Evidence map›Paper›PMID 40950777›Full record

Trial reportClinical interventions in aging2025

Revolution or Empty Promise? A 6- and 12-Month Follow-Up to an RCT of the Online Exercise Program PERMANENTO in Older Adults.

Katerina Machacova, Hana Polanska, Michal Steffl, Alzbeta Bartova, Blanka Novotna, Iva Holmerova

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical interventions in aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  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

6 authors.

Katerina MachacovaCentre of Expertise in Longevity and Long-Term Care, Faculty of Humanities, Charles University, Prague, Czech Republic.
Hana PolanskaCentre of Expertise in Longevity and Long-Term Care, Faculty of Humanities, Charles University, Prague, Czech Republic.ORCID 0000-0001-6807-5947
Michal StefflDepartment of Physiology and Biochemistry, Faculty of Physical Education and Sport, Charles University, Prague, Czech Republic.ORCID 0000-0001-7297-8145
Alzbeta BartovaCentre of Expertise in Longevity and Long-Term Care, Faculty of Humanities, Charles University, Prague, Czech Republic.
Blanka NovotnaCentre of Expertise in Longevity and Long-Term Care, Faculty of Humanities, Charles University, Prague, Czech Republic.
Iva HolmerovaCentre of Expertise in Longevity and Long-Term Care, Faculty of Humanities, Charles University, Prague, Czech Republic.ORCID 0000-0003-2375-4174

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Maintaining long-term engagement in physical activity programs among older adults remains challenging. This study examines actual and potential sustainability and adherence to a home-based online exercise program at six- and twelve-month follow-ups, while also analyzing perceived barriers, facilitators, and benefits. Methods: This follow-up study included 82 independent, home-dwelling older adults (mean age 73.7 ± 3.4; 77% female) who had previously completed a 12-week randomized controlled trial. 6- and 12-months sustainability and adherence were assessed using a custom-designed online questionnaire. Actual sustainability measured ongoing participation, while potential sustainability reflected willingness to engage in regular exercise. Participants were classified as regular, irregular, or non-exercisers, with follow-up closed-ended, semi-open, and open-ended questions exploring influencing factors. Adherence was categorized as high, moderate, or none, based on participation frequency and consistency. Data analysis combined quantitative (descriptive statistics) and qualitative (thematic analysis) approaches. Results: At six months, 79.3% of participants remained engaged, decreasing to 70.7% at twelve months, while potential sustainability remained high at 89% and 78.1%, respectively. High adherence was observed in 51.3% at six months and 47.8% at twelve months. Barriers included a lack of motivation and time, while social support and external incentives facilitated adherence. Most reported benefits among exercisers at the six- and twelve-month follow-ups were improved well-being (43/42), flexibility (41/37), and energy (20/20). Conclusion: This study confirms that long-term sustainability and adherence to home-based online exercise programs are achievable. The findings underscore the importance of understanding and flexible engagement models and highlight the potential for integrating similar strategies into future exercise programs for older adults.

Indexed as

ExerciseExercise TherapyPatient ComplianceAgedAged, 80 and overFemaleFollow-Up StudiesHumansIndependent LivingInternetMaleMotivationSurveys and Questionnairesadherencebarriersbenefitscommunity-dwelling older adultseducationexercisefacilitatorsonline programsustainability

Identifiers

PMID40950777
PMCPMC12433213

What OpenQuestion holds

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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.