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Health-promoting interventions for persons aged 80 and older are successful in the short term-results from the randomized and three-armed elderly persons in the risk zone study
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- Gustafsson, Susanne (author)
- Vårdalinstitutet, Swedish Institute for Health Sciences, Sweden; Department of Clinical Neuroscience and Rehabilitation, University of Gothenburg, Sahlgrenska Academy, Gothenburg, Sweden; Hospital of Södra Älvsborg, Borås, Sweden
- Wilhelmson, K. (author)
- Eklund, K. (author)
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- Gosman-Hedström, G. (author)
- Zidén, L. (author)
- Kronlöf, G. H. (author)
- Højgaard, B. (author)
- Slinde, F. (author)
- Rothenberg, E. (author)
- Landahl, S. (author)
- Dahlin-Ivanoff, S. (author)
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- (creator_code:org_t)
- 2012-03-12
- 2012
- English.
- In: Journal of The American Geriatrics Society. - : John Wiley & Sons. - 0002-8614 .- 1532-5415. ; 60:3, s. 447-454
- Journal article (peer-reviewed)
Abstract
Subject headings
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- ObjectivesTo examine the outcomes of the Elderly Persons in the Risk Zone study, which was designed to evaluate whether it is possible to delay deterioration if a health-promoting intervention is made when an older adult (≥80) is at risk of becoming frail and whether a multiprofessional group intervention is more effective in delaying deterioration than a single preventive home visit with regard to frailty, self-rated health, and activities of daily living (ADLs) at 3-month follow-up.DesignRandomized, three-armed, single-blind, controlled trial performed between November 2007 and May 2011.SettingTwo urban districts of Gothenburg, Sweden.ParticipantsFour hundred fifty-nine community-living adults aged 80 and older not dependent on the municipal home help service.InterventionA preventive home visit or four weekly multiprofessional senior group meetings with one follow-up home visit.MeasurementsChange in frailty, self-rated health, and ADLs between baseline and 3-month follow-up.ResultsBoth interventions delayed deterioration of self-rated health (odds ratio (OR) = 1.99, 95% confidence interval (CI) = 1.12-3.54). Senior meetings were the most beneficial intervention for postponing dependence in ADLs (OR = 1.95, 95% CI = 1.14-3.33). No effect on frailty could be demonstrated.ConclusionHealth-promoting interventions made when older adults are at risk of becoming frail can delay deterioration in self-rated health and ADLs in the short term. A multiprofessional group intervention such as the senior meetings described seems to have a greater effect on delaying deterioration in ADLs than a single preventive home visit. Further research is needed to examine the outcome in the long term and in different contexts.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Geriatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Geriatrics (hsv//eng)
Keyword
- ADL
- aged
- frail elderly
- intention-to-treat analysis
- intervention studies
- article
- clinical protocol
- controlled study
- daily life activity
- deterioration
- elderly care
- female
- follow up
- groups by age
- health promotion
- human
- male
- multicenter study
- outcome assessment
- preventive medicine
- professional practice
- randomized controlled trial
- risk factor
- risk management
- self concept
- single blind procedure
- Sweden
- Activities of Daily Living
- Aged
- 80 and over
- Follow-Up Studies
- Humans
- Single-Blind Method
- Statistics
- Nonparametric
Publication and Content Type
- ref (subject category)
- art (subject category)
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- Højgaard, B.
- Slinde, F.
- Rothenberg, E.
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