What Works Better for Community-Dwelling Older People at Risk to Fall?: A Meta-Analysis of Multifactorial Versus Physical Exercise-Alone Interventions
Objective: To compare and quantify the effectiveness of multifactorial versus exercise-alone interventions in reducing recurrent falls among community-dwelling older people. Method : A meta-analysis of recently published studies on fall prevention interventions was conducted. Measure of the overall...
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| Veröffentlicht in: | Journal of aging and health 2009-08, Vol.21 (5), p.713-729 |
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| container_title | Journal of aging and health |
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| creator | Petridou, Eleni Th Manti, Eirini G. Ntinapogias, Athanasios G. Negri, Eva Szczerbińska, Katarzyna |
| description | Objective: To compare and quantify the effectiveness of multifactorial versus exercise-alone interventions in reducing recurrent falls among community-dwelling older people. Method : A meta-analysis of recently published studies on fall prevention interventions was conducted. Measure of the overall effectiveness was the combined risk ratio for recurrent falls, whereas heterogeneity was explored via metaregression analyses. Results: Ten of the 52 identified studies met the preset criteria and were included in the analysis. The exercise-alone interventions were about 5 times more effective compared to multifactorial ones. Short-term interventions, smaller samples, and younger age related to better outcomes. Discussion: From cost-efficiency and public health perspectives, exercise-alone interventions can be considered valuable, as they are more likely to be implemented in countries with less resources. Further qualitative research is needed, however, to explore determinants of willingness to participate and comply with interventions aiming to prevent recurrent falls among older people. |
| doi_str_mv | 10.1177/0898264309338298 |
| format | Article |
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Method : A meta-analysis of recently published studies on fall prevention interventions was conducted. Measure of the overall effectiveness was the combined risk ratio for recurrent falls, whereas heterogeneity was explored via metaregression analyses. Results: Ten of the 52 identified studies met the preset criteria and were included in the analysis. The exercise-alone interventions were about 5 times more effective compared to multifactorial ones. Short-term interventions, smaller samples, and younger age related to better outcomes. Discussion: From cost-efficiency and public health perspectives, exercise-alone interventions can be considered valuable, as they are more likely to be implemented in countries with less resources. Further qualitative research is needed, however, to explore determinants of willingness to participate and comply with interventions aiming to prevent recurrent falls among older people.</description><identifier>ISSN: 0898-2643</identifier><identifier>EISSN: 1552-6887</identifier><identifier>DOI: 10.1177/0898264309338298</identifier><identifier>PMID: 19494361</identifier><identifier>CODEN: JAHEEG</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Accidental Falls - prevention & control ; Accidental Falls - statistics & numerical data ; Aged ; Aged, 80 and over ; Community ; Elderly ; Exercise ; Exercise Therapy ; Falls ; Geriatric Assessment ; Health technology assessment ; Humans ; Incidence ; Injury prevention ; Intervention ; Meta-analysis ; Occupational Therapy ; Older people ; Outcome and Process Assessment (Health Care) ; Patient Compliance ; Patient Participation ; Physical Therapy Modalities ; Prevention ; Public Health ; Qualitative research ; Referral and Consultation ; Risk ; Risk factors ; Self Care ; Systematic review ; Vision Screening ; Walking</subject><ispartof>Journal of aging and health, 2009-08, Vol.21 (5), p.713-729</ispartof><rights>Copyright SAGE PUBLICATIONS, INC. Aug 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c405t-a94c702b0f51b822f2372a427a481cc0a9a48f32a14859d821195c5a6a9492633</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0898264309338298$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0898264309338298$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,778,782,21802,27907,27908,33758,43604,43605</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19494361$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Petridou, Eleni Th</creatorcontrib><creatorcontrib>Manti, Eirini G.</creatorcontrib><creatorcontrib>Ntinapogias, Athanasios G.</creatorcontrib><creatorcontrib>Negri, Eva</creatorcontrib><creatorcontrib>Szczerbińska, Katarzyna</creatorcontrib><title>What Works Better for Community-Dwelling Older People at Risk to Fall?: A Meta-Analysis of Multifactorial Versus Physical Exercise-Alone Interventions</title><title>Journal of aging and health</title><addtitle>J Aging Health</addtitle><description>Objective: To compare and quantify the effectiveness of multifactorial versus exercise-alone interventions in reducing recurrent falls among community-dwelling older people. Method : A meta-analysis of recently published studies on fall prevention interventions was conducted. Measure of the overall effectiveness was the combined risk ratio for recurrent falls, whereas heterogeneity was explored via metaregression analyses. Results: Ten of the 52 identified studies met the preset criteria and were included in the analysis. The exercise-alone interventions were about 5 times more effective compared to multifactorial ones. Short-term interventions, smaller samples, and younger age related to better outcomes. Discussion: From cost-efficiency and public health perspectives, exercise-alone interventions can be considered valuable, as they are more likely to be implemented in countries with less resources. Further qualitative research is needed, however, to explore determinants of willingness to participate and comply with interventions aiming to prevent recurrent falls among older people.</description><subject>Accidental Falls - prevention & control</subject><subject>Accidental Falls - statistics & numerical data</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Community</subject><subject>Elderly</subject><subject>Exercise</subject><subject>Exercise Therapy</subject><subject>Falls</subject><subject>Geriatric Assessment</subject><subject>Health technology assessment</subject><subject>Humans</subject><subject>Incidence</subject><subject>Injury prevention</subject><subject>Intervention</subject><subject>Meta-analysis</subject><subject>Occupational Therapy</subject><subject>Older people</subject><subject>Outcome and Process Assessment (Health Care)</subject><subject>Patient Compliance</subject><subject>Patient Participation</subject><subject>Physical Therapy Modalities</subject><subject>Prevention</subject><subject>Public Health</subject><subject>Qualitative research</subject><subject>Referral and Consultation</subject><subject>Risk</subject><subject>Risk factors</subject><subject>Self Care</subject><subject>Systematic review</subject><subject>Vision Screening</subject><subject>Walking</subject><issn>0898-2643</issn><issn>1552-6887</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqNkc9LwzAcxYMobk7vnqQoeKvmmx9NchKdToXBRJQdS9als1u7zKRF9t-bsYEyGHpK4H3eywsPoVPAVwBCXGOpJEkYxYpSSZTcQ23gnMSJlGIftVdyvNJb6Mj7KcaYAIZD1ALFFKMJtFFv-KHraGjdzEd3pq6Ni3Lroq6tqmZe1Mv4_suUZTGfRINyHMQXYxeliYLntfCzqLZRT5flzTE6yHXpzcnm7KD33sNb9ynuDx6fu7f9OGOY17FWLBOYjHDOYSQJyQkVRDMiNJOQZVircMkp0cAkV2NJABTPuE6CUZGE0g66XOcunP1sjK_TqvBZaKjnxjY-TQRLuAL-NwgMEvGPRAIkFOUigOdb4NQ2bh5-GxguOQ6dA3SxCwIVgigotSqH11TmrPfO5OnCFZV2yxRwuho23R42WM42wc2oMuMfw2bJAMRrwOuJ-fXqrsBvx7Glnw</recordid><startdate>200908</startdate><enddate>200908</enddate><creator>Petridou, Eleni Th</creator><creator>Manti, Eirini G.</creator><creator>Ntinapogias, Athanasios G.</creator><creator>Negri, Eva</creator><creator>Szczerbińska, Katarzyna</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7T2</scope><scope>7TS</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>7U3</scope><scope>BHHNA</scope><scope>7X8</scope></search><sort><creationdate>200908</creationdate><title>What Works Better for Community-Dwelling Older People at Risk to Fall?</title><author>Petridou, Eleni Th ; 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Method : A meta-analysis of recently published studies on fall prevention interventions was conducted. Measure of the overall effectiveness was the combined risk ratio for recurrent falls, whereas heterogeneity was explored via metaregression analyses. Results: Ten of the 52 identified studies met the preset criteria and were included in the analysis. The exercise-alone interventions were about 5 times more effective compared to multifactorial ones. Short-term interventions, smaller samples, and younger age related to better outcomes. Discussion: From cost-efficiency and public health perspectives, exercise-alone interventions can be considered valuable, as they are more likely to be implemented in countries with less resources. Further qualitative research is needed, however, to explore determinants of willingness to participate and comply with interventions aiming to prevent recurrent falls among older people.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>19494361</pmid><doi>10.1177/0898264309338298</doi><tpages>17</tpages></addata></record> |
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| subjects | Accidental Falls - prevention & control Accidental Falls - statistics & numerical data Aged Aged, 80 and over Community Elderly Exercise Exercise Therapy Falls Geriatric Assessment Health technology assessment Humans Incidence Injury prevention Intervention Meta-analysis Occupational Therapy Older people Outcome and Process Assessment (Health Care) Patient Compliance Patient Participation Physical Therapy Modalities Prevention Public Health Qualitative research Referral and Consultation Risk Risk factors Self Care Systematic review Vision Screening Walking |
| title | What Works Better for Community-Dwelling Older People at Risk to Fall?: A Meta-Analysis of Multifactorial Versus Physical Exercise-Alone Interventions |
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