Health-Promoting Interventions for Persons Aged 80 and Older Are Successful in the Short Term—Results from the Randomized and Three-Armed Elderly Persons in the Risk Zone Study
Article first published online: 12 MAR 2012
© 2012, Copyright the Authors Journal compilation © 2012, The American Geriatrics Society
Journal of the American Geriatrics Society
Volume 60, Issue 3, pages 447–454, March 2012
How to Cite
Gustafsson, S., Wilhelmson, K., Eklund, K., Gosman-Hedström, G., Zidén, L., Kronlöf, G. H., Højgaard, B., Slinde, F., Rothenberg, E., Landahl, S. and Dahlin-Ivanoff, S. (2012), Health-Promoting Interventions for Persons Aged 80 and Older Are Successful in the Short Term—Results from the Randomized and Three-Armed Elderly Persons in the Risk Zone Study. Journal of the American Geriatrics Society, 60: 447–454. doi: 10.1111/j.1532-5415.2011.03861.x
- Issue published online: 12 MAR 2012
- Article first published online: 12 MAR 2012
- Swedish Institute for Health Sciences
- Research and Development Council of the County of Södra Älvsborg
- SwedBank Sjuhärads Foundation for Research at the Hospital of Södra Älvsborg
- frail elderly;
- intervention studies;
- intention-to-treat analysis
To examine the outcomes of the Elderly Persons in the Risk Zone study, which was designed to evaluate whether it is possible to delay deterioration if a health-promoting intervention is made when an older adult (≥80) is at risk of becoming frail and whether a multiprofessional group intervention is more effective in delaying deterioration than a single preventive home visit with regard to frailty, self-rated health, and activities of daily living (ADLs) at 3-month follow-up.
Randomized, three-armed, single-blind, controlled trial performed between November 2007 and May 2011.
Two urban districts of Gothenburg, Sweden.
Four hundred fifty-nine community-living adults aged 80 and older not dependent on the municipal home help service.
A preventive home visit or four weekly multiprofessional senior group meetings with one follow-up home visit.
Change in frailty, self-rated health, and ADLs between baseline and 3-month follow-up.
Both interventions delayed deterioration of self-rated health (odds ratio (OR) = 1.99, 95% confidence interval (CI) = 1.12–3.54). Senior meetings were the most beneficial intervention for postponing dependence in ADLs (OR = 1.95, 95% CI = 1.14–3.33). No effect on frailty could be demonstrated.
Health-promoting interventions made when older adults are at risk of becoming frail can delay deterioration in self-rated health and ADLs in the short term. A multiprofessional group intervention such as the senior meetings described seems to have a greater effect on delaying deterioration in ADLs than a single preventive home visit. Further research is needed to examine the outcome in the long term and in different contexts.