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Factors Associated with Participation of Community-Dwelling Older Adults in a Home-Based Falls Prevention Program

Branko F. Olij, Lotte M. Barmentloo, Dini Smilde, Nathalie van der Velde, Suzanne Polinder, Yvonne Schoon and Vicki Erasmus
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Branko F. Olij: Erasmus MC, Department of Public Health, University Medical Center Rotterdam, 3000 CA Rotterdam, The Netherlands
Lotte M. Barmentloo: Erasmus MC, Department of Public Health, University Medical Center Rotterdam, 3000 CA Rotterdam, The Netherlands
Dini Smilde: GENERO Foundation, 3001 AE Rotterdam, The Netherlands
Nathalie van der Velde: Amsterdam UMC, Department of Internal Medicine, University of Amsterdam, Section of Geriatric Medicine, Amsterdam Public Health Research Institute, 1105 AZ Amsterdam, The Netherlands
Suzanne Polinder: Erasmus MC, Department of Public Health, University Medical Center Rotterdam, 3000 CA Rotterdam, The Netherlands
Yvonne Schoon: Department of Geriatric Medicine, Radboud University Medical Center, 6525 GC Nijmegen, The Netherlands
Vicki Erasmus: Erasmus MC, Department of Public Health, University Medical Center Rotterdam, 3000 CA Rotterdam, The Netherlands

IJERPH, 2019, vol. 16, issue 6, 1-12

Abstract: This observational study was conducted to determine which factors are associated with frequent participation in a home-based exercise program. The effects of frequent participation on health-related outcomes over time are investigated, as well. Community-dwelling adults aged ≥65 years participated in a twelve-week home-based exercise program. The program consisted of an instruction book with exercises that were performed individually at home. Frequent participation was classified as performing exercises of the instruction book daily or a few days a week during the study period. A logistic regression analysis was performed to determine the association between factors (i.e., demographic and health-related characteristics) and frequent participation. Furthermore, to investigate the effects of frequent participation on health-related outcomes, generalized linear and logistic regression models were built. A total of 238 participants (mean age 81.1 years (SD ± 6.7), 71% female) were included in the study. Frequent participation during the study period was indicated by fifty-two percent of participants. Analyses showed that a higher degree of pain (OR: 1.02, 95% CI: 1.–1.04) was associated with frequent participation. In addition, the effect of frequent participation over time was a significant improvement in current health perceptions (B: 4.46, SE: 1.99).

Keywords: accidental falls; aged; prevention and control; exercise; independent living (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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