Evidence map›Paper›PMID 34559837›Full record

Trial reportPloS one2021

The MoveStrong program for promoting balance and functional strength training and adequate protein intake in pre-frail older adults: A pilot randomized controlled trial.

Isabel B Rodrigues, Ellen Wang, Heather Keller, Lehana Thabane, Maureen C Ashe, Sheila Brien, Angela M Cheung, Larry Funnell, Ravi Jain, Desmond Loong and 7 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04037436 (A Model for Delivering Strength Training and Nutrition Education for Older Adults), which is not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 5% of its field
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.

NCT04037436 nacompletednot on this map

A Model for Delivering Strength Training and Nutrition Education for Older Adults (MoveStrong): A Pilot Randomized Controlled Trial

TypeinterventionalSponsorUniversity of WaterlooRan2019 to 2020Enrolled44ConditionsChronic Disease, Frail, Diabetes Mellitus, CancerArmsStrength and Balance Training & Nutrition Education, Usual Care
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Encouraging older adults with pre-frailty and frailty to "MoveStrong": an analysis of secondary outcomes for a pilot randomized controlled trial.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2022
    Trial
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
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

17 authors at 8 institutions in 1 country.

Isabel B RodriguesDepartment of Kinesiology and Health, University of Waterloo, Waterloo, ON, Canada.ORCID 0000-0002-3158-813X
Ellen WangDepartment of Kinesiology and Health, University of Waterloo, Waterloo, ON, Canada.ORCID 0000-0001-7080-9946
Heather KellerDepartment of Kinesiology and Health, University of Waterloo, Waterloo, ON, Canada.
Lehana ThabaneDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Maureen C AsheDepartment of Family Practice, University of British Columbia, Vancouver, BC, Canada.
Sheila BrienCanadian Osteoporosis Patient Network, Osteoporosis Canada, Toronto, ON, Canada.
Angela M CheungDepartment of Medicine, University Health Network, University of Toronto, Toronto, ON, Canada.
Larry FunnellCanadian Osteoporosis Patient Network, Osteoporosis Canada, Toronto, ON, Canada.
Ravi JainCanadian Osteoporosis Patient Network, Osteoporosis Canada, Toronto, ON, Canada.
Desmond LoongCLEAR Health Economics, Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Wanrudee IsaranuwatchaiCLEAR Health Economics, Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Jamie MilliganDepartment of Family Medicine, McMaster University, Hamilton, ON, Canada.
Marina MourtzakisDepartment of Kinesiology and Health, University of Waterloo, Waterloo, ON, Canada.
Alexandra PapaioannouDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Sharon StrausCLEAR Health Economics, Knowledge Translation Program, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Zachary J WestonWaterloo Wellington Local Health Integration Network, Waterloo, ON, Canada.ORCID 0000-0002-0732-3385
Lora M GiangregorioDepartment of Kinesiology and Health, University of Waterloo, Waterloo, ON, Canada.
University of Waterloo · CAOsteoporosis Canada · CASt. Michael's Hospital · CAImpact · CAMcMaster University · CAUniversity Health Network · CAUniversity of British Columbia · CAWilfrid Laurier University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBalance and functional strength training can improve muscle strength and physical functioning outcomes and decrease the risk of falls in older adults. To maximize the benefits of strength training, adequate protein intake is also important. However, the number of older individuals that consume enough protein or routinely engage in strength training remains low at less than 5% and even lower for activities that challenge balance. Our primary aim was to assess the feasibility of implementing a model (MoveStrong) of service delivery to teach older adults about balance and functional strength training and methods to increase protein intake.

methodsThis study was a closed cohort stepped wedge randomized controlled trial. We recruited individuals ≥60 years considered pre-frail or frail with at least one chronic condition who were not currently engaging in regular strength training from Northern (rural) and Southern (urban) Ontario sites in Canada. The primary outcome was feasibility of implementation, defined by recruitment, retention, and adherence, and safety (defined by monitoring adverse events). We also reported participants' and providers' experience with MoveStrong, adaptations to the model based on participant's and provider's experience, and program fidelity.

resultsWe recruited 44 participants to the study and the average adherence rate was 72% with a retention of 71%. The program had a high-fidelity score. One person experienced a fall-related injury during exercise, while two other participants reported pain during certain activities. Five individuals experienced injuries or health problems that were not related to the program. Suggestions for future trials include modifying some exercises, exploring volunteer assistance, increasing the diversity of participants enrolled, and considering a different study design.

conclusionsOur pilot trial demonstrates the feasibility of recruitment and adherence for a larger multisite RCT of balance and functional strength training with attention to protein intake in pre-frail and frail older adults.

Indexed as

AgedAged, 80 and overDietary ProteinsFeasibility StudiesFemaleFrail ElderlyHealth PromotionHumansMaleMiddle AgedMuscle StrengthOntarioPatient CompliancePilot ProjectsPostural BalanceResistance TrainingDietary Proteins

Identifiers

PMID34559837
PMCPMC8462677
OpenAlexW3201336313

What Socratic holds

Textmetadata
LicenceCC BY
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.