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Healthcare 2017, 5(4), 66; doi:10.3390/healthcare5040066

Falls and Fear of Falling among Persons Who Receive Housing Adaptations—Results from a Quasi-Experimental Study in Sweden

Department of Health Sciences, Lund University, Box 157, SE-221 00 Lund, Sweden
Memory Clinic, Skåne University Hospital, SE-214 28 Malmö, Sweden
Author to whom correspondence should be addressed.
Academic Editor: Sampath Parthasarathy
Received: 30 August 2017 / Revised: 15 September 2017 / Accepted: 22 September 2017 / Published: 29 September 2017
(This article belongs to the Special Issue Ageing with Chronic Disease and Disability)
View Full-Text   |   Download PDF [426 KB, uploaded 29 September 2017]   |  


While health might deteriorate through the ageing and disablement process, the impacts of disability can be reduced by adapting the environment. This study aimed to investigate the effects of applying a standardized research-based strategy to housing adaptation as compared to ordinary practice with respect to falls and fear of falling. Another aim was to investigate the overall effects of housing adaptations on fall-related outcomes over time. In total, 196 clients were included at baseline, with follow-up at 3 and 6 months after the housing adaptation was implemented. The only significant difference between the two approaches was identified with respect to fear of falling at 3 months after the housing adaptation, but not after 6 months. The number of clients reporting actual falls increased over time in both sites, whereas the number of reported near-falls decreased most in the intervention site, but without significant differences. Thus, the patterns of differences between the sites are inconsistent, as are the patterns of change in fall-related outcomes. An overall conclusion is that if the goal is to improve fall-related outcomes, housing adaptation should be complemented with other interventions preventing falls and explicitly address the clients’ activity limitations. In addition, longer follow-up times are necessary. View Full-Text
Keywords: active ageing; frailty; home modification; intervention; disability; controlled trial active ageing; frailty; home modification; intervention; disability; controlled trial

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Carlsson, G.; Nilsson, M.H.; Ekstam, L.; Chiatti, C.; Malmgren Fänge, A. Falls and Fear of Falling among Persons Who Receive Housing Adaptations—Results from a Quasi-Experimental Study in Sweden. Healthcare 2017, 5, 66.

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