Evidence map›Paper›PMID 41664037›Full record

ArticleBMC geriatrics2026

Effect of a multi-component exercise training program based on the trans-theoretical model on health-related physical fitness among rural older adults living alone: a study protocol for a randomized controlled trial.

Yingxue Xi, Shasha Li, Yingyuan Ni, Jinli Yang, Haibing Liu, Yue Li, Jianyi Bao, Shufang Liao, Xinyu Yang, Guojing Guo and 1 more

Abstract 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. 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

11 authors.

Yingxue Xi *Department of Nursing, College of Medical Science, Huzhou University, No. 759 Second Ring Road,Wuxing District, Huzhou, Zhejiang, 313000, China.
Shasha Li *Department of Nursing, College of Medical Science, Huzhou University, No. 759 Second Ring Road,Wuxing District, Huzhou, Zhejiang, 313000, China. 270037615@qq.com.
Yingyuan NiDepartment of Nursing, College of Medical Science, Huzhou University, No. 759 Second Ring Road,Wuxing District, Huzhou, Zhejiang, 313000, China.
Jinli YangDepartment of Nursing, Huzhou Central Hospital, No. 1558 Sanhuan North Road, Wuxing District, Huzhou, Zhejiang, 313000, China.
Haibing LiuDepartment of Rehabilitation Medicine, Huzhou First People's Hospital, No. 158 Guangchanghou Road, Wuxing District, Huzhou, Zhejiang, 313000, China.
Yue LiDepartment of Nursing, College of Medical Science, Huzhou University, No. 759 Second Ring Road,Wuxing District, Huzhou, Zhejiang, 313000, China.
Jianyi BaoDepartment of Nursing, College of Medical Science, Huzhou University, No. 759 Second Ring Road,Wuxing District, Huzhou, Zhejiang, 313000, China.
Shufang LiaoDepartment of Nursing, College of Medical Science, Huzhou University, No. 759 Second Ring Road,Wuxing District, Huzhou, Zhejiang, 313000, China.
Xinyu YangDepartment of Nursing, College of Medical Science, Huzhou University, No. 759 Second Ring Road,Wuxing District, Huzhou, Zhejiang, 313000, China.
Guojing GuoDepartment of Nursing, College of Medical Science, Huzhou University, No. 759 Second Ring Road,Wuxing District, Huzhou, Zhejiang, 313000, China.
Xiaofang SongDepartment of Nursing, College of Medical Science, Huzhou University, No. 759 Second Ring Road,Wuxing District, Huzhou, Zhejiang, 313000, China.

Funding

National Natural Science Foundation of China 72204084Postgraduate Research and Innovation Project of Huzhou University 2024KYCX89
6 · The paper itself

Abstract

backgroundHealth-related physical fitness among rural older adults is a global public health problem. Living alone is the predominant residential manner for older rural residents of China. How to promote the health-related physical fitness of rural older adults remains unclear.

objectiveThis program aims to construct a multi-component exercise (MCE) training program based on the trans-theoretical model (TTM) and to assess its initial impact on health-related physical fitness among rural older adults living alone.

methodsIn a randomized, controlled, assessor-blinded, parallel-arm trial in Zhejiang, China, participants will enroll 72 rural older adults living alone (intervention group = 36, control group = 36) from two rural communities. The intervention group will receive 26 weeks of multi-component exercise training based on the trans-theoretical model (TTM-MCE), and the control group will receive exercise health education. Using health-related physical fitness measurement scales, exercise benefit and barriers scales, and various functional assessments. Outcomes will be evaluated at baseline (T0), 14 weeks (T1), 18 weeks (T2), and 26 weeks (T3) post-intervention. DISCUSSION: This manuscript is the first to discuss the health-related physical fitness of older adults living alone in rural China as the research point and discusses the research design paradigm, theoretical framework, and intervention content. The study protocol combined the trans-theoretical model with multi-component exercise to develop a multi-component exercise intervention program based on the health-related physical fitness of older adults living alone in rural areas. The specific application of the trans-theoretical model in implementing multi-component exercise programs provides scientific guidance for the practical implementation of these programs among older adults living alone in rural areas.

trial registrationChiCTR240008337, 04/23/2024.

Indexed as

ExerciseExercise TherapyModels, TheoreticalPhysical FitnessRural PopulationAgedChinaFemaleHumansMaleRandomized Controlled Trials as TopicHealth-related physical fitnessMulti-component exerciseOlder adults living aloneRuralTrans-theoretical model

Identifiers

PMID41664037
PMCPMC12983652

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LicenceCC BY-NC-ND
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Registered trials

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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.