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Feasibility of performance-based and self-reported outcomes in self-managed falls prevention exercise interventions for independent older adults living in the community
Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Avdelningen för fysioterapi.ORCID-id: 0000-0003-4432-9732
Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Avdelningen för fysioterapi.ORCID-id: 0000-0002-5147-9715
Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Avdelningen för fysioterapi.
School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, United Kingdom.
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2022 (Engelska)Ingår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 22, nr 1, artikel-id 147Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND: Little is known about associations between performance-based measurements and self-reported scales, nor about ceiling effects or sensitivity to change to evaluate effects in the target population for self-managed exercise interventions. This study aimed to explore the feasibility of using performance-based outcomes for gait speed, functional leg strength and balance, and self-reported outcomes of falls-efficacy and functional ability in two self-managed falls prevention exercise interventions for community dwelling older adults.

METHODS: Independent living, community-dwelling older adults (n = 67) exercised with one of two self-managed falls prevention exercise programmes, a digital programme (DP) or a paper booklet (PB) in a 4-month participant preference trial. Pre- and post-assessments, by blinded assessors, included Short Physical Performance Battery (SPPB) and 30s Chair stand test (30s CST). Participants completed self-reported questionnaires: Activities-specific and Balance Confidence scale (ABC), Iconographical Falls Efficacy Scale (Icon-FES), Late-Life Function and Disability Instrument Function Component (LLFDI-FC). In addition, improvement in balance and leg strength was also self-rated at post-assessment. Participants' mean age was 76 ± 4 years and 72% were women.

RESULTS: Ceiling effects were evident for the balance sub-component of the SPPB, and also indicated for ABC and Icon-FES in this high functioning population. In SPPB, gait speed, 30s CST, and LLFDI-FC, 21-56% of participants did not change their scores beyond the Minimal Clinically Important Difference (MCID). At pre-assessment all performance-based tests correlated significantly with the self-reported scales, however, no such significant correlations were seen with change-scores. Improvement of performance-based functional leg strength with substantial effect sizes and significant correlations with self-reported exercise time was shown. There were no differences in outcomes between the exercise programmes except that DP users reported improved change of leg strength to a higher degree than PB users.

CONCLUSION: The LLFDI-FC and sit-to-stand tests were feasible and sensitive to change in this specific population. The balance sub-component of SPPB and self-reported measures ABC and Icon-FES indicated ceiling effects and might not be suitable as outcome measures for use in a high functioning older population. Development and evaluation of new outcome measures are needed for self-managed fall-preventive interventions with high functioning community-dwelling older adults.

Ort, förlag, år, upplaga, sidor
BioMed Central, 2022. Vol. 22, nr 1, artikel-id 147
Nyckelord [en]
Aged, Falls prevention, Patient outcome assessment, Self-managed
Nationell ämneskategori
Geriatrik Sjukgymnastik
Forskningsämne
fysioterapi
Identifikatorer
URN: urn:nbn:se:umu:diva-192876DOI: 10.1186/s12877-022-02851-9ISI: 000759555200002PubMedID: 35193495Scopus ID: 2-s2.0-85125155283OAI: oai:DiVA.org:umu-192876DiVA, id: diva2:1643108
Forskningsfinansiär
Vetenskapsrådet, 2015-03481Vetenskapsrådet, 521-2011-3250Forte, Forskningsrådet för hälsa, arbetsliv och välfärdTillgänglig från: 2022-03-08 Skapad: 2022-03-08 Senast uppdaterad: 2022-04-29Bibliografiskt granskad

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Månsson, LindaPettersson, BeatriceRosendahl, ErikLundin-Olsson, LillemorSandlund, Marlene

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