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| ID | Type | Description | Link |
|---|---|---|---|
| OLLGF0112 | Other Identifier | Orebro county council |
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| Name | Class |
|---|---|
| Örebro County Council | OTHER_GOV |
| Örebro University, Sweden | OTHER |
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The purpose of this study is to assess effects of a home exercise program, supervised by assistant nurses with the aim of preventing falls.
Community living persons 65 years of age or older having a risk of falling were invited to participate. Participants were randomized to either training or control.
The training program was individually designed by a physiotherapist and the 5-month program performance was supervised in the partcipants home by eight home visits from an assistant nurse.
All participants received a visit from an occupational therapist who assessed the home and, if necessary, gave advice.
Falls among elderly are a major public health problem, but preventive interventions containing physical exercise and home improvement are available.
In this study the crucial question was to test whether unlicensed staff, assistant nurses, could be used for preventive work.
Estimation of study power gave that 170 participants in each group would be needed to detect a difference in days with falls, the main outcome measure.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Training | Experimental | Complete intervention i.e. basic intervention + individual training program. |
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| Control | Active Comparator | Basic intervention. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Complete intervention | Other | The basic intervention, an occupational therapist assessed the home environment and gave advice, if necessary. Then participants were assessed by a physiotherapist concerning health and function pre and post intervention. The intervention consisted of an individually designed home exercise program aiming at improving balance, muscle strength and walking ability. The program, which was made by the physiotherapist, should be performed three times a week. A minimum of 30 minutes of walking per week was recommended, encouring further walking on an individual basis. An assistant nurse made eight home visits to supervise, help and encourage performance of activities. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of days with fall | Self reported calendar data | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Exercise | Self reported calendar data | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Strength | Chair stand test | Pre and post intervention, 5 months |
| Balance | Falls efficacy scale (FES) | Pre and post intervention, 5 months |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gunilla Fahlstrom, PhD | Örebro County Council | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Family medicine research center | Örebro | 701 16 | Sweden |
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| Basic intervention | Other | The basic interventions was an occupational therapist assessed the home environment and gave advice, if necessary. Then participants were assessed by a physiotherapist concerning health and function pre and post intervention. |
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| Balance | Bergs balance scale | Pre and post intervention, 5 months |
| Walking 3 metres test | Pre and post intervention, 5 months |
| Health related quality of life | Self reported interview data, SF-36 | Pre and post intervention, 5 months |
| Activities of daily living | ADL | Pre and post intervention, 5 months |
| Walking | Minutes of walking per day, self reported calendar data. | 12 months |
| Hospital days | Hospital register data | 12 months |
| Hospital visits | Hospital register data | 12 months |
| Fractures or other harms | Hospital register data | 12 months |
| Strength | Timed Up and Go, TUG | Pre and post assessment, 5 months |