Effects of a programme of multifactorial home visits on falls and mobility impairments in elderly people at risk: randomised controlled trial

• Published in: BMJ Vol. 321; no. 7267; pp. 994 - 998
• Main Authors: van Haastregt, Jolanda C M, Diederiks, Jos P M, van Rossum, Erik, de Witte, Luc P, Voorhoeve, Peter M, Crebolder, Harry F J M
• Format: Journal Article
• Language: English
• Published: London British Medical Journal Publishing Group 21.10.2000; British Medical Association; BMJ Publishing Group LTD; BMJ Publishing Group; BMJ
• Edition: International edition
• Subjects: Accidental Falls - prevention & control; Accidental Falls - statistics & numerical data; Aged; Biological and medical sciences; Clinical trials; Communities; Community Health Nursing - methods; Falls; Female; Gait; General Practice; Health care; Health care industry; Health care outcome assessment; Health outcomes; Health risk assessment; Home care services; Home health care; House Calls; Humans; Intervention; Likert scale; Male; Medical sciences; Mental health; Mobility; Multiple trauma; Nurses; Older adults; Older people; Performance evaluation; Psychoeducational intervention; Residence Characteristics; Statistics, Nonparametric; Traumas. Diseases due to physical agents; Netherlands; Human; Disability; Sanitary program; At home; Mobility; Fall; Trauma; Public health; Nurse
• ISSN: 0959-8138; 0959-8146; 1468-5833; 1756-1833
• DOI: 10.1136/bmj.321.7267.994

Abstract Objective: To evaluate whether a programme of multifactorial home visits reduces falls and impairments in mobility in elderly people living in the community. Design: Randomised controlled trial with 18 months of follow up. Setting: Six general practices in Hoensbroek, the Netherlands. Participants: 316 people aged 70 and over living in the community, with moderate impairments in mobility or a history of recent falls. Intervention: Five home visits by a community nurse over a period of one year. Visits consisted of screening for medical, environmental, and behavioural factors causing falls and impairments in mobility, followed by specific advice, referrals, and other actions aimed at dealing with the observed hazards. Main outcome measures: Falls and impairments in mobility. Results: No differences were found in falls and mobility outcomes between the intervention and usual care groups. Conclusion: Multifactorial home visits had no effects on falls and impairments in mobility in elderly people at risk who were living in the community. Because falls and impairments in mobility remain a serious problem among elderly people, alternative strategies should be developed and evaluated.