Effects of a falls prevention exercise programme on health-related quality of life in older home care recipients: a randomised controlled trial

Maria Bjerk, Therese Brovold, Dawn A Skelton, Teresa Liu-Ambrose, Astrid Bergland

Research output: Contribution to journalArticle

Abstract

Background:
Falls have serious consequences for quality of life (QOL) and contribute substantially to the global burden of disease. Home care is an important arena to address falls prevention and QOL, but this vulnerable group of older adults is underrepresented in health research. This study explores the effects of a falls prevention exercise programme on health-related quality of life (HRQOL), physical function and falls efficacy in older fallers receiving home care.
Methods:
The study design is a parallel-group randomised controlled trial. The intervention group performed a falls prevention programme based on the Otago Exercise Programme (OEP). The control group received usual care. 155 participants were recruited from primary health care in six Norwegian municipalities. Local physiotherapists supervised the programme. The primary outcome, HRQOL, was measured with the Short Form 36 Health Survey (SF-36). Secondary outcomes were Bergs Balance Scale (BBS), Sit to Stand (STS), 4-meter Walk Test, Instrumental Activities of Daily Living, and Falls Efficacy Scale International.
Results:
Intention-to-treat analysis showed that, compared to the control group, the intervention group improved on SF-36’s Physical Component Summary as well as BBS. However, the intervention group also demonstrated a decline in the Mental Health subscale of SF-36. Per protocol analyses showed significant improvements in all physical subscales of SF-36, STS and BBS scores in the intervention group compared with the control group.
Conclusion:
A falls prevention exercise programme based on OEP significantly improved physical HRQOL and balance in older adults receiving home care.
Original languageEnglish
Article numberafy192
Number of pages7
JournalAge and Ageing
DOIs
Publication statusPublished - 7 Jan 2019

Fingerprint

Home Care Services
Randomized Controlled Trials
Quality of Life
Exercise
Control Groups
Intention to Treat Analysis
Physical Therapists
Activities of Daily Living
Health Surveys
Primary Health Care
Mental Health
Health
Research

Keywords

  • ageing
  • quality of life
  • Falls prevention
  • care homes
  • intervention

Cite this

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title = "Effects of a falls prevention exercise programme on health-related quality of life in older home care recipients: a randomised controlled trial",
abstract = "Background: Falls have serious consequences for quality of life (QOL) and contribute substantially to the global burden of disease. Home care is an important arena to address falls prevention and QOL, but this vulnerable group of older adults is underrepresented in health research. This study explores the effects of a falls prevention exercise programme on health-related quality of life (HRQOL), physical function and falls efficacy in older fallers receiving home care. Methods:The study design is a parallel-group randomised controlled trial. The intervention group performed a falls prevention programme based on the Otago Exercise Programme (OEP). The control group received usual care. 155 participants were recruited from primary health care in six Norwegian municipalities. Local physiotherapists supervised the programme. The primary outcome, HRQOL, was measured with the Short Form 36 Health Survey (SF-36). Secondary outcomes were Bergs Balance Scale (BBS), Sit to Stand (STS), 4-meter Walk Test, Instrumental Activities of Daily Living, and Falls Efficacy Scale International. Results:Intention-to-treat analysis showed that, compared to the control group, the intervention group improved on SF-36’s Physical Component Summary as well as BBS. However, the intervention group also demonstrated a decline in the Mental Health subscale of SF-36. Per protocol analyses showed significant improvements in all physical subscales of SF-36, STS and BBS scores in the intervention group compared with the control group.Conclusion: A falls prevention exercise programme based on OEP significantly improved physical HRQOL and balance in older adults receiving home care.",
keywords = "ageing, quality of life, Falls prevention , care homes, intervention",
author = "Maria Bjerk and Therese Brovold and Skelton, {Dawn A} and Teresa Liu-Ambrose and Astrid Bergland",
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Effects of a falls prevention exercise programme on health-related quality of life in older home care recipients: a randomised controlled trial. / Bjerk, Maria; Brovold, Therese; Skelton, Dawn A; Liu-Ambrose, Teresa; Bergland, Astrid.

In: Age and Ageing, 07.01.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Effects of a falls prevention exercise programme on health-related quality of life in older home care recipients: a randomised controlled trial

AU - Bjerk, Maria

AU - Brovold, Therese

AU - Skelton, Dawn A

AU - Liu-Ambrose, Teresa

AU - Bergland, Astrid

N1 - Acceptance in SAN/ from webpage AAM: 12m embargo

PY - 2019/1/7

Y1 - 2019/1/7

N2 - Background: Falls have serious consequences for quality of life (QOL) and contribute substantially to the global burden of disease. Home care is an important arena to address falls prevention and QOL, but this vulnerable group of older adults is underrepresented in health research. This study explores the effects of a falls prevention exercise programme on health-related quality of life (HRQOL), physical function and falls efficacy in older fallers receiving home care. Methods:The study design is a parallel-group randomised controlled trial. The intervention group performed a falls prevention programme based on the Otago Exercise Programme (OEP). The control group received usual care. 155 participants were recruited from primary health care in six Norwegian municipalities. Local physiotherapists supervised the programme. The primary outcome, HRQOL, was measured with the Short Form 36 Health Survey (SF-36). Secondary outcomes were Bergs Balance Scale (BBS), Sit to Stand (STS), 4-meter Walk Test, Instrumental Activities of Daily Living, and Falls Efficacy Scale International. Results:Intention-to-treat analysis showed that, compared to the control group, the intervention group improved on SF-36’s Physical Component Summary as well as BBS. However, the intervention group also demonstrated a decline in the Mental Health subscale of SF-36. Per protocol analyses showed significant improvements in all physical subscales of SF-36, STS and BBS scores in the intervention group compared with the control group.Conclusion: A falls prevention exercise programme based on OEP significantly improved physical HRQOL and balance in older adults receiving home care.

AB - Background: Falls have serious consequences for quality of life (QOL) and contribute substantially to the global burden of disease. Home care is an important arena to address falls prevention and QOL, but this vulnerable group of older adults is underrepresented in health research. This study explores the effects of a falls prevention exercise programme on health-related quality of life (HRQOL), physical function and falls efficacy in older fallers receiving home care. Methods:The study design is a parallel-group randomised controlled trial. The intervention group performed a falls prevention programme based on the Otago Exercise Programme (OEP). The control group received usual care. 155 participants were recruited from primary health care in six Norwegian municipalities. Local physiotherapists supervised the programme. The primary outcome, HRQOL, was measured with the Short Form 36 Health Survey (SF-36). Secondary outcomes were Bergs Balance Scale (BBS), Sit to Stand (STS), 4-meter Walk Test, Instrumental Activities of Daily Living, and Falls Efficacy Scale International. Results:Intention-to-treat analysis showed that, compared to the control group, the intervention group improved on SF-36’s Physical Component Summary as well as BBS. However, the intervention group also demonstrated a decline in the Mental Health subscale of SF-36. Per protocol analyses showed significant improvements in all physical subscales of SF-36, STS and BBS scores in the intervention group compared with the control group.Conclusion: A falls prevention exercise programme based on OEP significantly improved physical HRQOL and balance in older adults receiving home care.

KW - ageing

KW - quality of life

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KW - care homes

KW - intervention

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