Evidence map›Paper›PMID 40342494›Full record

ArticleFrontiers in public health2025

Study protocol for the randomized controlled trial of EMBOLDEN: a multifaceted intervention aimed at Enhancing physical and community MoBility in OLDEr adults with health inequities using commuNity co-design.

Rebecca Ganann, Stuart M Phillips, Sarah E Neil-Sztramko, Kathryn Fisher, Elizabeth Alvarez, Ayse Kuspinar, K Bruce Newbold, Caroline Moore, Maggie MacNeil, Heather Keller and 6 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05008159 (The Enhancing Physical and Community Mobility in Older Adults With Health Inequities Using Community Co-design of a Multifaceted Intervention Incorporating Physical Activity, Healthy Eating, Social Participation, and System Navigation), which is not on this map. Not yet cited in PubMed.

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

NCT05008159 naunknown statusnot on this map

The Enhancing Physical and Community Mobility in Older Adults With Health Inequities Using Community Co-design of a Multifaceted Intervention Incorporating Physical Activity, Healthy Eating, Social Participation, and System Navigation (EMBOLDEN) Trial

TypeinterventionalSponsorMcMaster UniversityRan2022 to 2025Enrolled500ConditionsMobility Limitation, Health Related Quality of Life, Healthy Aging, Health InequityArms3 month community-based mobility and health intervention
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Rebecca GanannAging, Community and Health Research Unit, School of Nursing, McMaster University, Hamilton, ON, Canada.
Stuart M PhillipsDepartment of Kinesiology, McMaster University, Hamilton, ON, Canada.
Sarah E Neil-SztramkoDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Kathryn FisherAging, Community and Health Research Unit, School of Nursing, McMaster University, Hamilton, ON, Canada.
Elizabeth AlvarezDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Ayse KuspinarSchool of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
K Bruce NewboldSchool of Earth, Environment and Society, McMaster University, Hamilton, ON, Canada.
Caroline MooreAging, Community and Health Research Unit, School of Nursing, McMaster University, Hamilton, ON, Canada.
Maggie MacNeilAging, Community and Health Research Unit, School of Nursing, McMaster University, Hamilton, ON, Canada.
Heather KellerDepartment of Kinesiology and Health Sciences, University of Waterloo, Waterloo, ON, Canada.
Kylie TeggartAging, Community and Health Research Unit, School of Nursing, McMaster University, Hamilton, ON, Canada.
Lehana ThabaneDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Gina AgarwalDepartment of Family Medicine, McMaster University, Hamilton, ON, Canada.
Diana SherifaliSchool of Nursing, McMaster University, Hamilton, ON, Canada.
Janet AdamsStrategic Guiding Council, Resident of Hamilton, Hamilton, ON, Canada.
Aref AlshaikhahmedStrategic Guiding Council, Resident of Hamilton, Hamilton, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Reduced physical mobility is common in older adults and is associated with adverse outcomes, including functional decline, depression, social isolation, and poor nutritional status. Group-based programs focusing on physical activity and nutrition to support healthier lifestyles have demonstrated benefits, particularly when paired with social engagement activities. This paper presents the protocol for a randomized controlled trial (RCT) to test a lifestyle intervention called Methods: This is a 2-arm Type II hybrid effectiveness-implementation pragmatic RCT. Eligibility criteria include older adults (55+ years), community-dwelling in urban neighborhoods facing health inequities, able to speak or understand English or Mandarin (or access to family/friend interpreters), and able to walk 10 m unassisted by another person (assistive devices permitted). Participants will be randomized to the intervention or control arm (1:1 ratio). The intervention arm is usual care plus: (1) 12 weekly group-based sessions to increase knowledge/skills and behavior activation related to physical activity, healthy eating, fostering social connections and community resources; and (2) up to three tailored individual system navigation sessions. The control arm is usual care, in which participants identify and access services without research support. The primary outcome is time spent doing moderate-to-vigorous physical activity. Secondary outcomes will also be explored, including quality of life, life space mobility, depressive symptoms, nutritional risk, and loneliness. Data will be collected at baseline, 3 months (post-intervention) and 6 months. Mixed effects models will be used to analyze outcomes, intention-to-treat analysis will be employed, and multiple imputation will address missing data. Descriptive and qualitative data from participants, interventionists, and research documentation will be used to examine adaptations and implementation barriers/facilitators. Discussion: A community-based, co-designed lifestyle intervention may improve physical activity and other health outcomes in older adults living in neighborhoods with health inequities. Clinical trial registration: ClinicalTrials.gov, NCT05008159.

Indexed as

ExerciseHealth PromotionHealth Status DisparitiesAgedFemaleHumansMaleMiddle AgedMulticenter Studies as TopicPragmatic Clinical Trials as TopicQuality of LifeRandomized Controlled Trials as TopicSocial Participationcommunity-based interventionhealth inequitynutritionolder adultsphysical activitypublic engagementsocial participationsystem navigation

Identifiers

PMID40342494
PMCPMC12058477

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.