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Preventing disability and falls in older adults: A population-based randomized trial

Author

Listed:
  • Wagner, E.H.
  • LaCroix, A.Z.
  • Grothaus, L.
  • Leveille, S.G.
  • Hecht, J.A.
  • Artz, K.
  • Odle, K.
  • Buchner, D.M.

Abstract

Objectives. Because preventing disability and falls in older adults is a national priority, a randomized controlled trial was conducted to test a multicomponent intervention program. Methods. From a random sample of health maintenance organization (HMO) enrollees 65 years and older, 1559 ambulatory seniors were randomized to one of three groups: a nurse assessment visit and follow-up interventions targeting risk factors for disability and falls (group 1, n = 635); a general health promotion nurse visit (group 2, n = 317); and usual care (group 3, n = 607). Data collection consisted of a baseline and two annual follow-up surveys. Results. After 1 year, group 1 subjects reported a significantly lower incidence of declining functional status and a significantly lower incidence of falls than group 3 subjects. Group 2 subjects had intermediate levels of most outcomes. After 2 years of follow-up, the differences narrowed. Conclusions. The results suggest that a modest, one-time prevention program appeared to confer short-term health benefits on ambulatory HMO enrollees, although benefits diminished by the second year of follow-up. The mechanisms by which the intervention may have improved outcomes require further investigation.

Suggested Citation

  • Wagner, E.H. & LaCroix, A.Z. & Grothaus, L. & Leveille, S.G. & Hecht, J.A. & Artz, K. & Odle, K. & Buchner, D.M., 1994. "Preventing disability and falls in older adults: A population-based randomized trial," American Journal of Public Health, American Public Health Association, vol. 84(11), pages 1800-1806.
    • Handle: RePEc:aph:ajpbhl:1994:84:11:1800-1806_0
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    Cited by:

    1. Peixia Cheng & Liheng Tan & Peishan Ning & Li Li & Yuyan Gao & Yue Wu & David C. Schwebel & Haitao Chu & Huaiqiong Yin & Guoqing Hu, 2018. "Comparative Effectiveness of Published Interventions for Elderly Fall Prevention: A Systematic Review and Network Meta-Analysis," IJERPH, MDPI, vol. 15(3), pages 1-14, March.
    2. Pawinee Iamtrakul & Sararad Chayphong & Sajjakaj Jomnonkwao & Vatanavongs Ratanavaraha, 2021. "The Association of Falls Risk in Older Adults and Their Living Environment: A Case Study of Rural Area, Thailand," Sustainability, MDPI, vol. 13(24), pages 1-16, December.
    3. repec:max:cprpbr:17 is not listed on IDEAS
    4. Barbara Resnick, 1999. "Falls in a Community of Older Adults," Clinical Nursing Research, , vol. 8(3), pages 251-266, August.

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