Evidence mapPaperPMID 40495124Full record

Trial reportBMC public health2025

Effects of a blended face-to-face and eHealth lifestyle intervention on physical activity, diet, and health outcomes in Hong Kong community-dwelling older adults: a randomized controlled trial.

Yanping Duan, Min Yang, Yanping Wang, Shishi Cheng, Wei Liang, Sonia Lippke, Shiping Zhang, Li Chen

Abstract readRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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.

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. 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

8 authors.

Yanping Duan *Department of Sports and Health Sciences, Faculty of Arts and Social Sciences, Hong Kong Baptist University, Kowloon Tong, Hong Kong SAR, China. duanyp@hkbu.edu.hk.
Min Yang *Department of Sports Science and Physical Education, Faculty of Education, The Chinese University of Hong Kong, Kowloon Tong, Hong Kong SAR, China.
Yanping WangDepartment of Sports and Health Sciences, Faculty of Arts and Social Sciences, Hong Kong Baptist University, Kowloon Tong, Hong Kong SAR, China.
Shishi ChengDepartment of Sports and Health Sciences, Faculty of Arts and Social Sciences, Hong Kong Baptist University, Kowloon Tong, Hong Kong SAR, China.
Wei LiangSchool of Physical Education, Shenzhen University, Shenzhen, China.
Sonia LippkeFaculty of Life Sciences, Hamburg University of Applied Sciences, Hamburg, Germany.
Shiping ZhangTraditional Chinese Medicine Dietetics Division, School of Chinese Medicine, Hong Kong Baptist University, Kowloon Tong, Hong Kong SAR, China.
Li ChenDepartment of Computer Science, Faculty of Science, Hong Kong Baptist University, Kowloon Tong, Hong Kong SAR, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effectiveness of a blended approach integrating face-to-face and eHealth interventions for promoting positive lifestyle behaviours in older adults has not been systematically tested. This study aimed to assess the feasibility and effectiveness of such interventions in improving health behaviours and outcomes among older adults in Hong Kong.

methodsA 10-week, single-blind, randomized controlled trial recruited 132 eligible older adults. Participants were assigned to three groups: (1) a blended intervention group: two sessions per week for ten weeks with one for physical activity and one for diet (fruit and vegetable intake; meat, fish, egg and alternatives intake) and two web-based sessions; (2) a face-to-face intervention group: same content and intensity like the blended group but as face-to-face sessions; and (3) a control group receiving biweekly telephone calls. Data on lifestyle behaviours and health outcomes (physical fitness, depression, loneliness, health-related quality of life) were collected at baseline (T1), 10 weeks post-test (T2), and a 3-month follow-up (T3). All data were analyzed using IBM SPSS 29.0. Descriptive statistics were used to describe the feasibility. The generalized linear mixed models were used to evaluate the effects of the intervention.

resultsThe study demonstrated high feasibility with > 90% adherence, > 88% session attendance, and an acceptability score of 4.7/5. The blended intervention outperformed the face-to-face and control conditions for both diet behaviours at T2 and T3, with a Cohen's d effect size ranging from 0.77 to 1.18 (p < 0.05). It also showed a significant effect on physical activity compared to controls at T3 (Cohen's d = 0.21, p < 0.05). Both intervention groups improved in lower body strength, agility and dynamic balance, and health-related quality of life compared to control at T3 (p < 0.05).

conclusionsThis study provides empirical evidence for the feasibility and superiority of blended interventions to promote dietary habits among Hong Kong older adults. Future research applying rigorous study design, identifying effective strategies promoting physical activity, and exploring psychological mechanisms of health behaviour changes is warranted to enhance the efficacy of lifestyle interventions among older adults.

trial registrationThis study was retrospectively registered on the ISRCTN (ISRCTN32329348).

Indexed as

DietExerciseHealth PromotionLife StyleTelemedicineAgedAged, 80 and overFeasibility StudiesFemaleHong KongHumansIndependent LivingMaleMiddle AgedQuality of LifeSingle-Blind MethodBlended interventionDieteHealthFace-to-faceHealth outcomesOlder adultsPhysical activity

Identifiers

PMID40495124
PMCPMC12150582

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.