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ArticleEuropean geriatric medicine2026

Feasibility, acceptability, and preliminary effects of the Join4Joy approach for older adults living in nursing homes: a multicentre mixed-methods feasibility study.

Erika Karkauskiene, Laura Coll-Planas, Andrea Fuente-Vidal, Damaso Sanchez, Nadine Barth, Dhayana Dallmeier, José Luis Socorro-Cumplido, Maria Giné-Garriga, Paolo Caserotti, Guillaume Lefebvre and 1 more

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Article in European geriatric medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06100835 (Enjoy Physical Activity to Battle Sedentary Behaviour and Inactivity Among Older Adults From a Socially Inclusive Perspective), which is not on this map. Not yet cited in PubMed.

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0citing papers in PubMed
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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.

NCT06100835 phase2unknown statusnot on this map

Enjoy Physical Activity to Battle Sedentary Behaviour and Inactivity Among Older Adults From a Socially Inclusive Perspective (JOIN4JOY).

TypeinterventionalSponsorUniversity of Vic - Central University of CataloniaRan2023 to 2024Enrolled144ConditionsPhysical Inactivity, Sedentary BehaviorArmsComplex intervention involving physical activity and behaviour change techniques
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

11 authors.

Erika KarkauskieneDepartment of Health Promotion and Rehabilitation, Lithuanian Sports University, Kaunas, Lithuania.
Laura Coll-PlanasResearch Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC), 08500, Vic, Spain. laura.coll@uvic.cat.ORCID http://orcid.org/0000-0001-5204-8717
Andrea Fuente-VidalResearch Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC), 08500, Vic, Spain.
Damaso SanchezInstitute for Geriatric Research, Ulm University Medical Center, Ulm, Germany.
Nadine BarthInstitute for Geriatric Research, Ulm University Medical Center, Ulm, Germany.
Dhayana DallmeierInstitute for Geriatric Research, Ulm University Medical Center, Ulm, Germany.
José Luis Socorro-CumplidoDepartment of Physical Activity and Sport Sciences, School of Psychology, Education and Sport Sciences (FPCEE) Blanquerna, Universitat Ramon Llull, Barcelona, Spain.
Maria Giné-GarrigaDepartment of Physical Activity and Sport Sciences, School of Psychology, Education and Sport Sciences (FPCEE) Blanquerna, Universitat Ramon Llull, Barcelona, Spain.
Paolo CaserottiDepartment of Sports Science and Clinical Biomechanics, Center for Active and Healthy Ageing, University of Southern Denmark, Odense, Denmark.
Guillaume LefebvreSport Initiative et Loisir Bleu (SIEL BLEU), Strasbourg, France.
Javier Jerez-RoigDepartment of Health Promotion and Rehabilitation, Lithuanian Sports University, Kaunas, Lithuania.

Funding

Erasmus+ 101050674
6 · The paper itself

Abstract

purposeNursing home residents increasingly enter care with advanced frailty, multimorbidity, and functional dependence, underscoring the need for engaging, adaptable physical activity (PA) programmes. Join4Joy is a co-created approach designed to promote movement and social connection among older adults through enjoyable activities. This study examined its feasibility, acceptability, and preliminary effects across five nursing homes in Spain, France, and Germany.

methodsThis multicentre mixed-method study (ClinicalTrials.gov: NCT06100835) was delivered in two phases. Residents aged ≥ 65 years participated in 12 weekly 60-min PA sessions. Feasibility was assessed through attendance, procedural indicators, data completion, and retention; acceptability was evaluated using participant satisfaction and qualitative feedback, while safety was monitored throughout. Quantitative assessments evaluated physical function (SPPB), daily functioning (modified Barthel Index), quality of life (EQ-5D-5L), PA and sedentary behaviour (IPAQ-SF, SBQ, accelerometry), perceived improvement (PGI-I), and enjoyment (PACES-SF). Qualitative interviews and focus groups explored participant experiences.

resultsOf 81 enrolled residents, 75 completed the intervention (retention = 92.6%). Attendance was high (73.8-95.0%), no adverse events occurred. Quantitative outcomes indicated small favourable or no changes in physical and daily functioning, quality of life, PA and sedentary behaviour, perceived improvement, and enjoyment. Qualitative themes highlighted enjoyment, social connection, confidence, and the value of tailored, playful activities, confirming high acceptability.

conclusionJoin4Joy is safe, feasible to deliver, and well received, demonstrating the viability of a future definitive trial. Future large-scale evaluations should integrate holistic psychosocial metrics like enjoyment and social connection alongside biomedical outcomes to fully assess co-created PA approaches in long-term care geriatric settings.

Indexed as

Feasibility studyFrailtyNursing homeOlder adultPhysical activity

Identifiers

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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.