Older people's recruitment, sustained participation, and adherence to falls prevention interventions in institutional settings: A supplement to the cochrane systematic review

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

Journal: Age and Ageing

Volume: 40

Issue: 4

Pages: 430-436

eISSN: 1468-2834

ISSN: 0002-0729

DOI: 10.1093/ageing/afr016

Abstract:

Background: randomised controlled trials (RCTs) of falls prevention conducted in institutional settings have recently been systematically reviewed. Objective: to supplement this review by analysing older people's participation in the trials and engagement with the interventions. Design: review of the 41 RCTs included in the Cochrane systematic review of falls prevention interventions. Setting: hospitals and nursing care facilities. Participants: adults aged/mean age of 65+.Methods: calculated aggregate data on recruitment (inclusion into the trial), attrition at 12-month follow-up (loss of participants from the trial), adherence (to intervention protocol), and whether adherence moderated the effect of interventions on trial outcomes. Results: the median inclusion rate was 48.5% (38.9-84.5%). At 12 months the median attrition rate was 10.4% (3.9-12.3%, n = 10) or with the inclusion of mortality 16.2% (9.5-17.1%, n = 11). Adherence was high for exercise that was individually targeted (e.g. 89% physical therapy) and group based (72-88%) and for medication interventions (68-88%). For multifactorial interventions, adherence ranged from 11% for attending 60+/88 of exercise classes to 93% for use/repairs of aids. Adherence as a moderator of treatment effectiveness was tested in nursing care facilities (n = 6) and positively identified in three studies for medication and multifactorial interventions. Conclusions: using median rates for recruitment (50%), attrition (15%) and adherence (80%), by 12 months, it is estimated that on average only a third of nursing care facility residents are likely to be adhering to falls prevention interventions. © The Author 2011. Published by Oxford University Press on behalf of the British Geriatrics Society.

Source: Scopus

Older people's recruitment, sustained participation, and adherence to falls prevention interventions in institutional settings: a supplement to the Cochrane systematic review.

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

Journal: Age Ageing

Volume: 40

Issue: 4

Pages: 430-436

eISSN: 1468-2834

DOI: 10.1093/ageing/afr016

Abstract:

BACKGROUND: randomised controlled trials (RCTs) of falls prevention conducted in institutional settings have recently been systematically reviewed. OBJECTIVE: to supplement this review by analysing older people's participation in the trials and engagement with the interventions. DESIGN: review of the 41 RCTs included in the Cochrane systematic review of falls prevention interventions. SETTING: hospitals and nursing care facilities. PARTICIPANTS: adults aged/mean age of 65+. METHODS: calculated aggregate data on recruitment (inclusion into the trial), attrition at 12-month follow-up (loss of participants from the trial), adherence (to intervention protocol), and whether adherence moderated the effect of interventions on trial outcomes. RESULTS: the median inclusion rate was 48.5% (38.9-84.5%). At 12 months the median attrition rate was 10.4% (3.9-12.3%, n = 10) or with the inclusion of mortality 16.2% (9.5-17.1%, n = 11). Adherence was high for exercise that was individually targeted (e.g. 89% physical therapy) and group based (72-88%) and for medication interventions (68-88%). For multifactorial interventions, adherence ranged from 11% for attending 60+/88 of exercise classes to 93% for use/repairs of aids. Adherence as a moderator of treatment effectiveness was tested in nursing care facilities (n = 6) and positively identified in three studies for medication and multifactorial interventions. CONCLUSIONS: using median rates for recruitment (50%), attrition (15%) and adherence (80%), by 12 months, it is estimated that on average only a third of nursing care facility residents are likely to be adhering to falls prevention interventions.

Source: PubMed

Older people's recruitment, sustained participation, and adherence to falls prevention interventions in institutional settings: a supplement to the Cochrane systematic review

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

Journal: AGE AND AGEING

Volume: 40

Issue: 4

Pages: 430-436

eISSN: 1468-2834

ISSN: 0002-0729

DOI: 10.1093/ageing/afr016

Source: Web of Science (Lite)

Older people’s recruitment, sustained participation, and adherence to falls prevention interventions in institutional settings: A supplement to the Cochrane systematic review

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

Journal: Age and Ageing

Volume: 40

Pages: 430-436

ISSN: 0002-0729

DOI: 10.1093/ageing/afr016

Abstract:

Background: randomised controlled trials (RCTs) of falls prevention conducted in institutional settings have recently been systematically reviewed. Objective: to supplement this review by analysing older people's participation in the trials and engagement with the interventions. Design: review of the 41 RCTs included in the Cochrane systematic review of falls prevention interventions. Setting: hospitals and nursing care facilities. Participants: adults aged/mean age of 65+. Methods: calculated aggregate data on recruitment (inclusion into the trial), attrition at 12-month follow-up (loss of participants from the trial), adherence (to intervention protocol), and whether adherence moderated the effect of interventions on trial outcomes. Results: the median inclusion rate was 48.5% (38.9–84.5%). At 12 months the median attrition rate was 10.4% (3.9–12.3%, n = 10) or with the inclusion of mortality 16.2% (9.5–17.1%, n = 11). Adherence was high for exercise that was individually targeted (e.g. 89% physical therapy) and group based (72–88%) and for medication interventions (68–88%). For multifactorial interventions, adherence ranged from 11% for attending 60+/88 of exercise classes to 93% for use/repairs of aids. Adherence as a moderator of treatment effectiveness was tested in nursing care facilities (n = 6) and positively identified in three studies for medication and multifactorial interventions. Conclusions: using median rates for recruitment (50%), attrition (15%) and adherence (80%), by 12 months, it is estimated that on average only a third of nursing care facility residents are likely to be adhering to falls prevention interventions.

http://ageing.oxfordjournals.org/content/40/4/430.full

Source: Manual

Preferred by: Samuel Nyman

Older people's recruitment, sustained participation, and adherence to falls prevention interventions in institutional settings: a supplement to the Cochrane systematic review.

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

Journal: Age and ageing

Volume: 40

Issue: 4

Pages: 430-436

eISSN: 1468-2834

ISSN: 0002-0729

DOI: 10.1093/ageing/afr016

Abstract:

Background

randomised controlled trials (RCTs) of falls prevention conducted in institutional settings have recently been systematically reviewed.

Objective

to supplement this review by analysing older people's participation in the trials and engagement with the interventions.

Design

review of the 41 RCTs included in the Cochrane systematic review of falls prevention interventions.

Setting

hospitals and nursing care facilities.

Participants

adults aged/mean age of 65+.

Methods

calculated aggregate data on recruitment (inclusion into the trial), attrition at 12-month follow-up (loss of participants from the trial), adherence (to intervention protocol), and whether adherence moderated the effect of interventions on trial outcomes.

Results

the median inclusion rate was 48.5% (38.9-84.5%). At 12 months the median attrition rate was 10.4% (3.9-12.3%, n = 10) or with the inclusion of mortality 16.2% (9.5-17.1%, n = 11). Adherence was high for exercise that was individually targeted (e.g. 89% physical therapy) and group based (72-88%) and for medication interventions (68-88%). For multifactorial interventions, adherence ranged from 11% for attending 60+/88 of exercise classes to 93% for use/repairs of aids. Adherence as a moderator of treatment effectiveness was tested in nursing care facilities (n = 6) and positively identified in three studies for medication and multifactorial interventions.

Conclusions

using median rates for recruitment (50%), attrition (15%) and adherence (80%), by 12 months, it is estimated that on average only a third of nursing care facility residents are likely to be adhering to falls prevention interventions.

Source: Europe PubMed Central