A Pilot Falls-prevention Programme for Older People with Dementia from A Predominantly Italian Background

Received 23 August 2004; accepted 5 July 2005.

Abstract

This pilot study aimed to assess the feasibility and effectiveness of a falls-prevention programme for older people with dementia from predominantly an Italian background. The study had a single group pretest- posttest design and enrolled 64 community-dwelling older people with dementia; 6-month follow-up data were available for 32 participants. The falls-prevention programme was embedded in a healthy lifestyle dementia respite programme, which combined day respite with preventative health programmes. A comprehensive falls risk assessment was conducted for each client to develop an individualised falls and injury management plan that included a tailored exercise programme to improve strength and balance. Outcome measurements were fall status, cognitive function (Mini Mental State Examination, MMSE), balance (Berg Balance Scale, BBS) and aerobic capacity (6-minute walk test). There were no significant differences between baseline and 6-month measures for the number of fallers, BBS, MMSE or 6-minute walk test (n = 32; p > 0.05), indicating that participants neither improved nor declined significantly. A feasible method of delivering falls prevention services to older people with dementia has been developed. There is a need for further investigation to establish the effectiveness of this method.

Key words: dementia , falls prevention , aged care

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Article Outline

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References

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School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia

Reprint requests and correspondence to: Shylie F. Mackintosh, School of Health Sciences, University of South Australia, City East Campus, North Terrace, Adelaide, South Australia 5000, Australia

PII: S1013-7025(09)70055-7

doi:10.1016/S1013-7025(09)70055-7

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