A feasibility study of a randomised controlled trial comparing fall prevention using exercise with or without the support of motivational interviewing

Arkkukangas, Marina; Johnson, Susanna Tuvemo; Hellström, Karin; Söderlund, Anne; Eriksson, Staffan; Johansson, Anna

doi:10.1016/j.pmedr.2015.01.007

Cited by 16 publications

(17 citation statements)

References 30 publications

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“…Our findings clearly demonstrated that PTs considered the OEP to be an easy and applicable evidencebased program in clinical practice, even if some smaller challenges were found. These findings are in line with results presented in a previous study that evaluated the feasibility of the OEP from the PTs' point of view in a Swedish primary care setting, as it confirmed that the OEP is a feasible intervention within the target context (Arkkukangas et al, 2015).…”

Section: Discussionsupporting

confidence: 91%

A qualitative study exploring physical therapists’ views on the Otago Exercise Programme for fall prevention: a stepping stone to “age in place” and to give faith in the future

Cederbom

Bjerk

Bergland

2020

Physiotherapy Theory and Practice

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Background: One of the most effective interventions to prevent falls is exercise. A commonly used program that prevents falls is the Otago Exercise Programme (OEP). Despite this, user-based knowledge of its applicability in real-world settings for older adults who are dependent on formal care in their homes is lacking. Purposes: To explore how physical therapists (PTs) experience the applicability of the OEP in clinical practice for home-dwelling older adults who are dependent on formal home care and to determine their beliefs regarding the benefits of the OEP for living longer at home. Methods: Semi-structured interviews were conducted with 17 physical therapists. Data were analyzed using qualitative thematic analysis. Results: The OEP was described by PTs to be applicable in clinical practice. Their experience was that the OEP seemed to be meaningful and to have a strong relationship with everyday activities. The OEP improved physical function, mood, self-efficacy, and participation in social activities in older adults, as well as provided faith in the future. Conclusion: The OEP is suitable for use in a primary care setting, and according to the perceptions of physical therapists, the OEP contributes to older adults' capability to live longer at home.

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Section: Discussionsupporting

confidence: 91%

A qualitative study exploring physical therapists’ views on the Otago Exercise Programme for fall prevention: a stepping stone to “age in place” and to give faith in the future

Cederbom

Bjerk

Bergland

2020

Physiotherapy Theory and Practice

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“…The search returned 4006 records, of which 108 trials involving 23 407 participants were eligible for inclusion (figure 1). 18 The characteristics of the 108 included trials are summarised in online supplementary material B 10 19–125…”

Section: Resultsmentioning

confidence: 99%

Exercise for falls prevention in community-dwelling older adults: trial and participant characteristics, interventions and bias in clinical trials from a systematic review

Fairhall

Wallbank

et al. 2019

BMJ Open Sport Exerc Med

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IntroductionThere is strong evidence that exercise prevents falls in community-dwelling older people. This review summarises trial and participant characteristics, intervention contents and study quality of 108 randomised trials evaluating exercise interventions for falls prevention in community-dwelling older adults.MethodsMEDLINE, EMBASE, CENTRAL and three other databases sourced randomised controlled trials of exercise as a single intervention to prevent falls in community-dwelling adults aged 60+ years to May 2018.Results108 trials with 146 intervention arms and 23 407 participants were included. Trials were undertaken in 25 countries, 90% of trials had predominantly female participants and 56% had elevated falls risk as an inclusion criterion. In 72% of trial interventions attendance rates exceeded 50% and/or 75% of participants attended 50% or more sessions. Characteristics of the trials within the three types of intervention programme that reduced falls were: (1) balance and functional training interventions lasting on average 25 weeks (IQR 16–52), 39% group based, 63% individually tailored; (2) Tai Chi interventions lasting on average 20 weeks (IQR 15–43), 71% group based, 7% tailored; (3) programmes with multiple types of exercise lasting on average 26 weeks (IQR 12–52), 54% group based, 75% tailored. Only 35% of trials had low risk of bias for allocation concealment, and 53% for attrition bias.ConclusionsThe characteristics of effective exercise interventions can guide clinicians and programme providers in developing optimal interventions based on current best evidence. Future trials should minimise likely sources of bias and comply with reporting guidelines.

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“…At 6-months' reassessment, Yang et al (2012) had similar results of compliance. Additionally, motivational factors also influence compliance to exercise ( Arkkukangas et al, 2015 ; McMahon et al, 2016 ; Sherrington et al, 2017 ).…”

Section: Discussionmentioning

confidence: 99%

Does modified Otago Exercise Program improves balance in older people? A systematic review

Martins¹,

Santos²,

Silva³

et al. 2018

Preventive Medicine Reports

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Exercise interventions focused on strength and balance are effective for falls prevention in older people, however compliance to exercise is often a problem. Tailored intervention programs are recommended to meet the person preferences and increase compliance. Otago Exercise Program (OEP) is the most disseminated fall prevention program and is individually prescribed at home. The purpose of this study was to identify OEP modified formats and investigate their effects on balance when compared to its original form of delivering.Four electronic databases were searched, PubMed, PEDro, Science Direct and Scopus, between January and February 2017. Eligibility criteria included experimental or qualitative design studies conducted among older adults (≥50 years) at risk of falling, ongoing exercise interventions with modified formats of OEP. The primary outcome was balance. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used.Eight studies met the inclusion criteria, five were randomized controlled trials (RCTs), two were quasi-experimental and one was a qualitative study. Therefore, a qualitative analysis was performed. Modified formats of OEP included additional vestibular or multisensory balance exercises, augmented reality, exercise in group and a DVD delivering format (in group or individual). In general, all studies using OEP modified formats reported improvements on balance and functional ability. However, it remains unclear if it is as effective as the original OEP and which modified format is more effective.

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A feasibility study of a randomised controlled trial comparing fall prevention using exercise with or without the support of motivational interviewing

Cited by 16 publications

References 30 publications

A qualitative study exploring physical therapists’ views on the Otago Exercise Programme for fall prevention: a stepping stone to “age in place” and to give faith in the future

A qualitative study exploring physical therapists’ views on the Otago Exercise Programme for fall prevention: a stepping stone to “age in place” and to give faith in the future

Exercise for falls prevention in community-dwelling older adults: trial and participant characteristics, interventions and bias in clinical trials from a systematic review

Does modified Otago Exercise Program improves balance in older people? A systematic review

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