'Real world' effectiveness of the Falls Management Exercise (FaME) programme: an implementation study
| Autor: | Sarah Audsley, Steve Iliffe, Dawn A. Skelton, Clare Timblin, Denise Kendrick, Elizabeth Orton, Tahir Masud, Stephen Timmons, Natasher Lafond, Derek Ward, Carol Coupland, John R.F. Gladman, Philippa A Logan |
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| Rok vydání: | 2020 |
| Předmět: |
Aging
medicine.medical_specialty Multivariate analysis Physical activity Rate ratio Fear of falling 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Exercise Postural Balance Physical Therapy Modalities Balance (ability) Aged business.industry 030503 health policy & services Incidence (epidemiology) General Medicine Fear Confidence interval Exercise Therapy Clinical trial Aged People Exercise Promotion Primary Health Care Falls Physical Activity England Physical therapy Accidental Falls Female Geriatrics and Gerontology medicine.symptom 0305 other medical science business |
| Zdroj: | Age and ageing. 50(4) |
| ISSN: | 1468-2834 0002-0729 |
| Popis: | Background Falls incidence increases with age alongside declines in strength and balance. Clinical trials show that the Falls Management Exercise (FaME) programme improves strength and balance, which can reduce falls and improve physical functioning. Objective To determine if the clinical trial efficacy of FaME translates into effectiveness in non-research settings. Design and setting An implementation study of FaME in 10 local authorities across the East Midlands region of England. Subjects Adults aged 65 and over enrolled on a FaME programme. Method Anonymised outcome data collected by the FaME providers were compared at baseline, end of programme and 6 months follow-up using univariate and multivariate analyses. Results For 348 adults enrolled in programmes and analysed, the mean age was 76.8, 73% were female and 143 (41%) completed ≥75% of classes. Overall confidence in balance, fear of falling, functional reach and timed-up-and-go (all P Conclusions There is modest translation of FaME efficacy into effectiveness, but not all effects persist after completion. Strategies to aid adherence and exercise maintenance are important to maximise benefits. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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