@article{ref1,
title="Effect of a risk-based multifactorial fall prevention program on the incidence of falls",
journal="Journal of the American Geriatrics Society",
year="2009",
author="Salminen, Marika J. and Vahlberg, Tero J. and Salonoja, Maritta T. and Aarnio, Pertti T. and Kivela, S. L.",
volume="57",
number="4",
pages="612-619",
abstract="OBJECTIVES: To evaluate the effects of a multifactorial fall prevention program on falls and to identify the subgroups that benefit the most. DESIGN: Randomized controlled trial. SETTING: Community-dwelling subjects who had fallen at least once during the previous 12 months. PARTICIPANTS: Five hundred ninety-one subjects randomized into intervention (IG) (n=293) and control (CG) (n=298) groups. INTERVENTION: A multifactorial 12-month fall prevention program. MEASUREMENTS: Incidence of falls. RESULTS: The intervention did not reduce the incidence of falls overall (incidence rate ratio (IRR) for IG vs CG=0.92, 95% confidence interval (CI)=0.72-1.19). In subgroup analyses, significant interactions between subgroups and groups (IG and CG) were found for depressive symptoms (P=.006), number of falls during the previous 12 months (P=.003), and self-perceived risk of falling (P=.045). The incidence of falls decreased in subjects with a higher number of depressive symptoms (IRR=0.50, 95% CI=0.28-0.88), whereas it increased in those with a lower number of depressive symptoms (IRR=1.20, 95% CI=0.92-1.57). The incidence of falls decreased also in those with at least three previous falls (IRR=0.59, 95% CI=0.38-0.91) compared to those with one or two previous falls (IRR=1.28, 95% CI=0.95-1.72). The intervention was also more effective in subjects with high self-perceived risk of falling (IRR=0.77, 95% CI=0.55-1.06) than in those with low self-perceived risk (IRR=1.28, 95% CI=0.88-1.86). CONCLUSION: The program was not effective in reducing falls in the total sample of community-dwelling subjects with a history of falling, but the incidence of falls decreased in participants with a higher number of depressive symptoms and in those with at least three falls.<p /> <p>Language: en</p>",
language="en",
issn="0002-8614",
doi="10.1111/j.1532-5415.2009.02176.x",
url="http://dx.doi.org/10.1111/j.1532-5415.2009.02176.x"
}