Benefits of Home Visits for Falls and Autonomy in the Elderly

Pardessus, V.; Puisieux, François; Pompéo, Christophe Di; Gaudefroy, Caroline; Thévenon, A.; Dewailly, P

doi:10.1097/00002060-200204000-00002

Cited by 102 publications

(143 citation statements)

References 25 publications

Supporting

Mentioning

141

Contrasting

Unclassified

Order By: Relevance

“…The outcome measure depended on which measure was reported as the major outcome in published articles. Four trials reported incidence rate ratios (Campbell et al, 2005;Day et al, 2002;Nikolaus & Bach, 2003;Stevens, Holman, Bennett, & de Klerk, 2001) and two studies reported cumulative incidence ratios (Cumming et al, 1999;Pardessus et al, 2002). For meta-analyses, we used the random effects model, as it is a more conservative measure (Borenstein, Hedges, & Rothstein, 2007).…”

Section: Outcomes and Comparisonsmentioning

confidence: 99%

Environmental Interventions to Prevent Falls in Community-Dwelling Older People

et al. 2008

View full text Add to dashboard Cite

Objective. This study seeks to determine the efficacy of environmental interventions in reducing falls in community-dwelling older people. Method. A systematic review and meta-analysis of randomized trials was performed. Results. Pooled analysis of six trials (N = 3,298) demonstrated a 21% reduction in falls risk (relative risk [RR] = 0.79; 0.65 to 0.97). Heterogeneity was attributable to the large treatment effect of one trial. Analysis of a subgroup of studies with participants at high risk of falls (four trials, n = 570) demonstrated a clinically significant 39% reduction of falls (RR = 0.61; 0.47 to 0.79), an absolute risk difference of 26% for a number needed to treat four people. Discussion. Home assessment interventions that are comprehensive, are well focused, and incorporate an environmental-fit perspective with adequate follow-up can be successful in reducing falls with significant effects. The highest effects are associated with interventions that are conducted with high-risk groups.

show abstract

Section: Outcomes and Comparisonsmentioning

confidence: 99%

Environmental Interventions to Prevent Falls in Community-Dwelling Older People

et al. 2008

View full text Add to dashboard Cite

show abstract

“…Monofaktorielle wie auch multifaktorielle Programme sind maßgeschneidert und enthalten vornehmlich diejenigen Trainingselemente, die zuvor mittels Assessments identifiziert wurden. Gemäß der Meta-Analyse von Sherrington et al (2011) (Cumming et al, 1999;Pardessus et al, 2002;Steultjens et al, 2004;Costello, & Edelstein, 2008;Clemson et al, 2008;Davis et al, 2010;Pighills, Torgerson, Sheldon, Drummond, & Bland, 2011;Leland et al, 2012;Ballinger, & Brooks, 2013 (Peterson, & Clemson, 2008). Der Durchführung von Wohnraumanpassungen durch Ergotherapeuten/-innen wird hohes Potenzial zugeschrieben (Costello, & Edelstein, 2008), da Ergotherapeuten/-innen über die notwendigen fachlichen Qualifikationen verfügen, insbesondere bei der Durchführung von Wohnraumassessments und -anpassungen (Steinmetz, & Hobson, 1994;Cumming et al, 1999;Lampiasi, & Jacobs, 2010).…”

Section: Wirkweise Körperlicher Trainingsprogrammeunclassified

“…Um das Sturzrisiko im häuslichen Umfeld einzuschätzen, wurde in drei Studien das "Westmead Home Safety Assessment" (WeHSA), welches von Clemson (1997) entwickelt wurde, eingesetzt Lannin et al, 2007;Pighills et al, 2011). Darüber hinaus wurden zur Erfassung von Sturzrisikoquellen in der Häuslichkeit Checklisten eingesetzt (Clemson, Roland, & Cumming, 1992;Stevens, Holman, Bennett, & De Klerk, 2001;Pardessus et al, 2002;Lin et al, 2007 (Clemson, 1997;Stevens et al, 2001;Campbell et al, 2005;Lannin et al, 2007;Pighills et al, 2011) vor dem Hintergrund von Kontext-und organisatorischen Rahmenbedingungen in Deutschland in die Praxis implementiert und die Akzeptanz der teilnehmenden Therapeuten/-innen wie auch der Betroffenen maximiert werden kann. Dabei sollen konkrete Maßnahmen zur Sicherstellung der Übertragungsqualität der Intervention in der praktischen Umsetzung erprobt werden.…”

Section: Evidenzlageunclassified

Potential analysis for research on occupational therapy-led physical exercise programmes and home environment adaptation programmes to prevent falls for elderly people living at home / Potenzialanalyse zu ergotherapeutischen körperlichen Trainingsprogrammen und Wohnraumanpassungen zur Vermeidung von Stürzen bei zu Hause lebenden älteren Menschen

Müller

Lautenschläger

Voigt-Radloff

2016

International Journal of Health Professions

View full text Add to dashboard Cite

Background:In Germany, four to five million community-dwelling people aged 65 years or older fall every year. The presented potential analysis evaluates the potential of occupational therapy-led physical exercise programs and home environment adaptations to reduce the frequency of falling and as well as intrinsic and extrinsic risk factors for falling of older people living at home. Methods: The potential analysis was compiled according to a method guideline (p.11-22) available as follows: http://www.cochrane. de/news/leitfaden-f%C3%BCr-gesundheitsfachberufe-mai-2013. The research question of fall prevention was considered as very relevant for health care and specified according to the PICOS-system. A Cochrane review was systematically searched and the body of evidence was assessed using the GRADE-system. In addition, studies after the search period of the Cochrane review were identified using the search strategy of this review. Both the studies within and after the review were assessed regarding their transferability to the German health care context. . However, direct implementation into the German healthcare context is not recommendable. Implication for research: It is recommended (1) to manualise identified home environment adaptation programmes for the German healthcare context and (2) to pilot-test the physical exercise programmes `LiFE` with regard to theoretical framework, acceptance, applicability and feasibility and to examine both interventions as part of a feasibility study. If this trial results in a feasible treatment programme well accepted by patients and their treating occupational therapists, a large-scaled randomized clinical trial in terms of comparative effectiveness research may follow. Abstract

show abstract

“…Although inpatient OT evaluation is valuable, home visits can be particularly helpful in developing individualised discharge plans, and have been demonstrated to improve patient autonomy. 11 Close liaison between OT and social workers is essential, facilitating provision of new, and protection of existing, care packages, consideration of admission to 'step down' and other community facilities, and assistance with finances and benefits.…”

Section: Make the Most Of The Multidisciplinary Teammentioning

confidence: 99%

Timely discharge of older patients from hospital: improving the process

Dainty

Elizabeth

2009

Clinical Medicine

View full text Add to dashboard Cite

-Elderly patients represent a large number of admissions to hospital, accounting for a disproportionate number of hospital bed days. Discharge planning can improve the safety and appropriateness of discharge from hospital, and can have a positive impact on length of stay and efficiency. Despite this, discharge planning is often neglected. This review, both evidence and experience based, is provided to aid with the safe discharge of elderly patients back into the community.

show abstract

Benefits of Home Visits for Falls and Autonomy in the Elderly

Abstract: Home visits from occupational therapists during hospitalization of older patients at risk for falling can help to preserve the patient's autonomy.

Cited by 102 publications

References 25 publications

Environmental Interventions to Prevent Falls in Community-Dwelling Older People

Environmental Interventions to Prevent Falls in Community-Dwelling Older People

Timely discharge of older patients from hospital: improving the process

Contact Info

Product

Resources

About