Cited by 63Balance, Gait, and Falls PreventionPhysical Activity and HealthFrailty in Older Adults

A combined physical activity and fall prevention intervention improved mobility-related goal attainment but not physical activity in older adults: a randomised trial

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Oliveira, Juliana S, Sherrington, Catherine, Paul, Serene S, Ramsay, Elisabeth, Chamberlain, Kathryn, Kirkham, Catherine, O'Rourke, Sandra D, Hassett, Leanne +1 more·2019·Journal of Physiotherapy

Abstract

QUESTIONS: In people aged ≥ 60 years, does a combined physical activity and fall prevention intervention affect physical activity and mobility-related goal attainment? Does the combined intervention also improve fall rates, daily steps, the proportion of people meeting the physical activity guidelines, quality of life, mood, fear of falling, and mobility limitation? DESIGN: Randomised trial with concealed allocation, intention-to-treat analysis and assessor blinding. PARTICIPANTS: One hundred and thirty-one people living in the community and aged ≥ 60 years. INTERVENTIONS: The experimental group received one physiotherapist visit, fortnightly telephone-based health coaching, a pedometer, tailored fall prevention advice, and a fall prevention brochure. The control group received the same fall prevention brochure. OUTCOME MEASURES: Primary outcomes were mobility goal attainment (Goal Attainment Scale) and objectively measured physical activity (accelerometer counts per minute) at 6 and 12 months. Secondary outcomes were falls, other physical activity measures, quality of life, fear of falling, mood, and mobility. RESULTS: Participants had a mean age of 71 years (SD 6.5) and 31 (24%) had fallen in the past year. The experimental group reported significantly better mobility goal attainment at 6 months compared to controls (OR 2.0, 95% CI 1.1 to 3.7) but this was not maintained at 12 months (OR 1.1, 95% CI 0.6 to 2.1). Physical activity counts were not significantly different between groups at 6 months (MD 13 counts/minute, 95% CI -98 to 124) or 12 months (MD 56 counts/minute, 95% CI -14 to 125). There were no significant between-group differences in the secondary outcomes. CONCLUSION: A combined physical activity and fall prevention intervention was associated with significantly higher mobility goal attainment at 6 months. There was no significant impact on physical activity but future investigation in a larger trial is warranted. TRIAL REGISTRATION: ACTRN12614000016639.

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Authors
Oliveira, J. S., Sherrington, C., Paul, S. S., Ramsay, E., Chamberlain, K., Kirkham, C., O'Rourke, S. D., Hassett, L., & Tiedemann, A.
Affiliations
The University of Sydney (AU)
Corresponding author
Oliveira, Juliana S
Venue
Journal of Physiotherapy
Publisher
Elsevier BV
Published
2019-01
Volume
65
Issue
1
Pages
16-22
ISSN
1836-9553 (ISSN-L)
OpenAlex
W2905673816
Cited by
63
References
39
Citations by year
2026: 9 · 2025: 5 · 2024: 10 · 2023: 5 · 2022: 12 · 2021: 9 · 2020: 12 · 2019: 1
FWCI
13.12
Type
journal article
Language
en
Open access
Locations
  • Journal of physiotherapy (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • University of Sydney
  • Faculty of Medicine and Health, University of Sydney
Topics
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
Keywords
fall prevention, physical activity, older adults, Goal Attainment Scale, pedometers, telephone health coaching, physiotherapy intervention, falls, fear of falling, quality of life, accelerometer-measured activity
MeSH terms
Accidental Falls, Activities of Daily Living, Aged, Combined Modality Therapy, Female, Goals, Humans, Male, Middle Aged, Quality of Life, Surveys and Questionnaires, Exercise, Mobility Limitation, Accelerometry

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