Evidence map›Paper›PMID 40342630›Full record

ArticleThe British journal of occupational therapy2025

Removing environmental barriers to independent living: A feasibility randomised controlled trial targeting people ageing with long-term physical disabilities.

Szu-Wei Chen, Melissa J Krauss, Emily Somerville, Brianna Holden, Megen Devine, Susan Stark

Abstract read
In one paragraph

Article in The British journal of occupational therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

6 authors.

Szu-Wei ChenWashington University in St. Louis, School of Medicine, Program in Occupational Therapy, St. Louis, MO, USA.ORCID https://orcid.org/0000-0002-9630-0934
Melissa J KraussWashington University in St. Louis, School of Medicine, Program in Occupational Therapy, St. Louis, MO, USA.
Emily SomervilleWashington University in St. Louis, School of Medicine, Program in Occupational Therapy, St. Louis, MO, USA.
Brianna HoldenWashington University in St. Louis, School of Medicine, Program in Occupational Therapy, St. Louis, MO, USA.
Megen DevineWashington University in St. Louis, School of Medicine, Program in Occupational Therapy, St. Louis, MO, USA.
Susan StarkWashington University in St. Louis, School of Medicine, Program in Occupational Therapy, St. Louis, MO, USA.ORCID https://orcid.org/0000-0002-2816-7158

Funding

ACL HHS 90DPCP0001
6 · The paper itself

Abstract

Introduction: People ageing with long-term physical disabilities face unique challenges to maintaining independence. We developed a novel, evidence-based intervention - Removing Environmental Barriers to Independent Living - to support participation and reduce falls. Methods: To examine Removing environmental barriers to independent living's feasibility and estimate its magnitude of efficacy, we conducted a single-blinded randomised controlled trial. Fifty participants who were aged 45-65 years with a physical disability for at least 5 years were randomised to intervention ( Results: Removing environmental barriers to independent living had high fidelity and adherence and a low implementation cost. There were trends for greater improvements in activity limitations and activity performance among intervention versus control participants. Conclusion: Removing environmental barriers to independent living is a feasible intervention with high fidelity and adherence. Findings trended towards greater improvements in activity performance for intervention participants. Results could inform future planning for a larger pragmatic trial.

Indexed as

activity participationageing in placeAgeing with physical disabilitiesenvironmental barriersfallsRCT

Identifiers

PMID40342630
PMCPMC11887883

What OpenQuestion holds

Textmetadata
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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.