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For whom is a health-promoting intervention effective?: Predictive factors for performing activities of daily living independently
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2016 (English)In: BMC Geriatrics, E-ISSN 1471-2318, Vol. 16, article id 171Article in journal (Refereed) Published
Sustainable development
Sustainable Development
Abstract [en]

Background: Health-promoting interventions tailored to support older persons to remain in their homes, so-called “ageing in place” is important for supporting or improving their health. The health-promoting programme “Elderly Persons in the Risk Zone,” (EPRZ) was set up for this purpose and has shown positive results for maintaining independence in activities of daily living for older persons 80 years and above at 1- and 2 year follow-ups. The aim of this study was to explore factors for maintaining independence in the EPRZ health-promoting programme. Methods: Total of 459 participants in the original trial was included in the analysis; 345 in the programme arm and 114 in the control arm. Thirteen variables, including demographic, health, and programme-specific indicators, were chosen as predictors for independence of activities of daily living. Logistic regression was performed separately for participants in the health promotion programme and in the control arm. Results: In the programme arm, being younger, living alone and self-rated lack of tiredness in performing mobility activities predicted a positive effect of independence in activities of daily living at 1-year follow-up (odds ratio [OR] 1.18, 1.73, 3.02) and 2-year, (OR 1.13, 2.01, 2.02). In the control arm, being less frail was the only predictor at 1-year follow up (OR 1.6 1.09, 2.4); no variables predicted the outcome at the 2-year follow-up. Conclusions: Older persons living alone - as a risk of ill health - should be especially recognized and offered an opportunity to participate in health-promoting programmes such as “Elderly Persons in the Risk Zone”. Further, screening for subjective frailty could form an advantageous guiding principle to target the right population when deciding to whom health-promoting intervention should be offered. Trial registration: The original clinical trial was registered at ClinicalTrials.gov. Identifier: NCT00877058 , April 6, 2009. 

Place, publisher, year, edition, pages
BioMed Central, 2016. Vol. 16, article id 171
Keywords [en]
80 and over, Activities of daily living (ADL), Aged, Ageing, Frail elderly, Health promotion, Logistic regression, aging, controlled study, daily life activity, demography, female, health disparity, health service, human, independent living, male, organization and management, physiology, procedures, psychology, randomized controlled trial, risk assessment, risk factor, statistical model, very elderly, walking difficulty, Activities of Daily Living, Aged, 80 and over, Health Services Needs and Demand, Health Status Disparities, Humans, Logistic Models, Mobility Limitation, Risk Factors
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Occupational Therapy
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URN: urn:nbn:se:hj:diva-54448DOI: 10.1186/s12877-016-0345-8ISI: 000384699700001PubMedID: 27716095Scopus ID: 2-s2.0-84992049157OAI: oai:DiVA.org:hj-54448DiVA, id: diva2:1590213
Available from: 2021-09-02 Created: 2021-09-02 Last updated: 2024-07-04Bibliographically approved

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Gustafsson, Susanne

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