Document Detail


Application of a falls prevention program for older people to primary health care practice.
MedLine Citation:
PMID:  11969356     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Our research group has established the effectiveness of an individually tailored home exercise program to prevent falls and fall injuries in older people in four controlled trials. In one of these trials we evaluated the applicability of the exercise program to routine primary health care practice and the feasibility of nurses implementing the program. METHODS: People aged 80 years and older, registered with general practices in three exercise (n = 330 participants) and four control centers (n = 120 participants) in New Zealand, were invited to take part by their doctor. We investigated program reach, uptake, and compliance. We carried out physical assessments at baseline and after 1 year to assess the impact of the program. RESULTS: Most (85%) doctors agreed to take part and they approved 71% of patients to undertake the exercise program. Overall 47% of people invited agreed to participate and 70% of the exercise participants remained exercising at 1 year. Balance score and chair stand time improved by a similar amount in each exercise center compared with the control centers. CONCLUSIONS: This falls prevention program is acceptable to older people and their doctors. Nurses trained by a physiotherapist can deliver the home exercise program effectively in routine primary health care practice.
Authors:
Melinda M Gardner; M Phty; M Clare Robertson; Rob McGee; A John Campbell
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Preventive medicine     Volume:  34     ISSN:  0091-7435     ISO Abbreviation:  Prev Med     Publication Date:  2002 May 
Date Detail:
Created Date:  2002-04-23     Completed Date:  2002-06-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0322116     Medline TA:  Prev Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  546-53     Citation Subset:  IM    
Copyright Information:
(C) 2002 Elsevier Science (USA).
Affiliation:
Department of Medical and Surgical Sciences, University of Otago Medical School, Dunedin, New Zealand.
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MeSH Terms
Descriptor/Qualifier:
Accidental Falls / prevention & control*
Accidents, Home / prevention & control*
Aged
Aged, 80 and over
Exercise*
Family Practice
Female
Humans
Male
Primary Health Care / methods*,  organization & administration
Program Evaluation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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