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Centre for Policy on Ageing | |
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Older people's participation in and engagement with falls prevention interventions in community settings
— an augment to the cochrane systematic review | | Author(s) | Samuel R Nyman, Christina R Victor |
| Journal title | Age and Ageing, vol 41, no 1, January 2012 |
| Pages | pp 16-23 |
| Source | http://ageing.oxfordjournals.org/ http://www.bgs.org.uk/ |
| Keywords | Falls ; Preventative medicine ; Participation ; Clinical surveys ; Research Reviews. |
| Annotation | Recently, randomised controlled trials (RCTs) of fall prevention interventions conducted in community settings were systematically reviewed. The purpose of this study was to augment the review by analysing older people's participation in the trials and engagement with the interventions. The study aimed to calculate aggregate data on recruitment (proportion who accepted the invitation to participate), attrition at 12 month follow-up (loss of participants), adherence (to intervention protocol) and whether adherence moderated the effect of interventions on trial outcomes. The median recruitment rate was 70.7%. At 12 months the median attrition rate including mortality was 10.9%. Adherence rates were 80% for vitamin D/calcium supplementation; 70% for walking and class-based exercise; 52% for individually targeted exercise; approximately 60-70% for fluid/nutrition therapy and interventions to increase knowledge; and 58-59% for home modifications. No improvement was found for medication review/withdrawal of certain drugs. Adherence to multifactorial interventions was generally 75% but ranged 28-95% for individual components. The 13 studies that tested for whether adherence moderated treatment effectiveness produced mixed results. Using median rates for recruitment (70%), attrition (10%) and adherence (80%), it was estimated that, at 12 months, on average half of community-dwelling older people were likely to be adhering to falls prevention interventions in clinical trials. (JL). |
| Accession Number | CPA-120503003 A |
| Classmark | OLF: LK2: TMB: 3G: 3A:6KC |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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