Health Promotion Can Postpone Frailty: Results from the RCT Elderly Persons in the Risk Zone

Abstract

The results in this study show the potential of health promotion to older persons. The multiprofessional approach, including a broad spectrum of information and knowledge, might have been an important factor contributing to a more positive view of aging.

Interventions to prevent or reduce the level of frailty in community-dwelling older adults: a scoping review of the literature and international policies

“…Mean BI at baseline for IG was 73.4 (SD 2.35) and CG 70.8 (SD 2.35) BI scale ranges (0–90). The mean chair stand test at baseline was 19.55 (SD 0.7) for the IG and 17.05 (SD 0.9) for CGThe IG had greater improvements in all physical frailty tests and those results were maintained at week 36 and significantGustafsson 2012 [23, 30]Adjusted CHS criteriaAt baseline 70% in the CG was pre-frail (1–2 FM), and 19% frail (>2 FM) and this was 67% and 20% in preventative home visits group and 70% and 16% in senior meetings groupThe findings showed an non-significant intervention effectKim 2015 [18]The CHS criteriaAt baseline the Ex+ MFGm group 33% had 3, 49% had 4 and 18% had 5 FM, the Ex+ placebo 54% had 3, 30% had 4 and 15% had 5 FM. the MFGM group at baseline 44% had 3, 41% had 4 and 15% had 5.…”

“…Thus, new interventions need to be developed to identify interventions with a larger impact on clinically important outcomes which is in line with the recommendations recently published in the White Book on frailty [6] and as suggested by Fairhall et al . [30], such as measures of participation in life roles. Although these measures are relatively unused in research focused on frailty, they align with the description of ‘social and cognitive frailty’ and our stakeholder feedback to use a broader definition of frailty and to include psychosocial well-being.…”

Health promotion interventions for community-dwelling older people with mild or pre-frailty: a systematic review and meta-analysis

“…However, cohort and cross-sectional studies suggest that mood, cognitive state and loneliness can be important determinants of frailty and functional decline [37–40] and stakeholders have argued for broader interventions addressing a wider range of frailty components such as these [11]. Combined interventions have shown additive effects in some RCTs in combined pre-frail and frail populations [41–43], though others have found mixed effects for multidimensional interventions such as comprehensive geriatric assessment) [11, 44–47]. This suggests further investigation of effective combinations of components is needed.…”

Identifying acceptable components for home-based health promotion services for older people with mild frailty: A qualitative study

“…Currently, the few interventions targeted at mild frailty focus mainly upon exercise to increase mobility, occasionally with changes in nutrition, or problem-solving therapy (Brown et al, 2000;Chan et al, 2012;Frost et al, 2017;Tieland et al, 2012), but neglect related issues such as social isolation, low mood, and sensory or cognitive impairment (Lang, Michel, & Zekry, 2009). Interventions which are multidimensional and home-based tend to target either broader or frailer populations, have had mixed success and can lack clarity as to their effective "active ingredients" (Behm et al, 2015;Li, Chen, Li, Wang, & Wu, 2010;Puts et al, 2017;Tappenden, Campbell, Rawdin, Wong, & Kalita, 2012). Stakeholder involvement in intervention development is recommended to maximise the acceptability, relevance and feasibility of frailty interventions (Gwyther et al, 2017) and can produce substantial changes (van Velsen et al, 2015).…”