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Long-term outcome for ADL following the health-promoting RCT--elderly persons in the risk zone

Gustafsson, Susanne ; Eklund, Kajsa ; Wilhelmson, Katarina ; Edberg, Anna-Karin ; Johansson, Boo ; Kronlöf, Greta Häggblom ; Gosman-Hedström, Gunilla ; Dahlin-Ivanoff, Synneve

The Gerontologist, 2013-08, Vol.53 (4), p.654-663 [Periódico revisado por pares]

United States: Oxford University Press

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Título:
Long-term outcome for ADL following the health-promoting RCT--elderly persons in the risk zone
Autor: Gustafsson, Susanne ; Eklund, Kajsa ; Wilhelmson, Katarina ; Edberg, Anna-Karin ; Johansson, Boo ; Kronlöf, Greta Häggblom ; Gosman-Hedström, Gunilla ; Dahlin-Ivanoff, Synneve
Assuntos: 80 and over ; Activities of Daily Living ; Activities of daily living (ADL) ; Aged ; Aged, 80 and over ; Aging ; Annan medicin och hälsovetenskap ; Arbetsterapi ; controlled clinical trial ; controlled study ; daily life activity ; disabled person ; Disabled Persons ; Elderly ; Female ; follow up ; Follow-Up Studies ; Frail Elderly ; Gerontologi, medicinsk/hälsovetenskaplig inriktning ; Gerontology, specialising in Medical and Health Sciences ; Health Behavior ; Health promotion ; Health Promotion - methods ; home care ; Home Care Services ; human ; Humans ; Intention-to-treat Analyses ; Intention-to-treat analyzis ; Intervention ; Intervention Studies ; intervention study ; Male ; Medical and Health Sciences ; Medical treatment ; Medicin och hälsovetenskap ; methodology ; Nonparametric ; nonparametric test ; Occupational Therapy ; Older people ; Other Medical and Health Sciences ; Other Medical and Health Sciences not elsewhere specified ; Other Medical Sciences ; patient education ; Patient Education as Topic ; Patient Education as Topic - methods ; procedures ; Randomized controlled Trial ; Risk ; Risk assessment ; single blind procedure ; Single-Blind Method ; Statistics ; Statistics, Nonparametric ; Sweden ; very elderly ; Övrig annan medicin och hälsovetenskap
É parte de: The Gerontologist, 2013-08, Vol.53 (4), p.654-663
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Descrição: 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. 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. 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. 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.
Editor: United States: Oxford University Press
Idioma: Inglês

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Long-term outcome for ADL following the health-promoting RCT--elderly persons in the risk zone

Gustafsson, Susanne ; Eklund, Kajsa ; Wilhelmson, Katarina ; Edberg, Anna-Karin ; Johansson, Boo ; Kronlöf, Greta Häggblom ; Gosman-Hedström, Gunilla ; Dahlin-Ivanoff, Synneve

United States: Oxford University Press

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