Emily M Simek1, Lucy McPhate2, Terry P Haines3. 1. Monash University, Physiotherapy Department, McMahons Road, Frankston, Victoria, 3199, Australia. Electronic address: emsim5@student.monash.edu.au. 2. Monash University, Physiotherapy Department, McMahons Road, Frankston, Victoria, 3199, Australia. Electronic address: lmcp2@student.monash.edu.au. 3. Monash University, Physiotherapy Department, McMahons Road, Frankston, Victoria, 3199, Australia; Southern Health Allied Health Research Unit, Kingston Centre, Cheltenham, Victoria, 3192, Australia. Electronic address: terrence.haines@monash.edu.
Abstract
OBJECTIVE: To determine whether adherence to home exercise interventions for the prevention of falls in older adults relates to home exercise program characteristics and intervention efficacy. METHODS: In Australia (2011) a systematic literature search of four databases was conducted. Randomized controlled trials were included. Random-effects meta-analysis of participant adherence rates was performed. Meta-regression analyses were used to determine the relationship between intervention program characteristics, intervention efficacy and adherence. RESULTS: Twenty-three studies met the inclusion criteria. The pooled estimate of participants who were fully adherent was 21% (95% Confidence Interval: 15%-29%, range: 0%-68%). Higher levels of full adherence were found in interventions containing balance or walking exercise, moderate home visit support, physiotherapist led delivery and no flexibility training. Higher levels of partial adherence were found in interventions containing home visit or telephone support, a participant health service recruitment approach and no group exercise training. Neither full nor partial adherence to prescribed home exercise program dosages was associated with intervention efficacy. CONCLUSION: Adherence to home exercise for the prevention of falls in older adults is low and may be affected by home exercise program characteristics. There is an absence of evidence to link adherence to intervention efficacy.
OBJECTIVE: To determine whether adherence to home exercise interventions for the prevention of falls in older adults relates to home exercise program characteristics and intervention efficacy. METHODS: In Australia (2011) a systematic literature search of four databases was conducted. Randomized controlled trials were included. Random-effects meta-analysis of participant adherence rates was performed. Meta-regression analyses were used to determine the relationship between intervention program characteristics, intervention efficacy and adherence. RESULTS: Twenty-three studies met the inclusion criteria. The pooled estimate of participants who were fully adherent was 21% (95% Confidence Interval: 15%-29%, range: 0%-68%). Higher levels of full adherence were found in interventions containing balance or walking exercise, moderate home visit support, physiotherapist led delivery and no flexibility training. Higher levels of partial adherence were found in interventions containing home visit or telephone support, a participant health service recruitment approach and no group exercise training. Neither full nor partial adherence to prescribed home exercise program dosages was associated with intervention efficacy. CONCLUSION: Adherence to home exercise for the prevention of falls in older adults is low and may be affected by home exercise program characteristics. There is an absence of evidence to link adherence to intervention efficacy.
Authors: Oliver Faude; Lars Donath; Micha Bopp; Sara Hofmann; Daniel Erlacher; Lukas Zahner Journal: Int Arch Occup Environ Health Date: 2014-10-30 Impact factor: 3.015
Authors: Peter M Wayne; Danielle L Berkowitz; Daniel E Litrownik; Julie E Buring; Gloria Y Yeh Journal: Arch Phys Med Rehabil Date: 2014-05-27 Impact factor: 3.966
Authors: Julie Bruce; Anower Hossain; Ranjit Lall; Emma J Withers; Susanne Finnegan; Martin Underwood; Chen Ji; Chris Bojke; Roberta Longo; Claire Hulme; Susie Hennings; Ray Sheridan; Katharine Westacott; Shvaita Ralhan; Finbarr Martin; John Davison; Fiona Shaw; Dawn A Skelton; Jonathan Treml; Keith Willett; Sarah E Lamb Journal: Health Technol Assess Date: 2021-05 Impact factor: 4.014
Authors: Jasmine K Zia; Pamela Barney; Kevin C Cain; Monica E Jarrett; Margaret M Heitkemper Journal: Clin Gastroenterol Hepatol Date: 2015-11-19 Impact factor: 11.382
Authors: Josje D Schoufour; Michael Tieland; Rocco Barazzoni; Somaya Ben Allouch; Joey van der Bie; Yves Boirie; Alfonso J Cruz-Jentoft; Doris Eglseer; Eva Topinková; Bart Visser; Trudy Voortman; Amalia Tsagari; Peter J M Weijs Journal: Front Nutr Date: 2021-05-24
Authors: Lori A Schrodt; Rachel A Sledge; Colleen Hergott; Beth Rohrer; Jennifer Sidelinker; Jennifer S Brach; Jennifer Vincenzo; Kathleen D Shirley; Tiffany E Shubert Journal: Top Geriatr Rehabil Date: 2021 Jul-Sep
Authors: Jennifer L Vincenzo; Susan Kane Patton; Leanne L Lefler; Pearl A McElfish; Jeanne Wei; Geoffrey M Curran Journal: Arch Gerontol Geriatr Date: 2021-12-13 Impact factor: 4.163