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Health-Promoting Interventions for Persons 80 Years and Over are Successful in the Short Term – Results from the Randomized and Three-Armed Study Elderly Persons in the Risk Zone

Artikel i vetenskaplig tidskrift
Författare Susanne Gustafsson
Katarina Wilhelmson
Kajsa Eklund
Gunilla Gosman-Hedström
Lena Zidén
Greta Häggblom Kronlöf
Bettina Højgaard
Frode Slinde
Elisabeth Rothenberg
Sten Landahl
Synneve Dahlin-Ivanoff
Publicerad i Journal of the American Geriatrics Society
Volym 60
Nummer/häfte 3
Sidor 447-454
ISSN 0002-8614
Publiceringsår 2012
Publicerad vid Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa
Institutionen för neurovetenskap och fysiologi, sektionen för arbetsterapi, audiologi och fysioterapi
Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering
Institutionen för medicin
Centrum för åldrande och hälsa (AgeCap)
Sidor 447-454
Språk en
Länkar dx.doi.org/10.1111/j.1532-5415.2011...
Ämnesord Aged, frail elderly, intervention studies, ADL, intention to treat analysis
Ämneskategorier Äldre och åldrande

Sammanfattning

OBJECTIVES: The study Elderly Persons in the Risk Zone was designed to evaluate if it is possible to delay deterioration if a health-promoting intervention is made when the older adults (80+) are at risk of becoming frail, and if a multi-professional group intervention is more effective in delaying deterioration than a single preventive home visit. This paper examined the outcome with regard to frailty, self-rated health, and Activities of Daily Living (ADL) at the three-month follow-up. DESIGN: A randomized, three-armed, single-blind, and controlled trial performed between November 2007 and May 2011. SETTING: Two municipalities of Gothenburg, Sweden. PARTICIPANTS: A total of 459 older adults were included. They were 80 years or older, living in their ordinary housing, and not dependent on the municipal home help service. INTERVENTION: A preventive home visit or four weekly multi-professional senior group meetings with one follow-up home visit. MEASUREMENTS: The change in frailty, self-rated health, and ADL between baseline and the three-month follow-up. RESULTS: Both interventions delayed deterioration of self-rated health (OR=1.99, 95% CI=1.12 to 3.54). As regards postponing dependence in ADL, senior meetings were found to be the most beneficial intervention (OR=1.95, 95% CI=1.14 to 3.33). No effect on frailty could be demonstrated. CONCLUSION: Health-promoting interventions, made when older adults are at risk of becoming frail, can delay deterioration of self-rated health and ADL in the short term. Also, a multi-professional group intervention such as the senior meetings described seems to have a greater impact on delaying deterioration in ADL than a single preventive home visit. Further research is needed to examine the outcome in the long term, and in different contexts.

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http://www.gu.se/forskning/publikation/?publicationId=149689
Utskriftsdatum: 2020-07-15