Evidence map›Paper›PMID 42684332›Full record

Trial reportJMIR aging2026

Assessing a Digital Platform (KOKU-Nut) to Improve Nutrition in Older Adults: Mixed Methods Feasibility Randomized Controlled Trial.

Chloe French, Sorrel Burden, Jaheeda Gangannagaripalli, Emma Stanmore

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in JMIR aging, 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

4 authors.

Chloe FrenchSchool of Health Sciences, University of Manchester, Jean McFarlane Building, University of Manchester, Manchester, M13 9PY, United Kingdom, 44 01613067856.ORCID http://orcid.org/0000-0003-2303-7474
Sorrel BurdenSchool of Health Sciences, University of Manchester, Jean McFarlane Building, University of Manchester, Manchester, M13 9PY, United Kingdom, 44 01613067856.ORCID http://orcid.org/0000-0002-4967-647X
Jaheeda GangannagaripalliSchool of Health Sciences, University of Manchester, Jean McFarlane Building, University of Manchester, Manchester, M13 9PY, United Kingdom, 44 01613067856.
Emma StanmoreSchool of Health Sciences, University of Manchester, Jean McFarlane Building, University of Manchester, Manchester, M13 9PY, United Kingdom, 44 01613067856.ORCID http://orcid.org/0000-0002-4522-5292

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Keep-on-Keep-up Nutrition (KOKU-Nut) is a free, tablet-based digital platform that focuses on increasing physical activity and improving the dietary intake of older adults. Objective: The aim of this study was to assess the feasibility of using KOKU-Nut among community-dwelling older adults. Feasibility was assessed by considering recruitment and retention rates, acceptability of the intervention, and study design. Methods: Participants (community-dwelling adults aged ≥65 years) were randomized 1:1 to either the intervention or control group. The intervention group was asked to engage with KOKU-Nut 3 times a week for 12 weeks. Participants in the control group received a leaflet promoting a healthy lifestyle. All participants completed questionnaires at baseline and 12 weeks. A sample of participants was asked to complete an optional interview. The study collected data on dietary intake (24-hour food diary), physical function (grip strength and 5-time sit-to-stand exercise), usability of the intervention (System Usability Scale), and safety (adverse events). Results: Of 51 participants assessed for eligibility, 31 were randomized, and 28 completed the 12-week follow-up. Of the 14 participants in the intervention group, 10 (71.4%) reported engagement with KOKU-Nut 3 or more times a week. There was no difference in physical function or dietary intake at 12 weeks between participants in the intervention and control groups after adjusting for age and baseline values. Conclusions: This feasibility randomized controlled trial indicates that the study design was appropriate and acceptable to older adults, as demonstrated by the recruitment and retention rates. This is promising and demonstrates the potential for conducting a future powered randomized controlled trial to assess the effectiveness of KOKU-Nut.

Indexed as

Nutritional StatusAgedAged, 80 and overExerciseFeasibility StudiesFemaleHumansIndependent LivingMaleSurveys and Questionnairesdigital healthfeasibilitymalnutritionnutritionolder adults

Identifiers

PMID42684332
PMCPMC13524216

What OpenQuestion holds

Textmetadata
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.