The Effect of a Standing Intervention on Falls in Long Term Care: a Secondary Analysis of a Randomized Controlled Trial.
Background Older adults in long term care (LTC) spend over 90% of their day engaging in sedentary behaviour. Sedentary behaviour may exacerbate functional decline and frailty, increasing the risk for falls. The purpose of this study is to explore the impact of a 22-week standing intervention on fall...
| Published in: | Canadian Geriatrics Journal Vol. 26; no. 2; pp. 247 - 253 |
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| Main Authors: | , , , , , , , , , |
| Format: | research tables/charts Journal Article |
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Canadian Geriatrics Society
Jun2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=164291201&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164291201 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19258348 EV2Z jtl: Canadian Geriatrics Journal issn: 19258348 maglogo: N pubinfo: dt: Jun2023 vid: 26 iid: 2 pid: 76420 pub: Canadian Geriatrics Society place: Markham, Ontario artinfo: ui: 164291201 164291201 164291201 10.5770/cgj.26.656 164291201 ppf: 247 ppct: 6 formats: fmt: @attributes: type: P tig: atl: The Effect of a Standing Intervention on Falls in Long Term Care: a Secondary Analysis of a Randomized Controlled Trial. aug: au: Gallibois, Molly Handrigan, Grant Caissie, Linda Cooling, Kendra Hébert, Jeffrey Jarrett, Pamala McGibbon, Chris Read, Emily Sénéchal, Martin Bouchard, Danielle R. affil: Faculty of Kinesiology, University of New Brunswick, Fredericton, NB, Canada sug: subj: Accidental Falls Prevention and Control Long Term Care Standing After Care Human Secondary Analysis Aged Aged, 80 and Over Male Female Cox Proportional Hazards Model Frailty Syndrome Cognition Sex Factors Aged: 65+ years Aged, 80 & over Male Female ab: Background Older adults in long term care (LTC) spend over 90% of their day engaging in sedentary behaviour. Sedentary behaviour may exacerbate functional decline and frailty, increasing the risk for falls. The purpose of this study is to explore the impact of a 22-week standing intervention on falls among LTC residents at 12-month follow-up. Methods This was a planned secondary analysis of the Stand if You Can randomized controlled trial. The original trial randomized 95 participants (n = 47 control; n = 48 intervention) to either a sitting control or a supervised standing intervention group (100 minutes/week) for 22 weeks. Falls data were available to be collected over 12 months post-intervention for 89 participants. The primary outcome was a hazard of fall (Yes/No) during the 12-month follow-up period. Results A total of 89 participants (average age 86 years ± 8.05; 71.9% female) were followed for 12-months post-intervention. Participants in the intervention group (n=44) had a significantly greater hazard ratio of falls (2.01; 95% CI = 1.11 to 3.63) than the control group (n=45) when accounting for the history of falls, frailty status, cognition level, and sex. Conclusion Participants who received a standing intervention over 22 weeks were twice as likely to fall 12 months after the intervention compared with the control group. However, the prevalence of falls did not surpass what would be typically observed in LTC facilities. It is imperative that future studies describe in detail the context in which falls happen and collect more characteristics of participants in the follow-up period to truly understand the association between standing more and the risk of falls. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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