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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 ...

  • 2012-03-12
  • John Wiley & Sons,2012
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:hj-54456
  • https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-54456URI
  • https://doi.org/10.1111/j.1532-5415.2011.03861.xDOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • 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

  • MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Geriatrik hsv//swe
  • MEDICAL AND HEALTH SCIENCES Clinical Medicine Geriatrics hsv//eng
  • 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

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Wilhelmson, K. (författare)
  • Eklund, K. (författare)
  • Gosman-Hedström, G. (författare)
  • Zidén, L. (författare)
  • Kronlöf, G. H. (författare)
  • Højgaard, B. (författare)
  • Slinde, F. (författare)
  • Rothenberg, E. (författare)
  • Landahl, S. (författare)
  • Dahlin-Ivanoff, S. (författare)
  • 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

  • Ingår i:Journal of The American Geriatrics Society: John Wiley & Sons60:3, s. 447-4540002-86141532-5415

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