Effectiveness of preventive home visits in reducing the risk of falls in old age: a randomized controlled trial

Tobias Luck,1,2,* Tom Motzek,3,* Melanie Luppa,1 Herbert Matschinger,1 Steffen Fleischer,4 Yves Sesselmann,4 Gudrun Roling,5 Katrin Beutner,4 Hans-Helmut König,6 Johann Behrens,4 Steffi G Riedel-Heller11Institute of Social Medicine, Occupational Health and Public Health, University of Leipz...

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Autores principales:	Luck T, Motzek T, Luppa M, Matschinger H, Fleischer S, Sesselmann Y, Roling G, Beutner K, König HH, Behrens J, Riedel-Heller SG
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	falls randomized controlled trial home visits prevention evaluation Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/ecd76bc6d12a4097a85a0729a04ba7b8
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spelling	oai:doaj.org-article:ecd76bc6d12a4097a85a0729a04ba7b82021-12-02T01:34:49ZEffectiveness of preventive home visits in reducing the risk of falls in old age: a randomized controlled trial1178-1998https://doaj.org/article/ecd76bc6d12a4097a85a0729a04ba7b82013-06-01T00:00:00Zhttps://www.dovepress.com/effectiveness-of-preventive-home-visits-in-reducing-the-risk-of-falls--peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Tobias Luck,1,2,* Tom Motzek,3,* Melanie Luppa,1 Herbert Matschinger,1 Steffen Fleischer,4 Yves Sesselmann,4 Gudrun Roling,5 Katrin Beutner,4 Hans-Helmut König,6 Johann Behrens,4 Steffi G Riedel-Heller11Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Leipzig, Germany; 2Leipzig Research Center for Civilization Diseases, University of Leipzig, Leipzig, Germany; 3Technical University Dresden, Dresden, Germany; 4Institute of Nursing and Health Science, Martin-Luther-University Halle-Wittenberg, Halle, Germany; 5Faculty of Health, Witten/Herdecke University, Witten, Germany; 6Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg, Germany*These authors contributed equally to this work Background: Falls in older people are a major public health issue, but the underlying causes are complex. We sought to evaluate the effectiveness of preventive home visits as a multifactorial, individualized strategy to reduce falls in community-dwelling older people.Methods: Data were derived from a prospective randomized controlled trial with follow-up examination after 18 months. Two hundred and thirty participants (≥80 years of age) with functional impairment were randomized to intervention and control groups. The intervention group received up to three preventive home visits including risk assessment, home counseling intervention, and a booster session. The control group received no preventive home visits. Structured interviews at baseline and follow-up provided information concerning falls in both study groups. Random-effects Poisson regression evaluated the effect of preventive home visits on the number of falls controlling for covariates.Results: Random-effects Poisson regression showed a significant increase in the number of falls between baseline and follow-up in the control group (incidence rate ratio 1.96) and a significant decrease in the intervention group (incidence rate ratio 0.63) controlling for age, sex, family status, level of care, and impairment in activities of daily living.Conclusion: Our results indicate that a preventive home visiting program can be effective in reducing falls in community-dwelling older people.Keywords: falls, randomized controlled trial, home visits, prevention, evaluationLuck TMotzek TLuppa MMatschinger HFleischer SSesselmann YRoling GBeutner KKönig HHBehrens JRiedel-Heller SGDove Medical Pressarticlefallsrandomized controlled trialhome visitspreventionevaluationGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 8, Pp 697-702 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	falls randomized controlled trial home visits prevention evaluation Geriatrics RC952-954.6
spellingShingle	falls randomized controlled trial home visits prevention evaluation Geriatrics RC952-954.6 Luck T Motzek T Luppa M Matschinger H Fleischer S Sesselmann Y Roling G Beutner K König HH Behrens J Riedel-Heller SG Effectiveness of preventive home visits in reducing the risk of falls in old age: a randomized controlled trial
description	Tobias Luck,1,2,* Tom Motzek,3,* Melanie Luppa,1 Herbert Matschinger,1 Steffen Fleischer,4 Yves Sesselmann,4 Gudrun Roling,5 Katrin Beutner,4 Hans-Helmut König,6 Johann Behrens,4 Steffi G Riedel-Heller11Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Leipzig, Germany; 2Leipzig Research Center for Civilization Diseases, University of Leipzig, Leipzig, Germany; 3Technical University Dresden, Dresden, Germany; 4Institute of Nursing and Health Science, Martin-Luther-University Halle-Wittenberg, Halle, Germany; 5Faculty of Health, Witten/Herdecke University, Witten, Germany; 6Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg, Germany*These authors contributed equally to this work Background: Falls in older people are a major public health issue, but the underlying causes are complex. We sought to evaluate the effectiveness of preventive home visits as a multifactorial, individualized strategy to reduce falls in community-dwelling older people.Methods: Data were derived from a prospective randomized controlled trial with follow-up examination after 18 months. Two hundred and thirty participants (≥80 years of age) with functional impairment were randomized to intervention and control groups. The intervention group received up to three preventive home visits including risk assessment, home counseling intervention, and a booster session. The control group received no preventive home visits. Structured interviews at baseline and follow-up provided information concerning falls in both study groups. Random-effects Poisson regression evaluated the effect of preventive home visits on the number of falls controlling for covariates.Results: Random-effects Poisson regression showed a significant increase in the number of falls between baseline and follow-up in the control group (incidence rate ratio 1.96) and a significant decrease in the intervention group (incidence rate ratio 0.63) controlling for age, sex, family status, level of care, and impairment in activities of daily living.Conclusion: Our results indicate that a preventive home visiting program can be effective in reducing falls in community-dwelling older people.Keywords: falls, randomized controlled trial, home visits, prevention, evaluation
format	article
author	Luck T Motzek T Luppa M Matschinger H Fleischer S Sesselmann Y Roling G Beutner K König HH Behrens J Riedel-Heller SG
author_facet	Luck T Motzek T Luppa M Matschinger H Fleischer S Sesselmann Y Roling G Beutner K König HH Behrens J Riedel-Heller SG
author_sort	Luck T
title	Effectiveness of preventive home visits in reducing the risk of falls in old age: a randomized controlled trial
title_short	Effectiveness of preventive home visits in reducing the risk of falls in old age: a randomized controlled trial
title_full	Effectiveness of preventive home visits in reducing the risk of falls in old age: a randomized controlled trial
title_fullStr	Effectiveness of preventive home visits in reducing the risk of falls in old age: a randomized controlled trial
title_full_unstemmed	Effectiveness of preventive home visits in reducing the risk of falls in old age: a randomized controlled trial
title_sort	effectiveness of preventive home visits in reducing the risk of falls in old age: a randomized controlled trial
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/ecd76bc6d12a4097a85a0729a04ba7b8
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Effectiveness of preventive home visits in reducing the risk of falls in old age: a randomized controlled trial

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