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Health-promoting in...
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Gustafsson, SusanneVårdalinstitutet, 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
(författare)
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
- Artikel/kapitelEngelska2012
Förlag, utgivningsår, omfång ...
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2012-03-12
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John Wiley & Sons,2012
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:hj-54456
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https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-54456URI
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https://doi.org/10.1111/j.1532-5415.2011.03861.xDOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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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.
Ämnesord och genrebeteckningar
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MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Geriatrik hsv//swe
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MEDICAL AND HEALTH SCIENCES Clinical Medicine Geriatrics hsv//eng
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ADL
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aged
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frail elderly
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intention-to-treat analysis
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intervention studies
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article
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clinical protocol
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controlled study
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daily life activity
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deterioration
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elderly care
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female
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follow up
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groups by age
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health promotion
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human
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male
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multicenter study
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outcome assessment
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preventive medicine
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professional practice
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randomized controlled trial
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risk factor
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risk management
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self concept
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single blind procedure
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Sweden
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Activities of Daily Living
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Aged
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80 and over
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Follow-Up Studies
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Humans
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Single-Blind Method
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Statistics
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Nonparametric
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Wilhelmson, K.
(författare)
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Eklund, K.
(författare)
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Gosman-Hedström, G.
(författare)
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Zidén, L.
(författare)
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Kronlöf, G. H.
(författare)
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Højgaard, B.
(författare)
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Slinde, F.
(författare)
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Rothenberg, E.
(författare)
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Landahl, S.
(författare)
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Dahlin-Ivanoff, S.
(författare)
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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
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Journal of The American Geriatrics Society: John Wiley & Sons60:3, s. 447-4540002-86141532-5415
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Gustafsson, Susa ...
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Wilhelmson, K.
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Eklund, K.
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Gosman-Hedström, ...
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Zidén, L.
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Kronlöf, G. H.
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visa fler...
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Højgaard, B.
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Slinde, F.
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Rothenberg, E.
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Landahl, S.
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Dahlin-Ivanoff, ...
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