[article] 
inThe British Journal of Occupational Therapy > Vol.81 Issue 8 (Août 2018) . - p. 474-481

Titre :	The efficacy of a multifactorial falls-prevention programme, implemented in primary health care
Type de document :	texte imprimé
Auteurs :	Erika Johansson ; Hans Jonsson ; Raymond Dahlberg ; Ann-Helen Patomella
Année de publication :	2018
Article en page(s) :	p. 474-481
Langues :	Anglais (eng)
Mots-clés :	Accidental falls  health promotion  multi-disciplinary  occupational therapy  adult learning
Résumé :	Introduction A major threat to healthy ageing is accidental falls causing individual suffering as well as increasing costs for society. The aim of this study was to compare and evaluate a multifactorial falls-prevention programme, with ordinary falls prevention in primary healthcare. Method Eligible patients were community-dwelling older adults (+65) who had fallen within the last 6 months or were concerned about falling. Participants (n = 131) were randomized to an intervention or control group. The primary outcome was measure of falls and the secondary was fear of falling. Results There was a significant decrease in the risk of falls and fear of falling at 12 months in favour of the intervention group. When comparing groups over time, including baseline measures, only fear of falling remained significant. Conclusion Small-group learning environments in combination with learning by doing, could be an effective approach for the translation of knowledge into everyday life and valued activities leading to a decrease in falls and fear of falling. Multifactorial and multi-disciplinary approaches against falls in a small-group learning environment could be effective in preventing falls and reducing fear of falling among older adults at risk.
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[article] The efficacy of a multifactorial falls-prevention programme, implemented in primary health care [texte imprimé] / Erika Johansson ; Hans Jonsson ; Raymond Dahlberg ; Ann-Helen Patomella . - 2018 . - p. 474-481.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.81 Issue 8 (Août 2018) . - p. 474-481

Mots-clés :	Accidental falls  health promotion  multi-disciplinary  occupational therapy  adult learning
Résumé :	Introduction A major threat to healthy ageing is accidental falls causing individual suffering as well as increasing costs for society. The aim of this study was to compare and evaluate a multifactorial falls-prevention programme, with ordinary falls prevention in primary healthcare. Method Eligible patients were community-dwelling older adults (+65) who had fallen within the last 6 months or were concerned about falling. Participants (n = 131) were randomized to an intervention or control group. The primary outcome was measure of falls and the secondary was fear of falling. Results There was a significant decrease in the risk of falls and fear of falling at 12 months in favour of the intervention group. When comparing groups over time, including baseline measures, only fear of falling remained significant. Conclusion Small-group learning environments in combination with learning by doing, could be an effective approach for the translation of knowledge into everyday life and valued activities leading to a decrease in falls and fear of falling. Multifactorial and multi-disciplinary approaches against falls in a small-group learning environment could be effective in preventing falls and reducing fear of falling among older adults at risk.
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