umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Physical Function and Fear of Falling 2 Years After the Health-Promoting Randomized Controlled Trial: Elderly Persons in the Risk Zone
Vårdalinstitutet, University of Gothenburg, Dep of Clinical Neuroscience and Rehabil, Sahlgrenska Academy Univerasity odf Gothenburg.
Vårdalinstitutet, University of Gothenburg, Dep of Clinical Neuroscience and Rehabil, Sahlgrenska Academy Univerasity odf Gothenburg.
Vårdalinstitutet, University of Gothenburg, Dep of Clinical Neuroscience and Rehabil, Sahlgrenska Academy Univerasity odf Gothenburg.
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
Show others and affiliations
2014 (English)In: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 54, no 3, 387-397 p.Article in journal (Refereed) Published
Abstract [en]

Purpose of the study: To investigate the effects of 2 different health-promoting interventions on physical performance, fear of falling, and physical activity at 3-month, 1-year, and 2-year follow-ups of the study Elderly Persons in the Risk Zone.

Design and Methods: A randomized, three-armed, single-blind, and controlled study in which 459 independent and community-dwelling people aged 80 years or older were included. A single preventive home visit including health-promoting information and advice and 4 weekly senior group meetings focused on health strategies and peer learning, with a follow-up home visit, were compared with control. Functional balance, walking speed, fear of falling, falls efficacy, and frequency of physical activities were measured 3 months, 1 year, and 2 years after baseline.

Results There were no or limited differences between the groups at the 3-month and 1-year follow-ups. At 2 years, the odds ratio for having a total score of 48 or more on the Berg Balance scale compared with control was 1.80 (confidence interval 1.11-2.90) for a preventive home visit and 1.96 (confidence interval 1.21-3.17) for the senior meetings. A significantly larger proportion of intervention participants than controls maintained walking speed and reported higher falls efficacy. At 1 and 2 years, a significantly higher proportion of intervention participants performed regular physical activities than control.

Implications: Both a preventive home visit and senior meetings reduced the deterioration in functional balance, walking speed, and falls efficacy after 2 years. The long-term effects of both interventions indicate a positive impact on postponement of physical frailty among independent older people.

Place, publisher, year, edition, pages
Oxford University Press, 2014. Vol. 54, no 3, 387-397 p.
Keyword [en]
Oldest old, Falls, Frailty, Self-efficacy, Intention to treat analysis, Health promotion
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:umu:diva-80222DOI: 10.1093/geront/gnt078ISI: 000336480800008PubMedID: 23906550OAI: oai:DiVA.org:umu-80222DiVA: diva2:647676
Available from: 2013-09-12 Created: 2013-09-12 Last updated: 2017-12-06Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Lundin-Olsson, Lillemor
By organisation
Physiotherapy
In the same journal
The Gerontologist
Physiotherapy

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 98 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf