期刊
JOURNAL OF AGING AND PHYSICAL ACTIVITY
卷 22, 期 4, 页码 457-464出版社
HUMAN KINETICS PUBL INC
DOI: 10.1123/JAPA.2013-0101
关键词
aged; accidental falls; case management; health promotion; randomized controlled trial
资金
- Faculty of Medicine at Lund University
- Swedish Institute for Health Sciences
- Region Skane
- NHS (ALF)
- Swedish Research Council
- Greta and Johan Kock Foundation
- Magnus Bergvall Foundation
Objectives: To investigate the effects of a home-based one-year case management intervention in older people with functional dependency and repeated contact with the health care services on self-reported falls and self-reported injurious falls. Methods: The study was a randomized controlled trial with repeated follow-ups. The sample (n = 153) was consecutively and randomly assigned to the intervention group (n = 80, mean age = 81.4 [SD 5.9]) or control group (n = 73, mean age = 81.6 [SD 6.8]). The intervention group received a case management intervention which comprised monthly home visits during 12 months by nurses and physiotherapists employing a multifactorial preventive approach. Results: In the intervention group, 96 falls occurred during the intervention period compared with 85 falls in the control group (p = .900). There were 40 and 38 injurious falls (p = .669) in the intervention and control groups, respectively. Conclusions: This home-based case management intervention was not able to prevent falls or injurious falls.
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