Fall-Prevention Exercises With or Without Behavior Change Support for Community-Dwelling Older Adults: A 2-Year Follow-Up of a Randomized Controlled Trial

in Journal of Aging and Physical Activity

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Marina Arkkukangas
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Susanna Tuvemo Johnson
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Karin Hellström
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Elisabeth Anens
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Michail Tonkonogi
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Ulf Larsson
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DOI:
https://doi.org/10.1123/japa.2019-0116
Keywords:
falls; motivational interviewing; physical activity; randomized controlled trial
In Print:
Volume 28: Issue 1
Page Range:
34–41
Restricted access

This study investigates the effectiveness of two fall-prevention exercise interventions targeting physical performance, activity level, fall-related self-efficacy, health-related quality of life, and falls: the Otago Exercise Programme (OEP) with and the OEP without behavior change support. In this randomized controlled trial, 175 participants were randomized into two intervention groups and one control group. A total of 124 community-dwelling older adults aged 75 and older who needed walking aids or home support participated in the 2-year follow-up. The OEP with and without support for behavior change displayed no long-term benefits on physical performance, fall-related self-efficacy, health-related quality of life, and falls compared with a control group. Although no significant differences were detected between the groups, the results implied the control group’s physical activity level decreased compared with the intervention groups at 2-year follow-up.

Arkkukangas, Tuvemo Johnson, Hellström, and Anens are with Physiotherapy, Department of Neuroscience, Uppsala University, Uppsala, Sweden. Arkkukangas and Larsson are with the Centre for Clinical Research, Sörmland County Council, Uppsala University, Uppsala, Sweden. Tonkonogi is with the Department of Medicine, Sport and Fitness Science, School of Education, Health and Social Studies, Högskolan Dalarna, Falun, Sweden.

Arkkukangas (marina.arkkukangas@fou.sormland.se) is corresponding author.
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