Older People's Views of Falls-Prevention Interventions in Six European Countries

Yardley, Lucy; Bishop, Felicity L.; Beyer, Nina; Hauer, Klaus; Kempen, Gertrudis I. J. M.; Piot-Ziegler, Chantal; Todd, Chris; Cuttelod, Thérèse; Horne, Maria; Lanta, Kyriaki; Holt, Anne Rosell

doi:10.1093/geront/46.5.650

Cited by 247 publications

(267 citation statements)

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“…In group exercise such as Tai Chi, verbal and social persuasion is often provided by peers and the instructor, which itself may lead to increased social connectedness and confidence [81]. It has also been suggested that increased social support from family and peers can increase selfefficacy (belief in own ability to undertake the activity) by giving older adults the confidence to believe that they can carry out the movements [86].…”

Section: Social Impactmentioning

confidence: 99%

Effects of Tai Chi Exercise on Physical and Psychological Health of Older People

Blake¹,

Hawley²

2012

CAS

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Tai Chi is a traditional Chinese form of conditioning exercise derived from martial arts and rooted in eastern philosophy and Chinese Medicine. Based on the inter-relatedness of mind, body and spirit this form of exercise focuses on producing an inner calmness which is thought to have both physical and psychological therapeutic value. This article provides a brief overview of selected current evidence examining the relationship between Tai Chi and physical, neurocognitive and psychosocial outcomes in older people. This is an emerging and growing area of research and improvements have often been reported in health functioning, physical and emotional health, reducing falls, fear of falling and risk of falls, and possibly enhancing cardiovascular functioning in older adults although the effects on bone density, cognitive and immunological functioning are less clear. Results overall are inconsistent and health improvements have not been evident in all studies. Tai Chi is becoming increasingly popular in practice, and more recent evidence is emerging which is based on experimental and longitudinal designs, although many of the proposed benefits of Tai Chi are yet to be validated in large, randomised controlled trials.

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Section: Social Impactmentioning

confidence: 99%

Effects of Tai Chi Exercise on Physical and Psychological Health of Older People

Blake¹,

Hawley²

2012

CAS

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“…In diesem Zusammenhang erfolgte eine separate Recherche zu Ziel-und Wertvorstellungen älterer Menschen mit Sturzereignis oder unter Sturzrisiko. Insgesamt konnten 13 Studien identifiziert werden, davon fünf Studien mit qualitativ-explorativem Design (Carroll, Dykes, & Hurley, 2010, USA;Calhoun et al, 2011, USA;Horton, 2007, UK;Yardley et al, 2006a, DK, GER, UK, NL, CH, GR und Yardley et al, 2006b, UK) vier Surveys (Crombie et al, 2004, UK;Haines, & McPhail, 2011;Hughes et al 2008;Salkeld et al, 2000, AUS), zwei systematische Übersichtsarbeiten (Bunn, Dickinson, Barnett-Page, McInnes, & Horton, 2008;McInnes, & Askie, 2004, UK), eine Querschnittsstudie (Dorresteijn, Rixt Zijlstra, Van Eijs, Vlaeyen, & Kempen, 2012, NL) und eine Studie mit Mixed-Methods Design (Honaker, & Kretschmer, 2014, USA). Die Studien zeigen auf, dass ältere Menschen besser aufgeklärt werden und mehr über die Gründe für ihr Sturzrisiko erfahren wollen (Carroll et al, 2010).…”

Section: Klientenzentrierte Endpunkteunclassified

“…Die Studien zeigen auf, dass ältere Menschen besser aufgeklärt werden und mehr über die Gründe für ihr Sturzrisiko erfahren wollen (Carroll et al, 2010). Sie nehmen insbesondere dann an Sturzpräventionsprogrammen teil, wenn diese ihre Selbstständigkeit, Gesundheit, Autonomie, eigene Entscheidungen zu treffen und soziale Kontaktmöglichkeiten fokussieren (Calhoun et al, 2011;Carroll et al, 2010;Bunn et al, 2008;Hughes et al, 2008;Yardley et al, 2006a;McInnes, & Askie, 2004;Salkeld et al, 2000).…”

Section: Klientenzentrierte Endpunkteunclassified

“…Dazu müssen den Betroffenen ausreichende und verständliche Informationen zur Verfügung gestellt werden. Die Möglichkeit, zwischen unterschiedlichen Sturzpräventionsprogrammen auswählen zu können, wird von älteren Menschen sehr geschätzt (Haines, & McPhail, 2011 (Bunn et al, 2008;Salkeld et al, 2000;Calhoun et al, 2011;Hughes et al, 2008;Yardley et al, 2006a;Calhoun et al, 2011;McInnes, & Askie, 2004). …”

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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“…Not recognizing (the severity of) a fall or not remembering a fall may attribute to the low uptake by older persons who are offered fall prevention programs [41][42][43], as the recognition of falls by the older persons themselves is crucial for the uptake of a fall prevention program. Another problem is that different perceptions and definitions of a fall exist between older persons, researchers, and health professionals [15,19,28].…”

Section: Perceptions Of a Fallmentioning

confidence: 99%