Effects of a One-Year Home-Based Case Management Intervention on Falls in Older People: A Randomized Controlled Trial

Möller, Ulrika; Kristensson, Jimmie; Midlöv, Patrik; Ekdahl, Charlotte; Jakobsson, Ulf

doi:10.1123/japa.2013-0101

Cited by 22 publications

(60 citation statements)

References 24 publications

(43 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In fact, the control group reported fewer fall incidents. This is in line with another Swedish study of home-based fall prevention where the percentage of fallers and median of falls was higher in the intervention group, although not significant (15).…”

Section: Discussionsupporting

confidence: 91%

“…The dropout rate of approximately one in five is acceptable considering the high mean age and the frailty of the study population and is in line with dropout rates found in a similar study . In order to control not only the main outcome, days with falls, but also the intervention adherence of exercise and walks the participants were asked to report and submit these data for the entire study period, up to 12 months.…”

Section: Discussionsupporting

confidence: 55%

“…A similar intervention delivered by nurses and physiotherapists reported by Moller et al. also did not succeed in preventing falls. A systematic review also found that multifactorial assessment and intervention programmes, similar to this study, gave no reduction in risk of falling (RR 0.93; 95% CI 0.86, 1.02).…”

Section: Discussionmentioning

confidence: 73%

See 2 more Smart Citations

Fall prevention by nursing assistants among community‐living elderly people. A randomised controlled trial

Fahlström¹,

Kamwendo

Forsberg

et al. 2017

Scandinavian Caring Sciences

View full text Add to dashboard Cite

Falls among elderly are a major public health issue in Sweden. The aim was to determine whether nursing assistants can prevent falls by supervising community-living elderly individuals with a history of falling in performing individually designed home exercise programmes. A randomised controlled trial was performed in Sweden, in eight municipalities in the county of Örebro, during 2007-2009. Community-living persons 65 years or older having experienced at least one fall during the last 12 months were included. The intervention group consisted of 76 participants, and there were 72 in the control group. The interventions were free of charge and were shared between a physiotherapist and a nursing assistant. The former designed a programme aiming to improve balance, leg strength and walking ability. The nursing assistant supervised the performance of activities during eight home visits during a 5-month intervention period. The measures and instruments used were health-related quality of life (SF-36), activity of daily living (ADL-staircase), balance, (Falls Efficacy Scale, and Berg Balance Scale), walking ability (Timed Up and Go and the 3-metre walking test), leg strength, (chair stand test). All participants were asked to keep a structured calendar of their physical exercise, walks and occurrence of falls during their 12-month study period. Hospital healthcare consumption data were collected. Although the 5-month intervention did not significantly decrease the risk for days with falls, RR 1.10 (95% CI 0.58, 2.07), p = 0.77, significant changes in favour of the intervention group were noted for balance (p = 0.03), ADL (p = 0.035), bodily pain (p = 0.003) and reported health transition over time (p = 0.008) as well as less hospital care due to fractures (p = 0.025). Additional studies with more participants are needed to establish whether or not falls can be significantly prevented with this model which is workable in home-based fall prevention.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 55%

See 1 more Smart Citation

Fall prevention by nursing assistants among community‐living elderly people. A randomised controlled trial

Fahlström¹,

Kamwendo

Forsberg

et al. 2017

Scandinavian Caring Sciences

View full text Add to dashboard Cite

show abstract

“…Eleven studies had a health promoting approach. Five of these studies focused on promoting general health (interventions which in addition to focusing on functional status also focused on health-related quality of life and/or social support aspects) [8,18,36,43,44], four promoted exercising [48][49][50]56], and two focused on promoting mental wellbeing [16,45]. The four remaining studies focused on preventing disability [46,[51][52][53].…”

Section: Overview Of Original Studiesmentioning

confidence: 99%

Health-promoting and preventive interventions for community-dwelling older people published from inception to 2019: a scoping review to guide decision making in a Swedish municipality context

2020

View full text Add to dashboard Cite

Background Despite the promising evidence of health-promoting and preventive interventions for maintaining health among older people, not all interventions can be implemented due to limited resources. Due to the variation of content in the interventions and the breadth of outcomes used to evaluate effects in such interventions, comparisons are difficult and the choice of which interventions to implement is challenging. Therefore, more information, beyond effects, is needed to guide decision-makers. The aim of this review was to investigate, to what degree factors important for decision-making have been reported in the existing health-promoting and preventive interventions literature for community-dwelling older people in the Nordic countries. Methods This review was guided by the PRISMA-ScR checklist (Preferred Reporting Items for Systematic reviews and Meta-Analysis extension for Scoping Reviews), the methodological steps for scoping reviews described in the Arksey and O′Malley’s framework, and the Medical Research Council’s (MRC) guidance on complex interventions. Eligible studies for inclusion were randomised controlled trials (RCTs) concerning health promotion or primary prevention for community-dwelling older people implemented in the Nordic countries. Additionally, all included RCTs were searched for related papers that were reporting on additional factors. Eligible studies were searched in seven databases: PubMed, SCOPUS, CINAHL, Academic Search Elite, PsycINFO, SocINDEX, and SPORTDiscus. Results Eighty-two studies met the inclusion criteria (twenty-seven unique studies and fifty-five related studies). Twelve studies focused on fall prevention, eleven had a health-promoting approach, and four studies focused on preventing disability. All interventions, besides one, reported positive effects on at least one health outcome. Three studies reported data on cost-effectiveness, three on experiences of participants and two conducted feasibility studies. Only one intervention, reported information on all seven factors. Conclusions All identified studies on health-promoting and preventive interventions for older people evaluated in the Nordic countries report positive effects although the magnitude of effects and number of follow-ups differed substantially. Overall, there was a general lack of studies on feasibility, cost-effectiveness, and experiences of participants, thus, limiting the basis for decision making. Considering all reported factors, promising candidates to be recommended for implementation in a Nordic municipality context are ‘Senior meetings’, ‘preventive home visits’ and ‘exercise interventions’ on its own or combined with other components.

show abstract

“…This study was developed in accordance with the Medical Research Council's framework on developing and evaluating randomised control trials for complex healthcare interventions (Medical Research Council, 2000). Details of the development of the case management intervention and pilot testing of the trial have been published elsewhere (Kristensson et al 2010) as have those on intervention effects on healthcare utilisation, costs and falls (Olsson Moller et al 2014, Sandberg et al 2015a.…”

Section: Developmentmentioning

confidence: 99%

Effects on leisure activities and social participation of a case management intervention for frail older people living at home: a randomised controlled trial

Granbom

Kristensson

Sandberg

2017

Health Soc Care Community

Self Cite

View full text Add to dashboard Cite

Frailty causes disability and restrictions on older people's ability to engage in leisure activities and for social participation. The objective of this study was to evaluate the effects of a 1‐year case management intervention for frail older people living at home in Sweden in terms of social participation and leisure activities. The study was a randomised controlled trial with repeated follow‐ups. The sample (n = 153) was consecutively and randomly assigned to intervention (n = 80) or control groups (n = 73). The intervention group received monthly home visits over the course of a year by nurses and physiotherapists working as case managers, using a multifactorial preventive approach. Data collections on social participation, leisure activities and rating of important leisure activities were performed at baseline, 3, 6, 9 and 12 months, with recruitment between October 2006 and April 2011. The results did not show any differences in favour of the intervention on social participation. However, the intervention group performed leisure activities in general, and important physical leisure activities, to a greater extent than the control group at the 3‐month follow‐up (median 13 vs. 11, P = 0.034 and median 3 vs. 3, P = 0.031 respectively). A statistically significantly greater proportion of participants from the intervention group had an increased or unchanged number of important social leisure activities that they performed for the periods from baseline to 3 months (93.2% vs. 75.4%, OR = 4.48, 95% CI: 1.37–14.58). Even though statistically significant findings in favour of the intervention were found, more research on activity‐focused case management interventions is needed to achieve clear effects on social participation and leisure activities.

show abstract

Effects of a One-Year Home-Based Case Management Intervention on Falls in Older People: A Randomized Controlled Trial

Abstract: This home-based case management intervention was not able to prevent falls or injurious falls.

Cited by 22 publications

References 24 publications

Fall prevention by nursing assistants among community‐living elderly people. A randomised controlled trial

Fall prevention by nursing assistants among community‐living elderly people. A randomised controlled trial

Health-promoting and preventive interventions for community-dwelling older people published from inception to 2019: a scoping review to guide decision making in a Swedish municipality context

Effects on leisure activities and social participation of a case management intervention for frail older people living at home: a randomised controlled trial

Contact Info

Product

Resources

About