| Titre : | Older people can stay on their feet : final results of a community-based falls prevention programme. (2000) |
| Auteurs : | Anne KEMPTON ; John BEARD ; Everald GARNER ; T.I.M. SLADDEN ; Eric VAN BEURDEN |
| Type de document : | Article |
| Dans : | Health promotion international (vol. 15, n° 1, 2000/03) |
| Pagination : | 27-33 |
| Langues: | Anglais |
| Mots-clés : | Santé communautaire ; Promotion santé ; Prévention santé ; Personne âgée ; Chute ; Enquête ; Facteur risque ; Australie |
| Résumé : | Objective : To evaluate a multi-strategic community-based intervention to prevent older people falling. Design : A prospective cohort study comparing randomly selected samples from intervention and control area target populations (residents over 60 years). Repeat, cross-sectional (annual) reviews of fall-related hospitalizations were also conducted providing an independent measure of falls incidence in the target populations. Setting : North Coast of New South Wales, Australia (a large, rural region). Subjects : Cohort study (1991-1995) : randomly selected subjects aged 60 years and over, enrolled via telephone interview into intervention and control area cohorts. Cross-sectional study (1991/1992-1994/1995) : all residents aged 60 years and over, from intervention and control areas hospitalized with fall-related injuries. Intervention : A 4-year (1992-1995) multi-strategic intervention targeting fall-related knowledge, attitudes, behaviours and risk factors. Main outcome measures : Self-reported falls and fall-related hospitalization incidence rates. Fall-related knowledge, attitudes, behaviours and risk factor prevalence rates. Results : At follow-up there was a 22% non-significant lower incidence of self-reported falls in the intervention compared to the control cohort (p=0.17). This was supported by a 20% lower fall-related hospitalization rate in target group residents from intervention compared to control areas (p<0.01). |
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