Impact of telephone coaching supporting a physical maintenance exercise programme for older adults at risk of falls: a randomised controlled trial.

Autor: Rince G; Centre Ambulatoire Nantais de Gérontologie Clinique, CANGC, CHU Nantes, Nantes Université, Nantes, F- 44000, France., Volteau C; Direction de la Recherche et de l'innovation, Plateforme de méthodologie et biostatistique, PMB, CHU Nantes, Nantes Université, Nantes, F-44000, France., Fortin J; Direction de la Recherche et de l'innovation, CHU Nantes, Nantes Université, Nantes, F-44000, France., Couturier CC; Centre Ambulatoire Nantais de Gérontologie Clinique, CANGC, CHU Nantes, Nantes Université, Nantes, F- 44000, France., Rulleau T; Direction de la Recherche et de l'innovation, Movement - Interactions - Performance, MIP, UR 4334, CHU Nantes, Nantes Université, Nantes, F-44000, France. thomas.rulleau@chu-nantes.fr.
Jazyk: angličtina
Zdroj: BMC geriatrics [BMC Geriatr] 2024 Oct 26; Vol. 24 (1), pp. 879. Date of Electronic Publication: 2024 Oct 26.
DOI: 10.1186/s12877-024-05488-y
Abstrakt: Background: Encouraging compliance with recommended levels of exercise for older adults is a public health challenge. A minimal-resource solution is telephone coaching.
Objectives: Primary aim: to compare timed up and go (TUG) performance 6 months after beginning a home exercise program between a group of older individuals who received additional telephone coaching, and a control group performing the home exercise program alone. Secondary aims: to compare functional and fall-related outcomes between groups at 6 and 12 months.
Methods: Multicentre, assessor-blinded, randomised, controlled, open label, prospective study. Inclusion criteria included age ≥ 65 years, ≥ 1 fall in the past year, and discharged home from hospital rehabilitation or outpatient physiotherapy. All participants received a home exercise booklet and were asked to perform a set of exercises as often as possible (daily). The coaching group additionally received a monthly telephone call (total 5 calls) from their previous physiotherapist. Primary outcome was TUG performance at 6 months. Outcomes were measured at inclusion, and at 6 and 12 months. The primary outcome was analysed using a linear mixed model adjusted for the baseline value.
Results: In total, 99 individuals were included (coaching group n = 50, control group, n = 49; mean [SD] age 83.1 [5.8] years and 77% women). TUG performance did not differ between groups at 6 months (adjusted difference 1.37, SE 1.32, 95% CI 1.26 to 4.01, p = 0.30). Secondary outcomes did not differ between groups at 6 or 12 months except compliance to the exercise program was higher in the coaching than the control group at 6 months (adjusted difference 1.0, SE 0.5, 95% CI 0.02 to 2.0, p = 0.05).
Conclusions: The lack of difference between the groups in the time taken to complete the TUG at 6 months suggests that the monthly telephone coaching sessions did not improve the effectiveness of a home exercise programme in elderly people who had suffered at least one fall. The trial was registered on ClinicalTrials.gov (NCT02828826; 11th of july 2016, last modification 16th of September 2024).
(© 2024. The Author(s).)
Databáze: MEDLINE
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