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Effectiveness of reminder telephone calls for physical activity on the fall risk in older adults: A nonrandomized posttest-only evaluation study

Year 2022, Volume: 47 Issue: 1, 322 - 331, 31.03.2022

Abstract

Purpose: The study aimed to determine the effectiveness of reminder telephone calls for physical activity on fall risk in older adults.
Materials and Methods: This study was nonrandomized posttest-only evaluation. The older adults were non-randomly assigned to the reminder telephone call group (n=30), the control group (n=30). For the reminder telephone call group, the physical activity program to be applied at home 3 days a week, for a total of 8 weeks. The participants were invited to an outpatient follow-up at the 4th and 8th weeks, and the fall risk was evaluated by using the Multiple Platform Dynamic Posturography Device.
Results: The majority were women (93.33%), and their mean age was 70.40 ± 6.52 years. Of the participants, 43.33% live alone, 51.67% use drugs (non-steroidal anti-inflammatory), 61.67% had fall history. The mean fall risk in both follow-ups after the reminder telephone call for physical activity was significantly lower in the experimental group than the control group
Conclusion: Telephone call including reminders and encouragement for physical activity was effective on the fall risk in older adults.

Thanks

The authors were thankful for using “Physical Activity Training Booklet” that was developed by the Turkish Osteoporosis Patient Society in 2015.

References

  • Rejeski WJ, Brawley LR. Functional health: innovations in research on physical activity with older adults. Med Sci Sports Exerc. 2006;38:93-99.
  • Carrasco C, Tomas-Carus P, Bravo J, Pereira C, Mendes F. Understanding fall risk factors in community-dwelling older adults: A cross-sectional study. Int J Older People Nurs. 2020;15:e12294.
  • Jeon M, Gu MO, Yim J. Comparison of walking, muscle strength, balance, and fear of falling between repeated fall group, one-time fall group, and non-fall group of the elderly receiving home care service. Asian Nurs Res (Korean Soc Nurs Sci). 2017;11:290-6.
  • Moreland J, Richardson J, Chan D, O'Neill J, Bellissimo A, Grum R et al. Evidence-based guidelines for the secondary prevention of falls in older adults. Gerontology. 2003;49:93-116.
  • Rubenstein LZ. Falls in older people: Epidemiology, risk factors and strategies for prevention. Age Ageing. 2006; 35: 37–41.
  • Soyuer F, Ünalan D, Erdoğan F. The Prevalence and risk factors of fall of the patients applying to the Department of Neurology in Erciyes University Medical Faculty. Türk Nöroloji Dergisi. 2006;12:269-74.
  • Gschwind YJ, Kressig RW, Lacroix A, Muehlbauer T, Pfenninger B, Granacher U. A best practice fall prevention exercise program to improve balance, strength / power, and psychosocial health in older adults: study protocol for a randomized controlled trial. BMC Geriatr. 2013;13:105.
  • Akkaya N, Doganlar N, Çelik E, Aysşe SE, Akkaya S, Güngör HR et al. Test-retest reliability of Tetrax static posturography system in young adults with low physical activity level. Int J Sports Phys Ther. 2015;10: 893–900.
  • Kohen-Raz, R. Posturo-graphic method using four three dimensionally movable platforms. U.S. Patent Application No. 11/630,530.
  • Sherrington C, Tiedemann A, Fairhall N, Close JC, Lord SR. Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations. NSW Public Health Bull. 2011;22:78-83.
  • Choi JH, Moon JS, Song R. Effects of Sun-style Tai Chi exercise on physical fitness and fall prevention in fall-prone older adults. J Adv Nurs. 2005;51:150-7.
  • Johnston YA, Bergen G, Bauer M, Parker EM. Wentworth L, McFadden M et al. Implementation of the stopping elderly accidents, deaths, and injuries initiative in primary care: An outcome evaluation. Gerontologist. 2019;59:1182-91.
  • Arkkukangas M, Johnson ST, Hellström K, Söderlund A, Eriksson S, Johansson AC. A feasibility study of a randomised controlled trial comparing fall prevention using exercise with or without the support of motivational interviewing. Prev Med Rep. 2015;2:134–40.
  • Montgomery E E, Smith YH. Stall the fall: training non-clinical caregivers to prevent falls in community-dwelling older adults. Community Health Nurs. 2020;37:179-88.
  • Shanbehzadeh M, Kazemi-Arpanahi H, Kalkhajeh SG, Basati G. Systematic review on telemedicine platforms in lockdown periods: Lessons learned from the COVID-19 pandemic. J Educ Health Promot. 2021;10:211.
  • Han HR, Kim J, Kim KB, Jeong S, Levine D, Li C et al. Implementation and success of nurse telephone counseling linguistically isolated Korean American patients with high blood pressure. Patient Educ Couns. 2010;80:130-4.
  • Lee J, Choi M, Yoo Y, Ahn S, Jeon JY, Kim, JY et al. Impacts of an exercise program and motivational telephone counseling on health-related quality of life in people with Parkinson’s disease. Rehabil Nurs. 2019;44:161–70.
  • Lin CH, Chiang SL, Heitkemper MM, Hung YJ, Lee MS, Tzeng WC et al. Effects of telephone-based motivational interviewing in lifestyle modification program on reducing metabolic risks in middle aged and older women with metabolic syndrome: A randomized controlled trial. Int J Nurs Stud. 2016;60:12-23.
  • Halvarsson A, Olsson E, Farén E, Pettersson A, Ståhle A. Effects of new, individually adjusted, progressive balance group training for elderly people with fear of falling and tend to fall: A randomized controlled trial. Clin Rehabil. 2011;25:1021-31.
  • Des Jarlais D C, Lyles C, Crepaz N; Trend Group. Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: The TREND statement. Am J Public Health. 2004;94:361-6.
  • Alptekin K, Karan A, Dıracoglu D, Yildiz A, Baskent A, Eskiyurt N. Investigating the effectiveness of postural muscle electrostimulation and static posturography feedback exercises in elders with balance disorder. J Back Musculoskelet Rehabil. 2016;29:151-9.
  • Babacan-Yıldız G, Ur-Özçelik E, Kolukısa M, Işık AT, Gürsoy E, Kocaman G et al. Validity and reliability studies of Modified Mini Mental State Examination (MMSE-I) for Turkish illiterate patients with diagnosis of alzheimer disease. Turk Psikiyatri Derg. 2015; 27:1-8.
  • Kücükdeveci AA, McKenna SP, Kutlay S, Gürsel Y, Whalley D, Arasil T. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res.2000;23:31-8
  • Sönmez Y, Uçku R, Kıtay Ş, Korkut H, Sürücü S, Sezer M et al. Quality of life and the factors affecting it among people aged 75 years and over living in a health center region in Izmır. Journal of Dokuz Eylul University Faculty of Medicine. 2007;2:145-13.
  • Tamam B, Tasdemir N, Tamam Y. The prevalence of dementia three months after stroke and its risk factors. Turk Psikiyatri Derg. 2008;19:46-56.
  • Agırcan D. Tinetti Balance and Gait Assessment' ın (Tinetti Denge ve Yürüme Değerlendirmesi) Türkçeye uyarlanması, geçerlilik ve güvenilirliği (Yüksek lisans tezi). Denizli, Pamukkale Üniversitesi Sağlık Bilimler Enstitüsü, 2009.
  • Yavuz BB. Geriatric evaluation and tests. J Intern Med. 2007;14:5-17.
  • Balaban Ö, Nacır B, Erdem HR, Karagöz A. The evaluation of the balance function. Turk J Phys Med Rehab.2009;12:33-9.
  • Gemalmaz A, Discigil G, Basak O. Evaluation of the balance and gait status in nursing home resident. Turk J Geriatr. 2004;7:41-4.
  • Soyuer F, Şenol V, Elmalı F. Physical activity, balance and mobility functions of individuals 65 and above who stay in nursing home. Van Medical Journal. 2012;19:116-21.
  • Lin MR, Hwang HF, Hu MH, Wu HD, Wang YW. Huang FC. Psychometric comparisons of the timed up and go, one-leg stand, functional reach, and Tinetti balance measures in community-dwelling older people. J Am Geriatr Soc .2004;52:1343-8.
  • El-Khoury F, Cassou B, Charles MA, Dargent-Molina P. The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults: Systematic review and meta-analysis of randomized controlled trials. BMJ. 2013;347:2-13.
  • de Labra C, Guimaraes-Pinheiro C, Maseda A. Lorenzo T, Millán-Calenti JC.. BMC Geriatr. 2015;15:154.
  • Kiik SM, Sahar J, Permatasari H. Efectividad de los ejercicios de equilibrio entre los adultos mayores en Depok, Indonesia. Enferm Clin (Engl Ed). 2020;30:282-6.
  • Müller AM, Khoo S, Morris T. Text messaging for exercise promotion in older adults from an upper-middle-income country: randomized controlled trial. J Med Internet Res. 2016;18:e5.
  • Tricco AC, Thomas SM. Veroniki AA, Hamid JS, Cogo E, Strifler L, et al. Comparisons of interventions for preventing falls in older adults: A systematic review and meta-analysis. JAMA. 2017;318:1687-99.
  • Freiberger E, Ha¨berle L, Spirduso WW, Rixt Zijlstra GA. Long-term effects of three multi component exercise interventions on physical performance and fall-related psychological outcomes in community-dwelling older adults: A randomized controlled trial. J Am Geriatr Soc. 2012;60:437–46.
  • Elley CR, Robertson MC, Garrett S, Kerse NM, McKinlay E, Lawton B et al. Effectiveness of a falls-and-fracture nurse coordinator to reduce falls: A randomized, controlled trial of at-risk older adults. J Am Geriatr Soc. 2008;56:1383–89.

Yaşlı bireylerde fiziksel aktivite hakkında hatırlatıcı telefon görüşmesinin düşme riski üzerindeki etkinliği: Randomize olmayan, son-test çalışması

Year 2022, Volume: 47 Issue: 1, 322 - 331, 31.03.2022

Abstract

Amaç: Çalışmanın amacı, yaşlı bireylerde fiziksel aktivite hakkında hatırlatıcı telefon görüşmesinin düşme riski üzerindeki etkinliğini belirlemektir.
Gereç ve Yöntem: Bu çalışmanın tasarımı, randomize olmayan, son-testti. Yaşlı bireyler, hatırlatıcı telefon görüşmesi grubuna (n=30) ve kontrol grubuna (n=30) rastgele atandı. Hatırlatıcı telefon görüşmesi grubu için haftada 3 gün, toplam 8 hafta evde fiziksel aktivite programı uygulandı. Katılımcılar 4. ve 8. haftalarda poliklinik kontrolüne çağırılarak Çoklu Platform Dinamik Postürografi Cihazı ile düşme riski değerlendirildi.
Bulgular: Çalışmaya katılan bireylerin çoğunluğu kadın (%93.33) ve yaş ortalamaları 70.40 ±6.52 yıl idi. Katılımcıların %43.33'ü yalnız yaşamakta, %51.67'si ilaç (nonsteroidal antiinflamatuar) kullanmakta, %61.67'si düşme öyküsüne sahipti. Fiziksel aktivite hakkında hatırlatıcı telefon görüşmesi sonrası her iki izlemde de ortalama düşme riski deney grubunda kontrol grubuna göre anlamlı derecede düşüktü
Sonuç: Yaşlı bireylerde, düşme riski üzerinde fiziksel aktivite hakkında hatırlatıcı ve teşvik edici telefon görüşmesi etkili olmuştur.

References

  • Rejeski WJ, Brawley LR. Functional health: innovations in research on physical activity with older adults. Med Sci Sports Exerc. 2006;38:93-99.
  • Carrasco C, Tomas-Carus P, Bravo J, Pereira C, Mendes F. Understanding fall risk factors in community-dwelling older adults: A cross-sectional study. Int J Older People Nurs. 2020;15:e12294.
  • Jeon M, Gu MO, Yim J. Comparison of walking, muscle strength, balance, and fear of falling between repeated fall group, one-time fall group, and non-fall group of the elderly receiving home care service. Asian Nurs Res (Korean Soc Nurs Sci). 2017;11:290-6.
  • Moreland J, Richardson J, Chan D, O'Neill J, Bellissimo A, Grum R et al. Evidence-based guidelines for the secondary prevention of falls in older adults. Gerontology. 2003;49:93-116.
  • Rubenstein LZ. Falls in older people: Epidemiology, risk factors and strategies for prevention. Age Ageing. 2006; 35: 37–41.
  • Soyuer F, Ünalan D, Erdoğan F. The Prevalence and risk factors of fall of the patients applying to the Department of Neurology in Erciyes University Medical Faculty. Türk Nöroloji Dergisi. 2006;12:269-74.
  • Gschwind YJ, Kressig RW, Lacroix A, Muehlbauer T, Pfenninger B, Granacher U. A best practice fall prevention exercise program to improve balance, strength / power, and psychosocial health in older adults: study protocol for a randomized controlled trial. BMC Geriatr. 2013;13:105.
  • Akkaya N, Doganlar N, Çelik E, Aysşe SE, Akkaya S, Güngör HR et al. Test-retest reliability of Tetrax static posturography system in young adults with low physical activity level. Int J Sports Phys Ther. 2015;10: 893–900.
  • Kohen-Raz, R. Posturo-graphic method using four three dimensionally movable platforms. U.S. Patent Application No. 11/630,530.
  • Sherrington C, Tiedemann A, Fairhall N, Close JC, Lord SR. Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations. NSW Public Health Bull. 2011;22:78-83.
  • Choi JH, Moon JS, Song R. Effects of Sun-style Tai Chi exercise on physical fitness and fall prevention in fall-prone older adults. J Adv Nurs. 2005;51:150-7.
  • Johnston YA, Bergen G, Bauer M, Parker EM. Wentworth L, McFadden M et al. Implementation of the stopping elderly accidents, deaths, and injuries initiative in primary care: An outcome evaluation. Gerontologist. 2019;59:1182-91.
  • Arkkukangas M, Johnson ST, Hellström K, Söderlund A, Eriksson S, Johansson AC. A feasibility study of a randomised controlled trial comparing fall prevention using exercise with or without the support of motivational interviewing. Prev Med Rep. 2015;2:134–40.
  • Montgomery E E, Smith YH. Stall the fall: training non-clinical caregivers to prevent falls in community-dwelling older adults. Community Health Nurs. 2020;37:179-88.
  • Shanbehzadeh M, Kazemi-Arpanahi H, Kalkhajeh SG, Basati G. Systematic review on telemedicine platforms in lockdown periods: Lessons learned from the COVID-19 pandemic. J Educ Health Promot. 2021;10:211.
  • Han HR, Kim J, Kim KB, Jeong S, Levine D, Li C et al. Implementation and success of nurse telephone counseling linguistically isolated Korean American patients with high blood pressure. Patient Educ Couns. 2010;80:130-4.
  • Lee J, Choi M, Yoo Y, Ahn S, Jeon JY, Kim, JY et al. Impacts of an exercise program and motivational telephone counseling on health-related quality of life in people with Parkinson’s disease. Rehabil Nurs. 2019;44:161–70.
  • Lin CH, Chiang SL, Heitkemper MM, Hung YJ, Lee MS, Tzeng WC et al. Effects of telephone-based motivational interviewing in lifestyle modification program on reducing metabolic risks in middle aged and older women with metabolic syndrome: A randomized controlled trial. Int J Nurs Stud. 2016;60:12-23.
  • Halvarsson A, Olsson E, Farén E, Pettersson A, Ståhle A. Effects of new, individually adjusted, progressive balance group training for elderly people with fear of falling and tend to fall: A randomized controlled trial. Clin Rehabil. 2011;25:1021-31.
  • Des Jarlais D C, Lyles C, Crepaz N; Trend Group. Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: The TREND statement. Am J Public Health. 2004;94:361-6.
  • Alptekin K, Karan A, Dıracoglu D, Yildiz A, Baskent A, Eskiyurt N. Investigating the effectiveness of postural muscle electrostimulation and static posturography feedback exercises in elders with balance disorder. J Back Musculoskelet Rehabil. 2016;29:151-9.
  • Babacan-Yıldız G, Ur-Özçelik E, Kolukısa M, Işık AT, Gürsoy E, Kocaman G et al. Validity and reliability studies of Modified Mini Mental State Examination (MMSE-I) for Turkish illiterate patients with diagnosis of alzheimer disease. Turk Psikiyatri Derg. 2015; 27:1-8.
  • Kücükdeveci AA, McKenna SP, Kutlay S, Gürsel Y, Whalley D, Arasil T. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res.2000;23:31-8
  • Sönmez Y, Uçku R, Kıtay Ş, Korkut H, Sürücü S, Sezer M et al. Quality of life and the factors affecting it among people aged 75 years and over living in a health center region in Izmır. Journal of Dokuz Eylul University Faculty of Medicine. 2007;2:145-13.
  • Tamam B, Tasdemir N, Tamam Y. The prevalence of dementia three months after stroke and its risk factors. Turk Psikiyatri Derg. 2008;19:46-56.
  • Agırcan D. Tinetti Balance and Gait Assessment' ın (Tinetti Denge ve Yürüme Değerlendirmesi) Türkçeye uyarlanması, geçerlilik ve güvenilirliği (Yüksek lisans tezi). Denizli, Pamukkale Üniversitesi Sağlık Bilimler Enstitüsü, 2009.
  • Yavuz BB. Geriatric evaluation and tests. J Intern Med. 2007;14:5-17.
  • Balaban Ö, Nacır B, Erdem HR, Karagöz A. The evaluation of the balance function. Turk J Phys Med Rehab.2009;12:33-9.
  • Gemalmaz A, Discigil G, Basak O. Evaluation of the balance and gait status in nursing home resident. Turk J Geriatr. 2004;7:41-4.
  • Soyuer F, Şenol V, Elmalı F. Physical activity, balance and mobility functions of individuals 65 and above who stay in nursing home. Van Medical Journal. 2012;19:116-21.
  • Lin MR, Hwang HF, Hu MH, Wu HD, Wang YW. Huang FC. Psychometric comparisons of the timed up and go, one-leg stand, functional reach, and Tinetti balance measures in community-dwelling older people. J Am Geriatr Soc .2004;52:1343-8.
  • El-Khoury F, Cassou B, Charles MA, Dargent-Molina P. The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults: Systematic review and meta-analysis of randomized controlled trials. BMJ. 2013;347:2-13.
  • de Labra C, Guimaraes-Pinheiro C, Maseda A. Lorenzo T, Millán-Calenti JC.. BMC Geriatr. 2015;15:154.
  • Kiik SM, Sahar J, Permatasari H. Efectividad de los ejercicios de equilibrio entre los adultos mayores en Depok, Indonesia. Enferm Clin (Engl Ed). 2020;30:282-6.
  • Müller AM, Khoo S, Morris T. Text messaging for exercise promotion in older adults from an upper-middle-income country: randomized controlled trial. J Med Internet Res. 2016;18:e5.
  • Tricco AC, Thomas SM. Veroniki AA, Hamid JS, Cogo E, Strifler L, et al. Comparisons of interventions for preventing falls in older adults: A systematic review and meta-analysis. JAMA. 2017;318:1687-99.
  • Freiberger E, Ha¨berle L, Spirduso WW, Rixt Zijlstra GA. Long-term effects of three multi component exercise interventions on physical performance and fall-related psychological outcomes in community-dwelling older adults: A randomized controlled trial. J Am Geriatr Soc. 2012;60:437–46.
  • Elley CR, Robertson MC, Garrett S, Kerse NM, McKinlay E, Lawton B et al. Effectiveness of a falls-and-fracture nurse coordinator to reduce falls: A randomized, controlled trial of at-risk older adults. J Am Geriatr Soc. 2008;56:1383–89.
There are 38 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research
Authors

Ayşe Didem Çakır 0000-0002-5489-1887

Yeliz Çulha 0000-0002-5460-5844

Funda Büyükyılmaz 0000-0002-7958-4031

Funda Büyükyılmaz 0000-0002-5414-9164

Publication Date March 31, 2022
Acceptance Date February 17, 2022
Published in Issue Year 2022 Volume: 47 Issue: 1

Cite

MLA Çakır, Ayşe Didem et al. “Effectiveness of Reminder Telephone Calls for Physical Activity on the Fall Risk in Older Adults: A Nonrandomized Posttest-Only Evaluation Study”. Cukurova Medical Journal, vol. 47, no. 1, 2022, pp. 322-31.