Home Visits by an Occupational Therapist for Assessment and Modification of Environmental Hazards: A Randomized Trial of Falls Prevention

Cumming, Robert G.; Thomas, Margaret H.; Szonyi, George; Salkeld, Glenn; O’Neill, Elizabeth; Westbury, Christine; Frampton, Gina

doi:10.1111/j.1532-5415.1999.tb01556.x

Cited by 445 publications

(353 citation statements)

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“…For example, stairs intervene as a barrier for walker users, and ramps are a facilitator for wheelchair users. 30 Some clinical trials have shown that the removal of architectural barriers, such as stairs, slowed the dependence on ADLs 31 and decreased the incidence of falls 32,33 and the costs of certain health and social services. 31 Some limitations should be mentioned.…”

Section: Discussionmentioning

confidence: 99%

Homebound status among middle-aged and older adults with disabilities in ADLs and its associations with clinical, functional, and environmental factors

Celeiro

Santos-del-Riego

Muñiz

2017

Disability and Health Journal

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Background. Homebound status is associated with poor health, comorbidity, and mortality and represents a major challenge for health systems. However, its prevalence among people with disabilities in the basic activities of daily living (ADLs) is unknown. Objectives. The objectives were to: (1) examine the prevalence of the homebound status among middle-aged and older adults with disabilities in ADLs, and (2) identify its clinical, functional, and environmental determinants.Methods. This study included 221 community-dwelling subjects, aged ≥50 years, who applied for long-term care services at the Office for Legal Certification of Long-term Care Need of Coruña (Spain). Each subject had a disability in ADLs and was interviewed by a trained examiner in the subject's home. The participants were considered homebound if they remained inside their home during the previous week. Measures. Demographic, clinical, functional, and environmental factors. Multiple logistic regression was used to determine the factors associated with homebound status. Results. The prevalence of homebound status was 39.8%. A multivariate analysis revealed that the presence of architectural barriers at the home entrance (stairs [OR: 6.67, p < 0.001] or a heavy door [OR: 2.83, p = 0.023]), walking ability limitations (OR: 3.26, p = 0.006), and higher age (OR: 1.05, p = 0.04) were associated with homebound status. Conclusions. Homebound status is a highly prevalent problem among middle-aged and older adults with disabilities in ADLs. Architectural factors in the home and walking ability limitations seem to be important predictors, suggesting that health care interventions should target home adaptations and mobility skills as a means to preventing or decreasing homebound status.

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Section: Discussionmentioning

confidence: 99%

Homebound status among middle-aged and older adults with disabilities in ADLs and its associations with clinical, functional, and environmental factors

Celeiro

Santos-del-Riego

Muñiz

2017

Disability and Health Journal

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“…Occupational therapy expertise is valued for its fall prevention interventions such as assertiveness training, exercise programmes, home evaluations and modification, functional assessments, assistive device training, and risk-reduction education (Caldeira & Reitz, 2009). In addition, exercise and home visits performed by occupational therapists will facilitate self-reflection and improve awareness of the risk factors of the environment surrounding the patient in order to prevent future falls (Caldeira & Reitz, 2009;Cumming et al, 1999).…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of the Exercise Education Programme on Fall Prevention of the Community-dwelling Elderly: A Preliminary Study

Chang

Huang

Jung³

2011

Hong Kong Journal of Occupational Therapy

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Objective: The purpose is to identify the effects of the exercise education programme on fall prevention of community-dwelling elderly. Methods: A single blind preliminary randomized control trial was conducted. Participants (N Z 10) in the experimental group was assigned to an exercise education programme which consisted of 28 sessions, 30w40 minutes per day for 4 weeks and a self-management telephone monitoring programme once every two days. Participants (N Z 8) in the control group received no intervention. The effectiveness of exercise education programme was measured by fall index, balance confidence scale, and balance scale. Results: The fall risks decreased from moderate to minimum in the experimental group (p < .001). Balance confidence scores increased, especially 6 items measured statistically significant increases (p < .05). However, balance scores did not show statistically significant improvement. Conclusion: The exercise education programme might be effective for fall prevention of community-dwelling elderly.

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“…Sie können in monofaktorielle Trainingsprogramme (Cumming et al, 1999;Steultjens, Dekker, Bouter, Jellema, & Bakker, 2004;Clemson, Mackenzie, Ballinger, Close, & Cumming, 2008;Costello, & Edelstein, 2008;Sherrington et al, 2008;Davis et al, 2010;Sherrington, Tiedemann, Fairhall, Close, & Lord, 2011;Leland, Elliott, O'Malley, & Murphy, 2012) und in multifaktorielle Trainingsprogramme (Steultjens et al, 2004;Costello, & Edelstein, 2008;Peterson, & Clemson, 2008, Sherrington et al, 2008Davis et al, 2010;Sherrington et al, 2011;Leland, et al, 2012) eingeteilt werden. Beide Formen können entweder als Gruppen-oder Einzeltraining in der eigenen Häuslichkeit angeboten werden (Costello, & Edelstein, 2008 (Steultjens et al, 2004;Costello, & Edelstein, 2008;Sherrington et al, 2008;Davis et al, 2010;Sherrington et al, 2011), c) Anleitung, Beratung und Edukation von Angehörigen (Steultjens et al, 2004) sowie d) additiv-begleitendes Training kognitiver Funktionen (Steultjens et al, 2004).…”

Section: Wirkweise Körperlicher Trainingsprogrammeunclassified

“…Monofaktorielle wie auch multifaktorielle Programme sind maßgeschneidert und enthalten vornehmlich diejenigen Trainingselemente, die zuvor mittels Assessments identifiziert wurden. Gemäß der Meta-Analyse von Sherrington et al (2011) (Cumming et al, 1999;Pardessus et al, 2002;Steultjens et al, 2004;Costello, & Edelstein, 2008;Clemson et al, 2008;Davis et al, 2010;Pighills, Torgerson, Sheldon, Drummond, & Bland, 2011;Leland et al, 2012;Ballinger, & Brooks, 2013 (Peterson, & Clemson, 2008). Der Durchführung von Wohnraumanpassungen durch Ergotherapeuten/-innen wird hohes Potenzial zugeschrieben (Costello, & Edelstein, 2008), da Ergotherapeuten/-innen über die notwendigen fachlichen Qualifikationen verfügen, insbesondere bei der Durchführung von Wohnraumassessments und -anpassungen (Steinmetz, & Hobson, 1994;Cumming et al, 1999;Lampiasi, & Jacobs, 2010).…”

Section: Wirkweise Körperlicher Trainingsprogrammeunclassified

“…Durch die systematische Recherche konnte ein "Cochrane Review (CR)" aus dem Jahr 2012 identifiziert werden (Gillespie, Robertson, Gillespie, Sherrington, Gates, Clemson, & Lamb, 2012 (Steinberg, Cartwright, Peel, & Williams, 2000;Wilder, 2001;Day et al, 2002;Clemson et al, 2004 (Gillespie et al, 2012;Clemson et al, 2012;Burton et al, 2013a, b;Luck et al, 2013;Hill et al, 2013;Keall et al, 2015). • Weiterhin wurde neben der PI-S3 Recherche eine Cluster randomisiert kontrollierte Studie von Keall et al (2015) recherchiert (Cumming et al, 1999;Wolf et al, 2003;Korpelainen, Keinanen-Kiukaanniemi, Heikkinen, Vaananen, & Korpelainen, 2006;Voukelatos et al, 2007;Kamide, Shiba, & Shibata, 2009;Smulders et al, 2010) und in zehn Studien (Carter et al, 2002;Wolf et al, 2003;Lord et al, 2003;Skelton, Dinan, Campbell, & Rutherford, 2005;Lannin et al, 2007;Voukelatos et al, 2007;Logghe et al, 2009;Huang, Liu, Huang, & Kernohan, 2010;Smulders et al, 2010;Pighills et al, 2011) (Gillespie et al, 2012). Um das Sturzrisiko im häuslichen Umfeld einzuschätzen, wurde in drei Studien das "Westmead Home Safety Assessment" (WeHSA), welches von Clemson (1997) entwickelt wurde, eingesetzt Lannin et al, 2007;Pighills et al, 2011).…”

Section: Evidenzlageunclassified

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Potential analysis for research on occupational therapy-led physical exercise programmes and home environment adaptation programmes to prevent falls for elderly people living at home / Potenzialanalyse zu ergotherapeutischen körperlichen Trainingsprogrammen und Wohnraumanpassungen zur Vermeidung von Stürzen bei zu Hause lebenden älteren Menschen

Müller

Lautenschläger

Voigt-Radloff

2016

International Journal of Health Professions

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Background:In Germany, four to five million community-dwelling people aged 65 years or older fall every year. The presented potential analysis evaluates the potential of occupational therapy-led physical exercise programs and home environment adaptations to reduce the frequency of falling and as well as intrinsic and extrinsic risk factors for falling of older people living at home. Methods: The potential analysis was compiled according to a method guideline (p.11-22) available as follows: http://www.cochrane. de/news/leitfaden-f%C3%BCr-gesundheitsfachberufe-mai-2013. The research question of fall prevention was considered as very relevant for health care and specified according to the PICOS-system. A Cochrane review was systematically searched and the body of evidence was assessed using the GRADE-system. In addition, studies after the search period of the Cochrane review were identified using the search strategy of this review. Both the studies within and after the review were assessed regarding their transferability to the German health care context. . However, direct implementation into the German healthcare context is not recommendable. Implication for research: It is recommended (1) to manualise identified home environment adaptation programmes for the German healthcare context and (2) to pilot-test the physical exercise programmes `LiFE` with regard to theoretical framework, acceptance, applicability and feasibility and to examine both interventions as part of a feasibility study. If this trial results in a feasible treatment programme well accepted by patients and their treating occupational therapists, a large-scaled randomized clinical trial in terms of comparative effectiveness research may follow. Abstract

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Home Visits by an Occupational Therapist for Assessment and Modification of Environmental Hazards: A Randomized Trial of Falls Prevention

Cited by 445 publications

References 21 publications

Homebound status among middle-aged and older adults with disabilities in ADLs and its associations with clinical, functional, and environmental factors

Homebound status among middle-aged and older adults with disabilities in ADLs and its associations with clinical, functional, and environmental factors

The Effectiveness of the Exercise Education Programme on Fall Prevention of the Community-dwelling Elderly: A Preliminary Study

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