Citation

Luck T, Motzek T, Luppa M, Matschinger H, Fleischer S, Sesselmann Y, Roling G, Beutner K, König HH, Behrens J, Riedel-Heller SG. Clin. Interv. Aging 2013; 8: 697-702.

Affiliation

Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Leipzig, Germany ; Leipzig Research Center for Civilization Diseases, University of Leipzig, Leipzig, Germany.

Copyright

(Copyright © 2013, Dove Press)

DOI

10.2147/CIA.S43284

PMID

23788832

PMCID

PMC3684143

Abstract

BACKGROUND: Falls in older people are a major public health issue, but the underlying causes are complex. We sought to evaluate the effectiveness of preventive home visits as a multifactorial, individualized strategy to reduce falls in community-dwelling older people. METHODS: Data were derived from a prospective randomized controlled trial with follow-up examination after 18 months. Two hundred and thirty participants (≥80 years of age) with functional impairment were randomized to intervention and control groups. The intervention group received up to three preventive home visits including risk assessment, home counseling intervention, and a booster session. The control group received no preventive home visits. Structured interviews at baseline and follow-up provided information concerning falls in both study groups. Random-effects Poisson regression evaluated the effect of preventive home visits on the number of falls controlling for covariates. RESULTS: Random-effects Poisson regression showed a significant increase in the number of falls between baseline and follow-up in the control group (incidence rate ratio 1.96) and a significant decrease in the intervention group (incidence rate ratio 0.63) controlling for age, sex, family status, level of care, and impairment in activities of daily living. CONCLUSION: Our results indicate that a preventive home visiting program can be effective in reducing falls in community-dwelling older people.

Language: en