| Title |
Promoting physical activity in older people in general practice: ProAct65+ cluster randomised controlled trial
|
|---|---|
| Published in |
British Journal of General Practice, October 2015
|
| DOI | 10.3399/bjgp15x687361 |
| Pubmed ID | |
| Authors |
Steve Iliffe, Denise Kendrick, Richard Morris, Mark Griffin, Deborah Haworth, Hannah Carpenter, Tahir Masud, Dawn A Skelton, Susie Dinan-Young, Ann Bowling, Heather Gage |
| Abstract |
Regular physical activity reduces falls, hip fractures, and all-cause mortality, but physical activity levels are low in older age groups. To evaluate two exercise programmes promoting physical activity among older people. Pragmatic three-arm, parallel-design cluster randomised controlled trial involving 1256 people aged ≥65 years (of 20 507 invited) recruited from 43 general practices in London, Nottingham, and Derby. Practices were randomised to the class-based Falls Management Exercise programme (FaME), the home-based Otago Exercise Program (OEP), or usual care. The primary outcome was the proportion reaching the recommended physical activity target 12 months post-intervention. Secondary outcomes included falls, quality of life, balance confidence, and costs. In total, 49% of FaME participants reached the physical activity target compared with 38% for usual care (adjusted odds ratio 1.78, 95% confidence interval [CI] =1.11 to 2.87, P = 0.02). Differences between FaME and usual care persisted 24 months after intervention. There was no significant difference comparing those in the OEP (43% reaching target at 12 months) and usual-care arms. Participants in the FaME arm added around 15 minutes of moderate-to-vigorous physical activity per day to their baseline level; this group also had a significantly lower rate of falls (incident rate ratio 0.74, 95% CI = 0.55 to 0.99, P = 0.042). Balance confidence was significantly improved in both intervention arms. The mean cost per extra person achieving the physical activity target was £1740. Attrition and rates of adverse reactions were similar. The FaME programme increases self-reported physical activity for at least 12 months post-intervention and reduces falls in people aged ≥65 years, but uptake is low. There was no statistically significant difference in reaching the target, or in falls, between the OEP and usual-care arms. |
X Demographics
The data shown below were collected from the profiles of 76 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 40 | 53% |
| United States | 4 | 5% |
| Australia | 2 | 3% |
| Canada | 2 | 3% |
| Philippines | 1 | 1% |
| Spain | 1 | 1% |
| Netherlands | 1 | 1% |
| Unknown | 25 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 45 | 59% |
| Practitioners (doctors, other healthcare professionals) | 20 | 26% |
| Scientists | 6 | 8% |
| Science communicators (journalists, bloggers, editors) | 5 | 7% |
Mendeley readers
The data shown below were compiled from readership statistics for 204 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 204 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 33 | 16% |
| Student > Master | 30 | 15% |
| Student > Ph. D. Student | 19 | 9% |
| Researcher | 17 | 8% |
| Other | 11 | 5% |
| Other | 32 | 16% |
| Unknown | 62 | 30% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 46 | 23% |
| Nursing and Health Professions | 44 | 22% |
| Sports and Recreations | 16 | 8% |
| Social Sciences | 6 | 3% |
| Psychology | 5 | 2% |
| Other | 21 | 10% |
| Unknown | 66 | 32% |
Attention Score in Context
This research output has an Altmetric Attention Score of 46. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 April 2021.
All research outputs
#902,320
of 25,295,968 outputs
Outputs from British Journal of General Practice
#400
of 4,696 outputs
Outputs of similar age
#13,465
of 291,444 outputs
Outputs of similar age from British Journal of General Practice
#7
of 88 outputs
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So far Altmetric has tracked 4,696 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 20.0. This one has done particularly well, scoring higher than 91% of its peers.
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