Effects of a One-Year Home-Based Case Management Intervention on Falls in Older People: A Randomized Controlled Trial

in Journal of Aging and Physical Activity
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Objectives:

To investigate the effects of a home-based one-year case management intervention in older people with functional dependency and repeated contact with the health care services on self-reported falls and self-reported injurious falls.

Methods:

The study was a randomized controlled trial with repeated follow-ups. The sample (n = 153) was consecutively and randomly assigned to the intervention group (n = 80, mean age = 81.4 [SD 5.9]) or control group (n = 73, mean age = 81.6 [SD 6.8]). The intervention group received a case management intervention which comprised monthly home visits during 12 months by nurses and physiotherapists employing a multifactorial preventive approach.

Results:

In the intervention group, 96 falls occurred during the intervention period compared with 85 falls in the control group (p = .900). There were 40 and 38 injurious falls (p = .669) in the intervention and control groups, respectively.

Conclusions:

This home-based case management intervention was not able to prevent falls or injurious falls.

Olsson Möller, Midlöv, and Jakobsson are with the Center for Primary Health Care Research, Faculty of Medicine, Lund University, Malmö, Sweden. Olsson Möller and Kristensson are with the Swedish Institute for Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden. Olsson Möller, Kristensson, and Ekdahl are with the Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden. Midlöv and Jakobsson are with the Department of Clinical Sciences in Malmö, Faculty of Medicine, Lund University, Malmö, Sweden.

Address author correspondence to Ulrika Olsson Möller at ulrika.olsson_moller@med.lu.se.