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- Title
Effect of a Risk-Based Multifactorial Fall Prevention Program on the Incidence of Falls.
- Authors
Salminen, Marika J.; Vahlberg, Tero J.; Salonoja, Maritta T.; Aarnio, Pertti T.T.; Kivel, Sirkka-Liisa
- Abstract
OBJECTIVES: To evaluate the effects of a multifactorial fall prevention program on falls and to identify the subgroups that benefit the most. DESIGN: Randomized controlled trial. SETTING: Community-dwelling subjects who had fallen at least once during the previous 12 months. PARTICIPANTS: Five hundred ninety-one subjects randomized into intervention (IG) (n=293) and control (CG) (n=298) groups. INTERVENTION: A multifactorial 12-month fall prevention program. MEASUREMENTS: Incidence of falls. RESULTS: The intervention did not reduce the incidence of falls overall (incidence rate ratio (IRR) for IG vs CG=0.92, 95% confidence interval (CI)=0.72–1.19). In subgroup analyses, significant interactions between subgroups and groups (IG and CG) were found for depressive symptoms ( P=.006), number of falls during the previous 12 months ( P=.003), and self-perceived risk of falling ( P=.045). The incidence of falls decreased in subjects with a higher number of depressive symptoms (IRR=0.50, 95% CI=0.28–0.88), whereas it increased in those with a lower number of depressive symptoms (IRR=1.20, 95% CI=0.92–1.57). The incidence of falls decreased also in those with at least three previous falls (IRR=0.59, 95% CI=0.38–0.91) compared to those with one or two previous falls (IRR=1.28, 95% CI=0.95–1.72). The intervention was also more effective in subjects with high self-perceived risk of falling (IRR=0.77, 95% CI=0.55–1.06) than in those with low self-perceived risk (IRR=1.28, 95% CI=0.88–1.86). CONCLUSION: The program was not effective in reducing falls in the total sample of community-dwelling subjects with a history of falling, but the incidence of falls decreased in participants with a higher number of depressive symptoms and in those with at least three falls.
- Subjects
PREVENTION of falls in old age; OLDER people's injuries; FEAR of falling; MOVEMENT disorders in old age; DISEASES in older people
- Publication
Journal of the American Geriatrics Society, 2009, Vol 57, Issue 4, p612
- ISSN
0002-8614
- Publication type
Article
- DOI
10.1111/j.1532-5415.2009.02176.x