Evidence mapPaperPMID 41426679Full record

Trial reportFrontiers in public health2025

Process evaluation with cost analysis of the Move for Life cluster randomised feasibility trial for inactive adults aged 50 years and older.

Enrique García Bengoechea, Ciaran Doyle, Amanda M Clifford, Anna Hobbins, Liam Glynn, Andrew O'Regan, Chloe Forte, Andrew W Murphy, Paddy Gillespie, Catherine B Woods

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Enrique García BengoecheaPhysical Activity for Health Research Centre, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland.
Ciaran DoylePhysical Activity for Health Research Centre, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland.
Amanda M CliffordSchool of Allied Health, Ageing Research Centre, Health Research Institute, University of Limerick, Limerick, Ireland.
Anna HobbinsHealth Economics & Policy Analysis Centre, J.E. Cairnes School of Business & Economics, University of Galway, Galway, Ireland.
Liam GlynnSchool of Medicine, Health Research Institute, University of Limerick, Limerick, Ireland.
Andrew O'ReganSchool of Medicine, Health Research Institute, University of Limerick, Limerick, Ireland.
Chloe ForteCentre for Public Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
Andrew W MurphyHRB Primary Care Clinical Trials Network, Discipline of General Practice, University of Galway, Galway, Ireland.
Paddy GillespieHealth Economics & Policy Analysis Centre, J.E. Cairnes School of Business & Economics, University of Galway, Galway, Ireland.
Catherine B WoodsPhysical Activity for Health Research Centre, Health Research Institute, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: An ageing population combined with a decline in physical activity with age have prompted calls for investment in physical activity programmes and services for older people. The Move for Life (MFL) intervention aims to augment existing community-based physical activity programmes for middle-to-older aged adults in Ireland using behaviour change strategies and peer support. The intervention was found to be feasible and has the potential to impact desired outcomes in intended ways. This study reports on the process evaluation of the MFL cluster randomised feasibility trial. Methods: The process evaluation used a sequential explanatory mixed methods design. Guided by the Medical Research Council framework, the evaluation sought to uncover links between implementation variables, mechanisms of impact and context of the intervention. The evaluation also addressed the dimensions of sustainability and cost of the intervention, as recommended in the RE-AIM framework. Results: While generally the trial reached the target audience, recruitment of males and individuals from hard-to-reach groups remained challenging. The evaluation revealed potential mechanisms underlying the effects of the intervention, notably improved attitudes toward physical activity, more positive appraisal of physical activity programmes and instructors, enhanced interpersonal interaction, greater social support, and higher use of individual and group behaviour change techniques. Regarding sustainability, MFL showed potential to strengthen the relationship between individuals and their Local Sports Partnership. The MFL intervention was associated with a statistically insignificant increase in mean cost relative to usual provision, and a statistically significant increase in mean cost relative to the control arm. While the evaluation supports the original MFL intervention logic model, it also suggests three major areas for improvement. These are the need to reconsider the use of the participant handbook for the delivery of behavioural skills as well as the number of behavioural change strategies included, particularly for shorter duration programme formats, and better integrate the training of peer mentors and physical activity programme instructors. Conclusion: The findings highlight the essential role of process evaluation to inform intervention design to facilitate optimal implementation and illustrate the value of considering several perspectives in understanding, collecting and using cost estimates from interventions. Trial registration: Identifier ISRCTN11235176, https://doi.org/10.1186/ISRCTN11235176.

Indexed as

ExerciseHealth PromotionSedentary BehaviorAgedCosts and Cost AnalysisFeasibility StudiesFemaleHumansIrelandMaleMiddle AgedProgram EvaluationSocial Supportcommunity-basedhealth economicshealthy ageingimplementationinterventionmixed methodsphysical activityprogram evaluation

Identifiers

PMID41426679
PMCPMC12714609

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.