%0 Journal Article
%T Preventing disability and falls in older adults: a population-based randomized trial
%J American journal of public health
%D 1994
%A Wagner, E. H.
%A LaCroix, A. Z.
%A Grothaus, L.
%A Leveille, S. G.
%A Hecht, J. A.
%A Artz, K.
%A Odle, K.
%A Buchner, D. M.
%V 84
%N 11
%P 1800-1806
%X OBJECTIVES: Because preventing disability and falls in older adults is a national priority, a randomized controlled trial was conducted to test a multicomponent intervention program. METHODS: From a random sample of health maintenance organization (HMO) enrollees 65 years and older, 1559 ambulatory seniors were randomized to one of three groups: a nurse assessment visit and follow-up interventions targeting risk factors for disability and falls (group 1, n = 635); a general health promotion nurse visit (group 2, n = 317); and usual care (group 3, n = 607). Data collection consisted of a baseline and two annual follow-up surveys. RESULTS: After 1 year, group 1 subjects reported a significantly lower incidence of declining functional status and a significantly lower incidence of falls than group 3 subjects. Group 2 subjects had intermediate levels of most outcomes. After 2 years of follow-up, the differences narrowed. CONCLUSIONS: The results suggest that a modest, one-time prevention program appeared to confer short-term health benefits on ambulatory HMO enrollees, although benefits diminished by the second year of follow-up. The mechanisms by which the intervention may have improved outcomes require further investigation.<p /><p>Language: en</p>
%G en
%I American Public Health Association
%@ 0090-0036
%U http://dx.doi.org/