Evidence map›Paper›PMID 41663978›Full record

ArticleBMC geriatrics2026

Viability of an educational program for lifestyle changes and an algorithm for the derivation of exercise programs in older people at risk of dependency at primary care: PRICA-POWFRAIL study protocol.

Verónica Mihaiescu-Ion, Sonia Ortega-Gómez, Ana Domínguez-Navarro, Carmen Ayala-Martinez, Rosa Llerena-Guerrero, Verónica Pérez-Cabezas, Gloria González-Medina, José Losa-Reyna, Alejandro Galan-Mercant

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05772910 (Viability of an Educational Program for Lifestyle Changes and an Algorithm for the Derivation of Exercise Programs in Older People at Risk of Dependency at Primary Care.), which is not on this 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.

NCT05772910 naunknown statusnot on this map

Viability of an Educational Program for Lifestyle Changes and an Algorithm for the Derivation of Exercise Programs in Older People at Risk of Dependency at Primary Care.

TypeinterventionalSponsorUniversity of CadizRan2024 to 2026Enrolled110ConditionsFrailty, Disability Physical, Old Age, AtrophyArmsEDUcation, EXERcise, EDU-EXER, CONtrol
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

9 authors.

Verónica Mihaiescu-Ion *MOVE-IT Research Group, Cadiz, Spain.
Sonia Ortega-Gómez *MOVE-IT Research Group, Cadiz, Spain.
Ana Domínguez-NavarroDepartment of Nursing and Physical Therapy, Faculty of Nursing and Physical Therapy, University of Cadiz, Cadiz, Spain.
Carmen Ayala-MartinezDepartment of Nursing and Physical Therapy, Faculty of Nursing and Physical Therapy, University of Cadiz, Cadiz, Spain.
Rosa Llerena-GuerreroAndalusian Primary Care Health Service, Cádiz, Spain.
Verónica Pérez-CabezasMOVE-IT Research Group, Cadiz, Spain.
Gloria González-MedinaDepartment of Nursing and Physical Therapy, Faculty of Nursing and Physical Therapy, University of Cadiz, Cadiz, Spain.
José Losa-ReynaCIBER of Frailty and Healthy Aging (CIBERFES), Madrid, Spain. jose.losa@urjc.es.
Alejandro Galan-MercantMOVE-IT Research Group, Cadiz, Spain.

Funding

Biomedical Research and Innovation Projects from the Biomedical Research Institute of Cádiz, Andalusian Health System Grant PP11-004-2023Ministerio de Universidades FPU22/01261Ministerio de Universidades,Spain FPU20/02497
6 · The paper itself

Abstract

backgroundThis manuscript presents the study protocol of the PRICA-POWFRAIL randomized controlled trial. Frailty and pre-frailty are major predictors of functional decline and dependency in older adults, yet the implementation of personalized, scalable, and clinically interventions in primary care remains limited. This protocol describes the methodological design and planned evaluation of a lifestyle education programme and an individualized exercise-prescription algorithm aimed at improving intrinsic capacity and preventing dependency.

methodsThis is a multicentre, four-arm randomized controlled trial with a 10-week intervention period and a 12-month follow-up. A total of 110 adults aged ≥ 70 years identified as frail or pre-frail in primary care will be recruited and randomized (1:1:1:1) to one of four groups: (1) Education (EDU), (2) Exercise (EXER), (3) Combined Education-Exercise (EDU-EXER), or (4) Control. Primary outcomes include intrinsic capacity, physical function, and health-related quality of life. Secondary outcomes include digital mobility biomarkers, muscle and body composition measures, and blood-based biomarkers. A previous internal pilot study will inform final assumptions for sample size estimation. DISCUSSION: This protocol outlines a theoretically grounded and clinically implementable model combining lifestyle education and an individualized exercise algorithm adapted to the primary care context in south Spain. The findings will provide evidence regarding the potential clinical impact of the PRICA-POWFRAIL approach and will inform future strategies for early individualized intervention in frailty and pre-frailty.

trial registrationClinicalTrials.gov Identifier: NCT05772910.

Indexed as

AlgorithmsExerciseExercise TherapyFrail ElderlyFrailtyLife StylePatient Education as TopicAgedAged, 80 and overFemaleHumansMaleMulticenter Studies as TopicPrimary Health CareQuality of LifeRandomized Controlled Trials as TopicAgingDependencyExerciseFrailtyOlder adultsPhysical activityPrimary health careSarcopenia

Identifiers

PMID41663978
PMCPMC12990574

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.