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Evaluation of Implementing a Home-Based Fall Prevention Program among Community-Dwelling Older Adults
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Factors Associated with Participation of Community-Dwelling Older Adults in a Home-Based Falls Prevention Program

1
Erasmus MC, Department of Public Health, University Medical Center Rotterdam, 3000 CA Rotterdam, The Netherlands
2
GENERO Foundation, 3001 AE Rotterdam, The Netherlands
3
Amsterdam UMC, Department of Internal Medicine, University of Amsterdam, Section of Geriatric Medicine, Amsterdam Public Health Research Institute, 1105 AZ Amsterdam, The Netherlands
4
Department of Geriatric Medicine, Radboud University Medical Center, 6525 GC Nijmegen, The Netherlands
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(6), 1087; https://doi.org/10.3390/ijerph16061087
Received: 4 February 2019 / Revised: 15 March 2019 / Accepted: 22 March 2019 / Published: 26 March 2019
(This article belongs to the Collection Falls in Older Adults: Risk and Prevention)
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Abstract

This observational study was conducted to determine which factors are associated with frequent participation in a home-based exercise program. The effects of frequent participation on health-related outcomes over time are investigated, as well. Community-dwelling adults aged ≥65 years participated in a twelve-week home-based exercise program. The program consisted of an instruction book with exercises that were performed individually at home. Frequent participation was classified as performing exercises of the instruction book daily or a few days a week during the study period. A logistic regression analysis was performed to determine the association between factors (i.e., demographic and health-related characteristics) and frequent participation. Furthermore, to investigate the effects of frequent participation on health-related outcomes, generalized linear and logistic regression models were built. A total of 238 participants (mean age 81.1 years (SD ± 6.7), 71% female) were included in the study. Frequent participation during the study period was indicated by fifty-two percent of participants. Analyses showed that a higher degree of pain (OR: 1.02, 95% CI: 1.–1.04) was associated with frequent participation. In addition, the effect of frequent participation over time was a significant improvement in current health perceptions (B: 4.46, SE: 1.99). View Full-Text
Keywords: accidental falls; aged; prevention and control; exercise; independent living accidental falls; aged; prevention and control; exercise; independent living
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Olij, B.F.; Barmentloo, L.M.; Smilde, D.; van der Velde, N.; Polinder, S.; Schoon, Y.; Erasmus, V. Factors Associated with Participation of Community-Dwelling Older Adults in a Home-Based Falls Prevention Program. Int. J. Environ. Res. Public Health 2019, 16, 1087.

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