Evidence map›Paper›PMID 42881590›Full record

ArticleHealthcare (Basel, Switzerland)2026

Evaluating the PM ACTIVAS Nurse-Led Preventive Care Model for Community-Dwelling Older Adults: A Randomized Controlled Trial.

Claudia Bustamante-Troncoso, Francisca Marquez-Doren, Claudia Alcayaga-Rojas, Víctor Pedrero, Miriam Rubio-Acuña, Marcela González-Agüero, Patricia Manns-Gantz, Solange Campos-Romero, Hugo Sánchez-Reyes, Ignacio Ibarra-Torres and 2 more

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 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

12 authors.

Claudia Bustamante-TroncosoSchool of Nursing, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile.ORCID 0000-0002-7204-2571
Francisca Marquez-DorenSchool of Nursing, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile.ORCID 0000-0001-8093-4687
Claudia Alcayaga-RojasSchool of Nursing, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile.ORCID 0000-0003-0364-2116
Víctor PedreroFaculty of Nursing, Universidad Andrés Bello, Santiago 8370136, Chile.ORCID 0000-0002-0861-4432
Miriam Rubio-AcuñaSchool of Nursing, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile.ORCID 0000-0002-1149-5278
Marcela González-AgüeroSchool of Nursing, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile.ORCID 0000-0002-0738-4399
Patricia Manns-GantzSchool of Design, Pontificia Universidad Católica de Chile, Santiago 7510596, Chile.ORCID 0000-0002-3971-994X
Solange Campos-RomeroSchool of Nursing, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile.ORCID 0000-0002-8838-7697
Hugo Sánchez-ReyesHospital Padre Hurtado, Santiago 9710000, Chile.ORCID 0000-0002-8163-6232
Ignacio Ibarra-TorresSchool of Nursing, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile.ORCID 0000-0002-9847-265X
Claudia Valderrama-UlloaCenter for Research in Technologies for Society, Faculty of Engineering, Universidad del Desarrollo, Santiago 7610658, Chile.ORCID 0000-0002-1603-9714
Camila Lucchini-RaiesSchool of Nursing, Pontificia Universidad Católica de Chile, Santiago 7820436, Chile.ORCID 0000-0001-5704-9778

Funding

Agencia Nacional de Investigación y Desarrollo 19I10349
6 · The paper itself

Abstract

BACKGROUND/

objectivesFalls among community-dwelling older adults are a major public health challenge and a leading cause of functional decline. Although multifactorial fall prevention strategies are recommended, evidence on comprehensive nurse-led preventive care models in primary health care remains limited. This study evaluated the clinical effects of the PM ACTIVAS nurse-led preventive care model among community-dwelling older adults in routine primary health care.

methodsThis article reports the quantitative component of a broader mixed-methods research programme. A two-arm randomized controlled trial included 220 community-dwelling adults aged 65-80 years randomly assigned to the PM ACTIVAS intervention (n = 110) or usual care (n = 110). The 12-month intervention combined multidimensional fall-risk assessment, individualized care planning, home environmental assessment, health education, a home safety kit, family involvement, and monthly telephone follow-up. The primary outcome was the number of falls (fall frequency) during the 12-month follow-up; secondary outcomes were fall occurrence, modifiable fall-risk factors, recognition of environmental fall hazards, and fear of falling.

resultsPrimary outcome data were available for 145 participants, with no significant between-group difference in the number of falls (

conclusionsAlthough the PM ACTIVAS nurse-led preventive care model did not significantly reduce the number of falls over 12 months, it reduced modifiable fall-risk factors and improved recognition of environmental hazards. These findings suggest that coordinated nurse-led care may provide a structured approach to operationalizing evidence-based fall prevention within routine primary health care and support further evaluation of this model in community settings.

Indexed as

accidental fallscommunity-dwelling older adultshealthy ageinghome visitsnurse-led careprimary health care

Identifiers

PMID42881590
PMCPMC13665406

What OpenQuestion holds

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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.