attention, despite their possible multiple mechanisms on cardiovascular health. Incorporating both healthy behaviour and psychological well-being promotion would be a more efficacious preventive approach. This study aims to investigate the effects of a community-based multicomponent intervention combining positive psychological intervention and lifestyle intervention on improving cardiovascular health among older adults with risk factors of cardiovascular diseases. METHODS AND ANALYSIS: This study is a multicentre, community-based, randomised controlled trial with 18 months of intervention and follow-up for community-dwelling older adults aged 60 years and above with risk factors for cardiovascular health. Intervention activities last 6 months and are composed of in-person group training sessions of 60-80 min led by trained group instructors and weekly self-monitoring homework. Participants are randomly assigned to a multicomponent intervention 'Harmony' group (24 sessions of positive psychology and lifestyle intervention delivered weekly), an active control 'Lifestyle' group (eight sessions of lifestyle intervention delivered every 3-4 weeks) or a waitlist control group (no intervention activities). Positive psychological training sessions are designed using well-known techniques derived from positive psychology theories with adaptations to Chinese culture, and lifestyle training sessions are developed according to national guidelines. The primary outcome includes the change of a composite score of systolic blood pressure, total cholesterol, high-density lipoprotein and low-density lipoprotein levels, as well as psychological well-being measured from three perspectives, including hedonic, eudaimonic and evaluative well-being. Secondary assessments include other measures for physical and biological indicators, psychological well-being, health behaviours, social connection factors and overall cognitive functions. Primary data analyses will follow the intention-to-treat principle. To examine the effects of intervention, multilevel mixed models will be performed. In case of any differences in baseline participant characteristics, they will be adjusted for as covariates. ETHICS AND DISSEMINATION: A centralised ethics review process was conducted, and the study protocol was approved by the ethics committee of the Institutional Review Board of the Institute of Psychology, Chinese Academy of Sciences in April 2022. A signed written informed consent form will be obtained from all participants. On completion, the trial results will be disseminated through published manuscripts and presentations at scientific conferences. TRIAL REGISTRATION NUMBER: ChiCTR2200062929.

Indexed as

Cardiovascular DiseasesHealth PromotionLife StylePsychology, PositivePsychosocial InterventionAgedChinaEast Asian PeopleFemaleHeart Disease Risk FactorsHumansIndependent LivingMaleMiddle AgedMulticenter Studies as TopicRandomized Controlled Trials as TopicAgingBehaviorCardiovascular DiseaseCommunity-Based Participatory ResearchHealthPsychosocial Intervention

Identifiers

PMID40107697
PMCPMC11927476

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.