Evidence map›Paper›PMID 29247111›Full record

SynthesisBMJ open2017

What interventions are used to improve exercise adherence in older people and what behavioural techniques are they based on? A systematic review.

Jonathan Room, Erin Hannink, Helen Dawes, Karen Barker

2 registry-linked trialsAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 70 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 9 pooled it
–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.

NCT05839262 nacompletednot on this mapstarted 2023, after this paper: background citation

Physical Exercise Guided by Active Video Games for Optimizing Clinical and Psychosocial Outcomes in Older Adults With Knee and/or Hip Osteoarthritis Under a Community-based Rehabilitation Model.

TypeinterventionalSponsorCristian AlvarezRan2023 to 2024Enrolled60ConditionsOsteoarthritis, Knee, Osteoarthritis, HipArmsConventional physical rehabilitation plus Active video games (CPR+AVG), Conventional physical rehabilitation alone (CPR)
NCT06164847 nacompletednot on this mapstarted 2023, after this paper: background citation

Effectiveness of the Adherence for Exercise Rehabilitation in Older People (AERO) Program to Improve Adherence in People with Osteoporosis in a German Context: a Randomized Parallel, Pilot Study

TypeinterventionalSponsorHochschule OsnabruckRan2023 to 2024Enrolled24ConditionsOsteoporosis, Osteopenia, Bone LossArmsAERO Program, Standard Care
3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  11. Exercise rehabilitation with tailored support for exercise adherence for people with vertebral fragility fractures is more effective than standard rehabilitation: the OPTIN randomised controlled trial.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
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  19. Similar exercise adherence and physical fitness outcomes are observed across distinct motivation profiles in older adults participating in a home-based structured exercise programme.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2026
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10 more citing papers are in PubMed but not listed here.

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.

Jonathan RoomPhysiotherapy Research Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.ORCID http://orcid.org/0000-0002-1257-834X
Erin HanninkPhysiotherapy Research Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Helen DawesPhysiotherapy Research Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Karen BarkerCentre for Movement and Occupational Rehabilitation Sciences (MOReS), Oxford Brookes University, Oxford, UK.

Funding

Department of Health 12/196/08
6 · The paper itself

Abstract

objectivesTo conduct a systematic review of interventions used to improve exercise adherence in older people, to assess the effectiveness of these interventions and to evaluate the behavioural change techniques underpinning them using the Behaviour Change Technique Taxonomy (BCTT).

designSystematic review.

methodsA search was conducted on AMED, BNI, CINAHL, EMBASE, MEDLINE and PsychINFO databases. Randomised controlled trials that used an intervention to aid exercise adherence and an exercise adherence outcome for older people were included. Data were extracted with the use of a preprepared standardised form. Risk of bias was assessed with the Cochrane Collaboration's tool for assessing risk of bias. Interventions were classified according to the BCTT.

resultsEleven studies were included in the review. Risk of bias was moderate to high. Interventions were classified into the following categories: comparison of behaviour, feedback and monitoring, social support, natural consequences, identity and goals and planning. Four studies reported a positive adherence outcome following their intervention. Three of these interventions were categorised in the feedback and monitoring category. Four studies used behavioural approaches within their study. These were social learning theory, socioemotional selectivity theory, cognitive behavioural therapy and self-efficacy. Seven studies did not report a behavioural approach.

conclusionsInterventions in the feedback and monitoring category showed positive outcomes, although there is insufficient evidence to recommend their use currently. There is need for better reporting, use and the development of theoretically derived interventions in the field of exercise adherence for older people. Robust measures of adherence, in order to adequately test these interventions would also be of use. PROSPERO REGISTRATION NUMBER: CRD42015020884.

Indexed as

ExerciseAgedCognitive Behavioral TherapyFeedback, PsychologicalHumansPatient CompliancePhysical Therapy ModalitiesRandomized Controlled Trials as TopicSelf EfficacySocial Supportadherencebehaviour changebehaviour change technique taxonomycomplianceexerciseolder people

Identifiers

PMID29247111
PMCPMC5736048

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.