scholarly journals Methodology of a home-based motor control exercise and ergonomic intervention programme for community-dwelling older people: The McHeELP study

2021 ◽  
Vol 06 (03) ◽  
pp. 153-162
Author(s):  
Maria Tsekoura ◽  
Sophia Stasi ◽  
John Gliatis ◽  
Vasiliki Sakellari
Keyword(s):  
Motor Control ◽  
Older People ◽  
Community Dwelling ◽  
Intervention Programme ◽  
Home Based ◽  
Community Dwelling Older People ◽  
Control Exercise ◽  
Ergonomic Intervention

scholarly journals Effectiveness of falls prevention intervention programme in community-dwelling older people in Thailand: Randomized controlled trial

2018 ◽  
Vol 38 (01) ◽  
pp. 1-11 ◽  
Author(s):  
Plaiwan Suttanon ◽  
Pagamas Piriyaprasarth ◽  
Kitsana Krootnark ◽  
Thanyaporn Aranyavalai
Keyword(s):  
Older People ◽  
Exercise Programme ◽  
Community Dwelling ◽  
Falls Prevention ◽  
Intervention Programme ◽  
Prevention Intervention ◽  
Falls Risk ◽  
Home Based ◽  
Balance Exercise ◽  
Community Dwelling Older People

Background: Although there is extensive research on falls prevention, most of this knowledge is from western countries, and this may limit its usefulness when implementing in countries with different culture and healthcare systems.Objective: This study evaluated the feasibility and effectiveness of a falls prevention intervention programme for older people in Thailand.Methods: Two hundred and seventy-seven community-dwelling older people were randomized to either an intervention programme which included an education about falls risk management plus a home-based balance exercise delivered by a physiotherapist for four-month duration or control group. Falls, balance, physical activity, and other falls risk factors were measured at baseline and after programme completion.Results: About 90% of the participants in the intervention group completed the programme, with very high adherence to the exercise programme, though poor compliance with the suggestions of other falls risks management. There were no falls or injuries related to the exercise programme reported. There was no significant difference in falls rate between the two groups.Conclusion: This falls prevention program was not effective in reducing falls in community-dwelling older people in Thailand. However, the study provided encouraging evidence that home-based balance exercise could be practically implemented in older people living in communities in Thailand.

A home-based, carer-enhanced exercise program improves balance and falls efficacy in community-dwelling older people with dementia

2016 ◽  
Vol 29 (1) ◽  
pp. 81-91 ◽  
Author(s):  
Morag E. Taylor ◽  
Stephen R. Lord ◽  
Henry Brodaty ◽  
Susan E. Kurrle ◽  
Sarah Hamilton ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older People ◽  
Exercise Program ◽  
Community Dwelling ◽  
Future Research ◽  
Exercise Interventions ◽  
People With Dementia ◽  
Home Based ◽  
Increased Risk ◽  
Community Dwelling Older People

ABSTRACTBackground:Older people with dementia are at increased risk of physical decline and falls. Balance and mood are significant predictors of falls in this population. The aim of this study was to determine the effect of a tailored home-based exercise program in community-dwelling older people with dementia.Methods:Forty-two participants with mild to moderate dementia were recruited from routine health services. All participants were offered a six-month home-based, carer-enhanced, progressive, and individually tailored exercise program. Physical activity, quality of life, physical, and psychological assessments were administered at the beginning and end of the trial.Results:Of 33 participants (78.6%) who completed the six-month reassessment ten (30%) reported falls and six (18%) multiple falls during the follow-up period. At reassessment, participants had better balance (sway on floor and foam), reduced concern about falls, increased planned physical activity, but worse knee extension strength and no change in depression scores. The average adherence to the prescribed exercise sessions was 45% and 22 participants (52%) were still exercising at trial completion. Those who adhered to ≥70% of prescribed sessions had significantly better balance at reassessment compared with those who adhered to <70% of sessions.Conclusions:This trial of a tailored home-based exercise intervention presents preliminary evidence that this intervention can improve balance, concern about falls, and planned physical activity in community-dwelling older people with dementia. Future research should determine whether exercise interventions are effective in reducing falls and elucidate strategies for enhancing uptake and adherence in this population.

Improving the social health of community-dwelling older people living with dementia through a reablement program

2017 ◽  
Vol 30 (6) ◽  
pp. 915-920 ◽  
Author(s):  
Yun-Hee Jeon ◽  
Lindy Clemson ◽  
Sharon L. Naismith ◽  
Loren Mowszowski ◽  
Niki McDonagh ◽  
...  
Keyword(s):  
Older People ◽  
Well Being ◽  
Community Dwelling ◽  
Social Health ◽  
Community Activities ◽  
Home Based ◽  
Moderate Dementia ◽  
The Social ◽  
Community Dwelling Older People ◽  
Health And Well Being

ABSTRACTPsychological, neurological, and social impairments caused by dementia may limit the person's everyday living and experiences, but their capacity to enjoy a meaningful life is still retained. Increasingly, evidence has been shown the importance of reablement approaches to care in maximizing the older person's independence, health, and well-being through increased engagement in their daily, physical, social, and community activities. However, there is a major knowledge gap in providing reablement for people living with dementia. We describe one case of a client with moderate dementia and her daughter carer who participated as a dyad in a person centered, interdisciplinary, and reablement program called I-HARP (Interdisciplinary home-based reablement program). I-HARP is designed to improve functional capacity of those community dwelling, older people living with dementia, and other health conditions. In this paper, we discussed key contributions that such a reablement approach to care can make to optimizing the social health of people living with dementia.

scholarly journals Determinants of home-based formal help in community-dwelling older people in Finland

2008 ◽  
Vol 5 (4) ◽  
pp. 335-347 ◽  
Author(s):  
Jenni Blomgren ◽  
Pekka Martikainen ◽  
Tuija Martelin ◽  
Seppo Koskinen
Keyword(s):  
Older People ◽  
Community Dwelling ◽  
Home Based ◽  
Community Dwelling Older People

Prioritization and management of calls from older people to GP out-of-hours services

2021 ◽  
Vol 33 (1) ◽  
Author(s):  
Suzanne Smith ◽  
Lucia Carragher
Keyword(s):  
Older People ◽  
Service Provision ◽  
Emergency Services ◽  
Oldest Old ◽  
Community Dwelling ◽  
Third Party ◽  
Older Person ◽  
Out Of Hours ◽  
Accident And Emergency ◽  
Community Dwelling Older People

Abstract Background Urgent out-of-hours medical care is necessary to ensure people can remain living at home into older age. However, older people experience multiple barriers to using out-of-hours services including poor awareness about the general practitioner (GP) out-of-hours (GPOOH) service and how to access it. In particular, older people are reluctant users of GPOOH services because they expect either their symptoms will not be taken seriously or they will simply be referred to hospital accident and emergency services. The aim of this study was to examine if this expectation was borne out in the manner of GPOOH service provision. Objective The objective was to establish the urgency categorization and management of calls to GPOOH , for community dwelling older people in Ireland. Methods An 8-week sample of 770 calls, for people over 65 years, to a GPOOH service in Ireland, was analysed using Excel and Nvivo software. Results Urgency categorization of older people shows 40% of calls categorized as urgent. Recognition of the severity of symptoms, prompting calls to the GPOOH service, is also reflected in a quarter of callers receiving a home visit by the GP and referral of a third of calls to emergency services. The findings also show widespread reliance on another person to negotiate the GPOOH system, with a third party making 70% of calls on behalf of the older person seeking care. Conclusion Older people are in urgent need of medical services when they contact GPOOH service, which plays an effective and patient-centred gatekeeping role, particularly directing the oldest old to the appropriate level of care outside GP office hours. The promotion of GPOOH services should be enhanced to ensure older people understand their role in supporting community living.

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