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Long-term outcome for ADL following the health-promoting RCT: elderly persons in the risk zone
Department of Clinical Neuroscience and Rehabilitation, The Sahlgrenska Academy at the University of Gothenburg.
Department of Clinical Neuroscience and Rehabilitation, The Sahlgrenska Academy at the University of Gothenburg.
Vårdalinstitutet, The Swedish Institute for Health Sciences, Gothenburg/Lund.
Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsplattformen Hälsa i samverkan.ORCID iD: 0000-0003-0161-4795
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2013 (English)In: The gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 53, no 4, 654-663 p.Article in journal (Refereed) Published
Abstract [en]

Purpose: To examine independence in activities of daily living (ADL) at the 1- and 2-year follow-ups of the health-promoting study Elderly Persons in the Risk Zone.

Design and Method: A randomized, three-armed, single-blind, and controlled study. A representative sample of 459 independent and community-dwelling older adults, 80 years and older, were included. A preventive home visit was compared with four weekly multiprofessional senior group meetings including a follow-up home visit.

Results: Analysis showed a significant difference in favor of the senior meetings in postponing dependence in ADL at the 1-year follow-up (odds ratio [OR] = 1.92, 95% confidence interval [CI] = 1.19–3.10) and also in reducing dependence in three (OR = 0.52, 95% CI = 0.31–0.86) and four or more ADL (OR = 0.40, 95% CI = 0.22–0.72) at the 2-year follow-up. A preventive home visit reduced dependence in two (OR = 0.40, 95% CI = 0.24–0.68) and three or more ADL (OR = 0.37, 95% CI = 0.17–0.80) after 1 year.

Implications: A long-term evaluation of Elderly Persons in the Risk Zone showed that both senior meetings and a preventive home visit reduced the extent of dependence in ADL after 1 year. The senior meetings were superior to a preventive home visit since additional significant effects were seen after 2 years. To further enhance the long-term effects of the senior meetings and support the process of self-change in health behavior, it is suggested that booster sessions might be a good way of reinforcing the intervention.

Place, publisher, year, edition, pages
2013. Vol. 53, no 4, 654-663 p.
National Category
Gerontology, specializing in Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hkr:diva-9711DOI: 10.1093/geront/gns121ISI: 000321717400012PubMedID: 22936539OAI: oai:DiVA.org:hkr-9711DiVA: diva2:552902
Available from: 2012-09-17 Created: 2012-09-17 Last updated: 2015-01-02Bibliographically approved

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