Evidence map›Paper›PMID 35856155›Full record

Trial reportJournal of the American Geriatrics Society2022

Impact of psychological resilience on walking capacity in older adults following hip fracture.

Germine Soliman, Richard H Fortinsky, Kathleen Mangione, Brock A Beamer, Larry Magder, Ellen F Binder, Rebecca Craik, Ann Gruber-Baldini, Denise Orwig, Barbara Resnick and 2 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Better Mental Health and Fewer Depressive Symptoms Are Associated With Greater Psychological Resilience After Hip Fracture.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Trial
  2. Article
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  8. Aging precisely: Precision medicine through the lens of an older adult.Journal of the American Geriatrics Society · 2024
    Review
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.

Germine SolimanDepartment of Geriatrics, St. Mary's Hospital, Waterbury, Connecticut, USA.
Richard H FortinskyUConn Center on Aging, University of Connecticut School of Medicine, Farmington, Connecticut, USA.
Kathleen MangioneDepartment of Physical Therapy, Arcadia University, Glenside, Pennsylvania, USA.
Brock A BeamerGeriatric Research, Education and Clinical Center (GRECC), Baltimore Veterans Affairs Medical Center, Baltimore, Maryland, USA.
Larry MagderDepartment of Epidemiology and Public Health, University of Maryland School of Nursing, Baltimore, Maryland, USA.
Ellen F BinderDivision of Geriatrics and Nutritional Science, Washington University in St. Louis, St. Louis, Missouri, USA.
Rebecca CraikDepartment of Physical Therapy, Arcadia University, Glenside, Pennsylvania, USA.
Ann Gruber-BaldiniDepartment of Epidemiology and Public Health, University of Maryland School of Nursing, Baltimore, Maryland, USA.
Denise OrwigDepartment of Epidemiology and Public Health, University of Maryland School of Nursing, Baltimore, Maryland, USA.
Barbara ResnickUniversity of Maryland School of Nursing, Baltimore, Maryland, USA.
Dorothy B WakefieldUConn Center on Aging, University of Connecticut School of Medicine, Farmington, Connecticut, USA.
Jay MagazinerDepartment of Epidemiology and Public Health, University of Maryland School of Nursing, Baltimore, Maryland, USA.

Funding

University of Maryland Claude D. Pepper Older Americans Independence Center (UM-OAIC)P30AG028747 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI ALICE S. RYAN · 2006 to 2026
$28.9M
Sequelae of Hip Fracture in Men: An Epidemiologic StudyR37AG009901 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI MAGAZINER, JAY · 1992 to 2018
$11.3M
Community Ambulation Following Hip FractureR01AG035009 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI MAGAZINER, JAY · 2010 to 2016
$11.0M
Research Education ComponentP30AG067988 · NIA · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI Richard H Fortinsky, GEORGE A KUCHEL · 2021 to 2026
$9.5M
RESEARCH TRAINING IN THE EPIDEMIOLOGY OF AGINGT32AG000262 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI ANN L GRUBER-BALDINI, DENISE L ORWIG · 1998 to 2026
$8.2M
Timing And Intensity Of Strengthening After Hip FractureR21HD043269 · NICHD · ARCADIA UNIVERSITY · PI CRAIK, REBECCA LYNN · 2002 to 2003
$316k
NIA NIH HHS P30 AG028747NIA NIH HHS P30 AG067988NIA NIH HHS R01 AG035009NIA NIH HHS R37 AG009901NIA NIH HHS T32 AG000262NICHD NIH HHS R21 HD043269
6 · The paper itself

Abstract

backgroundCommunity-dwelling older adults experiencing hip fracture often fail to achieve adequate walking capacity following surgery and rehabilitation. Effects of psychological factors on post-fracture walking capacity are poorly understood. Accordingly, this paper investigates effects of psychological resilience on observed walking capacity measures in older adults following hip fracture, controlling for important covariates.

methodsData were drawn from the Community Ambulation Project, a clinical trial of 210 community-dwelling adults aged ≥60 years who experienced a minimal trauma hip fracture and were randomized to one of two 16-week home-based physical therapist-guided interventions. Psychological resilience was measured at study baseline using the 6-item Brief Resilience Scale (BRS); scores were classified into groups in order to distinguish levels of self-reported resilience. Walking capacity was assessed at study baseline and 16 weeks later using 4-Meter Gait Speed (4MGS), 50-Foot Walk Test (50FWT), and 6-Minute Walk Distance (SMWD). In multivariate analyses of covariance in which 16-week follow-up values of each walking measure were outcomes, covariates included clinical trial arm, gender, age, and baseline values of: walking measure corresponding to the outcome; body mass index; depressive symptom severity; degree of psychological optimism; cognitive status; informal caregiver need; and days from hospital admission to randomization.

resultsIncreases between baseline and 16 weeks later in mean gait speed in meters/sec (m/s) and walking distance in meters (m) in 4MGS, 50FWT and SMWD were 0.06 m/s (p = 0.061), 0.11 m/s (p < 0.01), and 25.5 m (p = 0.056) greater, respectively, in the most resilient BRS group compared to the least resilient BRS group.

conclusionHigher levels of psychological resilience were associated with greater walking speed and distance. Psychological resilience represents a potentially clinically important pathway and intervention target, toward the goal of improving walking capacity among older adults known to have substantial residual disability following hip fracture.

Indexed as

Hip FracturesResilience, PsychologicalAgedHumansWalkingWalking SpeedWalk Testhip fractureolder adultspsychological resiliencewalking capacity

Identifiers

PMID35856155
PMCPMC9669123

What Socratic 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 Socratic graph.