Objective: To evaluate the effect of a multidimensional intervention on the perception and management of risk factors and frequency of falls in independent elderly people living in the community.
Design: Randomised clinical trial.
Setting: Family health centre, primary care.
Participants: Independent elderly people living in the community.
Intervention: For intervention group (IG) a multidimensional intervention, consisting of home visits and telephone follow-up was carried out for 5 months (n=77), and those assigned to the control group (CG, n=77) received usual care in the family health centre.
Main Measurements: Perception of risk of falls, number of risk factors and number of falls in the study period.
Results: In both groups there were increases in the perception of risk factors for falling associated with walking (IG: P<.001 and CG: P<.001). Belonging to the IG was significantly associated with a decrease in the risk factors associated with surfaces (r=0.25) and shoes (r=0.24), as well as an increase in the perception of risk of falls associated with walking (r=0.21) and the presence of objects or furniture (r=0.36). In the IG, 5 participants (7.9%) suffered at least one fall in the 5-month period and 18 (27.7%) patients in the CG (P=.004).
Conclusions: The multidimensional intervention was effective in reducing the frequency of falls and in the management of extrinsic risk factors associated with surfaces, lighting, and support devices.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8054286 | PMC |
| http://dx.doi.org/10.1016/j.aprim.2019.07.018 | DOI Listing |
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