Preventing disability and falls in older adults: a population-based randomized trial

Autor: David M. Buchner, Edward H. Wagner, Andrea Z. LaCroix, Louis C. Grothaus, Suzanne G. Leveille, K Odle, Julia Hecht, Karen Artz
Rok vydání: 1994
Předmět:
Gerontology
Male
medicine.medical_specialty
Aging
Activities of daily living
Clinical Trials and Supportive Activities
Psychological intervention
Poison control
Falls in older adults
Health Promotion
Medical and Health Sciences
Occupational safety and health
law.invention
Randomized controlled trial
law
Risk Factors
Clinical Research
Activities of Daily Living
Medicine
Humans
Disabled Persons
Geriatric Assessment
Nursing Assessment
Aged
business.industry
Incidence (epidemiology)
Public health
Incidence
Prevention
Public Health
Environmental and Occupational Health
Age Factors
Health Maintenance Organizations
Physical therapy
Accidental Falls
Female
Public Health
business
3.1 Primary prevention interventions to modify behaviours or promote well-being
Research Article
Follow-Up Studies
Program Evaluation
Zdroj: American journal of public health, vol 84, iss 11
Wagner, EH; LaCroix, AZ; Grothaus, L; Leveille, SG; Hecht, JA; Artz, K; et al.(1994). Preventing disability and falls in older adults: a population-based randomized trial.. American Journal of Public Health, 84(11), 1800-1806. doi: 10.2105/ajph.84.11.1800. UC San Diego: Retrieved from: http://www.escholarship.org/uc/item/7wb8m9zj
DOI: 10.2105/ajph.84.11.1800.
Popis: OBJECTIVES. Because preventing disability and falls in older adults is a national priority, a randomized controlled trial was conducted to test a multicomponent intervention program. METHODS. From a random sample of health maintenance organization (HMO) enrollees 65 years and older, 1559 ambulatory seniors were randomized to one of three groups: a nurse assessment visit and follow-up interventions targeting risk factors for disability and falls (group 1, n = 635); a general health promotion nurse visit (group 2, n = 317); and usual care (group 3, n = 607). Data collection consisted of a baseline and two annual follow-up surveys. RESULTS. After 1 year, group 1 subjects reported a significantly lower incidence of declining functional status and a significantly lower incidence of falls than group 3 subjects. Group 2 subjects had intermediate levels of most outcomes. After 2 years of follow-up, the differences narrowed. CONCLUSIONS. The results suggest that a modest, one-time prevention program appeared to confer short-term health benefits on ambulatory HMO enrollees, although benefits diminished by the second year of follow-up. The mechanisms by which the intervention may have improved outcomes require further investigation.
Databáze: OpenAIRE
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