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Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 1: Randomised controlled trial

Open access
Robertson, M Clare, Devlin, Nancy, Gardner, Melinda M, Campbell, A John·2001·BMJ

Abstract

Objectives: To assess the effectiveness of a trained district nurse individually prescribing a home based exercise programme to reduce falls and injuries in elderly people and to estimate the cost effectiveness of the programme. Design: Randomised controlled trial with one year's follow up. Setting: Community health service at a New Zealand hospital. Participants: 240 women and men aged 75 years and older. Intervention: 121 participants received the exercise programme (exercise group) and 119 received usual care (control group); 90% (211 of 233) completed the trial. Main outcome measures: Number of falls, number of injuries resulting from falls, costs of implementing the programme, and hospital costs as a result of falls. Results: Falls were reduced by 46% (incidence rate ratio 0.54, 95% confidence interval 0.32 to 0.90). Five hospital admissions were due to injuries caused by falls in the control group and none in the exercise group. The programme cost $NZ1803 (£523) (at 1998 prices) per fall prevented for delivering the programme and $NZ155 per fall prevented when hospital costs averted were considered. Conclusion: A home exercise programme, previously shown to be successful when delivered by a physiotherapist, was also effective in reducing falls when delivered by a trained nurse from within a home health service. Serious injuries and hospital admissions due to falls were also reduced. The programme was cost effective in participants aged 80 years and older compared with younger participants.

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Crossref · 10.1136/bmj.322.7288.697

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Metadata

Authors
Robertson, M. C., Devlin, N., Gardner, M. M., & Campbell, A. J.
Venue
BMJ
Publisher
BMJ
Published
2001-03-24
Volume
322
Issue
7288
Pages
697
ISSN
  • 0007-1447 (ISSN-L)
  • 0959-8138
  • 1468-5833
OpenAlex
W2169525614
Cited by
539
References
2
FWCI
87.07
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 1: Randomised controlled trial. https://app.cochat.ai/papers/10.1136/bmj.322.7288.697
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Robertson, M. C., Devlin, N., Gardner, M. M., & Campbell, A. J. (2001). Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 1: Randomised controlled trial. BMJ. https://doi.org/10.1136/bmj.322.7288.697

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