Reducing falls among older people in general practice: the ProAct65+ exercise intervention trial

S. Gawler; D.A. Skelton; S. Dinan-Young; T. Masud; R.W. Morris; M. Griffin; D. Kendrick; S. Ilife

doi:10.1016/j.archger.2016.06.019

Reducing falls among older people in general practice: the ProAct65+ exercise intervention trial

S. Gawler, D.A. Skelton, S. Dinan-Young, T. Masud, R.W. Morris, M. Griffin, D. Kendrick, S. Ilife

Physiotherapy

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Abstract

Falls are common in the older UK population and associated costs to the NHS are high. Systematic reviews suggest that home exercise and group-based exercise interventions, which focus on progressively challenging balance and increasing strength, can reduce up to 42% of falls in those with a history of falls. The evidence is less clear for those older adults who are currently at low risk of falls.

Aim: ProAct65+, a large, cluster-randomised, controlled trial, investigated the effectiveness of a home exercise programme (Otago Exercise Programme (OEP)) and a group-based exercise programme (Falls Management Exercise (FaME)) compared to usual care (UC) at increasing moderate to vigorous physical activity (MVPA). This paper examines the trial’s secondary outcomes; the effectiveness of the interventions at reducing falls and falls-related injuries.

Original language	English
Pages (from-to)	46–54
Number of pages	9
Journal	Archives of Gerontology and Geriatrics
Volume	67
Early online date	29 Jun 2016
DOIs	https://doi.org/10.1016/j.archger.2016.06.019
Publication status	Published - Dec 2016

Keywords

falls
older people
exercise interventions

Documents and Links

10.1016/j.archger.2016.06.019

Gawler, S. et al (2016) Archives of Gerontology and Geriatrics journal article
© 2016. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
Accepted author manuscript, 193 KBLicence: CC BY-NC-ND

http://eprints.nottingham.ac.uk/36095/

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title = "Reducing falls among older people in general practice: the ProAct65+ exercise intervention trial",

abstract = "Falls are common in the older UK population and associated costs to the NHS are high. Systematic reviews suggest that home exercise and group-based exercise interventions, which focus on progressively challenging balance and increasing strength, can reduce up to 42% of falls in those with a history of falls. The evidence is less clear for those older adults who are currently at low risk of falls.Aim: ProAct65+, a large, cluster-randomised, controlled trial, investigated the effectiveness of a home exercise programme (Otago Exercise Programme (OEP)) and a group-based exercise programme (Falls Management Exercise (FaME)) compared to usual care (UC) at increasing moderate to vigorous physical activity (MVPA). This paper examines the trial{\textquoteright}s secondary outcomes; the effectiveness of the interventions at reducing falls and falls-related injuries.",

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author = "S. Gawler and D.A. Skelton and S. Dinan-Young and T. Masud and R.W. Morris and M. Griffin and D. Kendrick and S. Ilife",

note = "Accepted: 23-6-16 Online pub: 29-6-16 AAM: uploaded 2-12-16; 12m embargo Note: found via WoS; Library created record on behalf of author on request ET 2-12-16 Exception email in SAN Available in Nottingham rep: http://eprints.nottingham.ac.uk/36095/ Compliant re deposit dates Funding note: The project described in this paper was funded by the HTA stream of the NIHR [06/36/04]. The views expressed in this paper are those of the authors, not of the Department of health or the NIHR.",

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language = "English",

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AU - Gawler, S.

AU - Skelton, D.A.

AU - Dinan-Young, S.

AU - Masud, T.

AU - Morris, R.W.

AU - Griffin, M.

AU - Kendrick, D.

AU - Ilife, S.

N1 - Accepted: 23-6-16 Online pub: 29-6-16 AAM: uploaded 2-12-16; 12m embargo Note: found via WoS; Library created record on behalf of author on request ET 2-12-16 Exception email in SAN Available in Nottingham rep: http://eprints.nottingham.ac.uk/36095/ Compliant re deposit dates Funding note: The project described in this paper was funded by the HTA stream of the NIHR [06/36/04]. The views expressed in this paper are those of the authors, not of the Department of health or the NIHR.

PY - 2016/12

Y1 - 2016/12

N2 - Falls are common in the older UK population and associated costs to the NHS are high. Systematic reviews suggest that home exercise and group-based exercise interventions, which focus on progressively challenging balance and increasing strength, can reduce up to 42% of falls in those with a history of falls. The evidence is less clear for those older adults who are currently at low risk of falls.Aim: ProAct65+, a large, cluster-randomised, controlled trial, investigated the effectiveness of a home exercise programme (Otago Exercise Programme (OEP)) and a group-based exercise programme (Falls Management Exercise (FaME)) compared to usual care (UC) at increasing moderate to vigorous physical activity (MVPA). This paper examines the trial’s secondary outcomes; the effectiveness of the interventions at reducing falls and falls-related injuries.

AB - Falls are common in the older UK population and associated costs to the NHS are high. Systematic reviews suggest that home exercise and group-based exercise interventions, which focus on progressively challenging balance and increasing strength, can reduce up to 42% of falls in those with a history of falls. The evidence is less clear for those older adults who are currently at low risk of falls.Aim: ProAct65+, a large, cluster-randomised, controlled trial, investigated the effectiveness of a home exercise programme (Otago Exercise Programme (OEP)) and a group-based exercise programme (Falls Management Exercise (FaME)) compared to usual care (UC) at increasing moderate to vigorous physical activity (MVPA). This paper examines the trial’s secondary outcomes; the effectiveness of the interventions at reducing falls and falls-related injuries.

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