Nyman, S.R. and Victor, C.R., 2011. Older people’s recruitment, sustained participation, and adherence to falls prevention interventions in institutional settings: A supplement to the Cochrane systematic review. Age and Ageing, 40 (4), pp. 430-436.
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Official URL: http://ageing.oxfordjournals.org/content/40/4/430....
Background: randomised controlled trials (RCTs) of falls prevention conducted in institutional settings have recently been systematically reviewed. Objective: to supplement this review by analysing older people's participation in the trials and engagement with the interventions. Design: review of the 41 RCTs included in the Cochrane systematic review of falls prevention interventions. Setting: hospitals and nursing care facilities. Participants: adults aged/mean age of 65+. Methods: calculated aggregate data on recruitment (inclusion into the trial), attrition at 12-month follow-up (loss of participants from the trial), adherence (to intervention protocol), and whether adherence moderated the effect of interventions on trial outcomes. Results: the median inclusion rate was 48.5% (38.9–84.5%). At 12 months the median attrition rate was 10.4% (3.9–12.3%, n = 10) or with the inclusion of mortality 16.2% (9.5–17.1%, n = 11). Adherence was high for exercise that was individually targeted (e.g. 89% physical therapy) and group based (72–88%) and for medication interventions (68–88%). For multifactorial interventions, adherence ranged from 11% for attending 60+/88 of exercise classes to 93% for use/repairs of aids. Adherence as a moderator of treatment effectiveness was tested in nursing care facilities (n = 6) and positively identified in three studies for medication and multifactorial interventions. Conclusions: using median rates for recruitment (50%), attrition (15%) and adherence (80%), by 12 months, it is estimated that on average only a third of nursing care facility residents are likely to be adhering to falls prevention interventions.
|Additional Information:||Free full text available online: http://ageing.oxfordjournals.org/content/40/4/430.full|
|Group:||School of Design, Engineering & Computing > Psychology Research Group|
|Deposited By:||Dr S. R. Nyman|
|Deposited On:||17 Oct 2011 15:37|
|Last Modified:||07 Mar 2013 15:49|
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