Older people's participation in and engagement with falls prevention interventions in community settings: an augment to the cochrane systematic review

This source preferred by Samuel Nyman

Authors: Nyman, S.R. and Victor, C.R.

http://ageing.oxfordjournals.org/content/early/2011/08/28/ageing.afr103.abstract?keytype=ref&ijkey=ZJd37Hzt1ouBTMf

Journal: Age and Ageing

Volume: 41

Pages: 16-23

ISSN: 0002-0729

DOI: 10.1093/ageing/afr103

Background: randomised controlled trials (RCTs) of fall prevention conducted in community settings have recently been systematically reviewed.

Objective: to augment this review by analysing older people’s participation in the trials and engagement with the interventions.

Design: review of the 99 single and multifactorial RCTs included in the Cochrane systematic review of falls prevention interventions.

Setting: community.

Participants: adults aged 60+/mean age minus one standard deviation of 60+.

Methods: calculated aggregate data on recruitment (proportion who accepted the invitation to participate), attrition at 12 month follow-up (loss of participants), adherence (to intervention protocol) and whether adherence moderated the effect of interventions on trial outcomes.

Results: the median recruitment rate was 70.7% (64.2–81.7%, n = 78). At 12 months the median attrition rate including mortality was 10.9% (9.1–16.0%, n = 44). Adherence rates (n = 69) were ≥80% for vitamin D/calcium supplementation; ≥70 for walking and class-based exercise; 52% for individually targeted exercise; approximately 60–70% for fluid/nutrition therapy and interventions to increase knowledge; 58–59% for home modifications; but there was no improvement for medication review/withdrawal of certain drugs. Adherence to multifactorial interventions was generally ≥75% but ranged 28–95% for individual components. The 13 studies that tested for whether adherence moderated treatment effectiveness produced mixed results.

Conclusions: using median rates for recruitment (70%), attrition (10%) and adherence (80%), we estimate that, at 12 months, on average half of community-dwelling older people are likely to be adhering to falls prevention interventions in clinical trials.

This data was imported from PubMed:

Authors: Nyman, S.R. and Victor, C.R.

Journal: Age Ageing

Volume: 41

Issue: 1

Pages: 16-23

eISSN: 1468-2834

DOI: 10.1093/ageing/afr103

BACKGROUND: Randomised controlled trials (RCTs) of fall prevention conducted in community settings have recently been systematically reviewed. OBJECTIVE: To augment this review by analysing older people's participation in the trials and engagement with the interventions. DESIGN: Review of the 99 single and multifactorial RCTs included in the Cochrane systematic review of falls prevention interventions. SETTING: Community. PARTICIPANTS: Adults aged 60+/mean age minus one standard deviation of 60+. METHODS: Calculated aggregate data on recruitment (proportion who accepted the invitation to participate), attrition at 12 month follow-up (loss of participants), adherence (to intervention protocol) and whether adherence moderated the effect of interventions on trial outcomes. RESULTS: The median recruitment rate was 70.7% (64.2-81.7%, n = 78). At 12 months the median attrition rate including mortality was 10.9% (9.1-16.0%, n = 44). Adherence rates (n = 69) were ≥80% for vitamin D/calcium supplementation; ≥70% for walking and class-based exercise; 52% for individually targeted exercise; approximately 60-70% for fluid/nutrition therapy and interventions to increase knowledge; 58-59% for home modifications; but there was no improvement for medication review/withdrawal of certain drugs. Adherence to multifactorial interventions was generally ≥75% but ranged 28-95% for individual components. The 13 studies that tested for whether adherence moderated treatment effectiveness produced mixed results. CONCLUSIONS: Using median rates for recruitment (70%), attrition (10%) and adherence (80%), we estimate that, at 12 months, on average half of community-dwelling older people are likely to be adhering to falls prevention interventions in clinical trials.

This data was imported from Scopus:

Authors: Nyman, S.R. and Victor, C.R.

Journal: Age and Ageing

Volume: 41

Issue: 1

Pages: 16-23

eISSN: 1468-2834

ISSN: 0002-0729

DOI: 10.1093/ageing/afr103

Background: randomised controlled trials (RCTs) of fall prevention conducted in community settings have recently been systematically reviewed.Objective: to augment this review by analysing older people's participation in the trials and engagement with the interventions.Design: review of the 99 single and multifactorial RCTs included in the Cochrane systematic review of falls prevention interventions.Setting: community.Participants: adults aged 60+/mean age minus one standard deviation of 60+.Methods: calculated aggregate data on recruitment (proportion who accepted the invitation to participate), attrition at 12 month follow-up (loss of participants), adherence (to intervention protocol) and whether adherence moderated the effect of interventions on trial outcomes.Results: the median recruitment rate was 70.7% (64.2-81.7%, n = 78). At 12 months the median attrition rate including mortality was 10.9% (9.1-16.0%, n = 44). Adherence rates (n = 69) were ≥80% for vitamin D/calcium supplementation; ≥70% for walking and class-based exercise; 52% for individually targeted exercise; approximately 60-70% for fluid/nutrition therapy and interventions to increase knowledge; 58-59% for home modifications; but there was no improvement for medication review/withdrawal of certain drugs. Adherence to multifactorial interventions was generally ≥75% but ranged 28-95% for individual components. The 13 studies that tested for whether adherence moderated treatment effectiveness produced mixed results.Conclusions: using median rates for recruitment (70%), attrition (10%) and adherence (80%), we estimate that, at 12 months, on average half of community-dwelling older people are likely to be adhering to falls prevention interventions in clinical trials. © The Author 2011. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved.

This data was imported from Web of Science (Lite):

Authors: Nyman, S.R. and Victor, C.R.

Journal: AGE AND AGEING

Volume: 41

Issue: 1

Pages: 16-23

ISSN: 0002-0729

DOI: 10.1093/ageing/afr103

This data was imported from Europe PubMed Central:

Authors: Nyman, S.R. and Victor, C.R.

Journal: Age and ageing

Volume: 41

Issue: 1

Pages: 16-23

eISSN: 1468-2834

ISSN: 0002-0729

BACKGROUND: Randomised controlled trials (RCTs) of fall prevention conducted in community settings have recently been systematically reviewed. OBJECTIVE: To augment this review by analysing older people's participation in the trials and engagement with the interventions. DESIGN: Review of the 99 single and multifactorial RCTs included in the Cochrane systematic review of falls prevention interventions. SETTING: Community. PARTICIPANTS: Adults aged 60+/mean age minus one standard deviation of 60+. METHODS: Calculated aggregate data on recruitment (proportion who accepted the invitation to participate), attrition at 12 month follow-up (loss of participants), adherence (to intervention protocol) and whether adherence moderated the effect of interventions on trial outcomes. RESULTS: The median recruitment rate was 70.7% (64.2-81.7%, n = 78). At 12 months the median attrition rate including mortality was 10.9% (9.1-16.0%, n = 44). Adherence rates (n = 69) were ≥80% for vitamin D/calcium supplementation; ≥70% for walking and class-based exercise; 52% for individually targeted exercise; approximately 60-70% for fluid/nutrition therapy and interventions to increase knowledge; 58-59% for home modifications; but there was no improvement for medication review/withdrawal of certain drugs. Adherence to multifactorial interventions was generally ≥75% but ranged 28-95% for individual components. The 13 studies that tested for whether adherence moderated treatment effectiveness produced mixed results. CONCLUSIONS: Using median rates for recruitment (70%), attrition (10%) and adherence (80%), we estimate that, at 12 months, on average half of community-dwelling older people are likely to be adhering to falls prevention interventions in clinical trials.

The data on this page was last updated at 04:40 on November 19, 2017.