PMID- 35193495
OWN - NLM
STAT- MEDLINE
DCOM- 20220318
LR  - 20220318
IS  - 1471-2318 (Electronic)
IS  - 1471-2318 (Linking)
VI  - 22
IP  - 1
DP  - 2022 Feb 22
TI  - Feasibility of performance-based and self-reported outcomes in self-managed falls 
      prevention exercise interventions for independent older adults living in the 
      community.
PG  - 147
LID - 10.1186/s12877-022-02851-9 [doi]
LID - 147
AB  - BACKGROUND: Little is known about associations between performance-based 
      measurements and self-reported scales, nor about ceiling effects or sensitivity 
      to change to evaluate effects in the target population for self-managed exercise 
      interventions. This study aimed to explore the feasibility of using 
      performance-based outcomes for gait speed, functional leg strength and balance, 
      and self-reported outcomes of falls-efficacy and functional ability in two 
      self-managed falls prevention exercise interventions for community dwelling older 
      adults. METHODS: Independent living, community-dwelling older adults (n = 67) 
      exercised with one of two self-managed falls prevention exercise programmes, a 
      digital programme (DP) or a paper booklet (PB) in a 4-month participant 
      preference trial. Pre- and post-assessments, by blinded assessors, included Short 
      Physical Performance Battery (SPPB) and 30s Chair stand test (30s CST). 
      Participants completed self-reported questionnaires: Activities-specific and 
      Balance Confidence scale (ABC), Iconographical Falls Efficacy Scale (Icon-FES), 
      Late-Life Function and Disability Instrument Function Component (LLFDI-FC). In 
      addition, improvement in balance and leg strength was also self-rated at 
      post-assessment. Participants' mean age was 76 +/- 4 years and 72% were women. 
      RESULTS: Ceiling effects were evident for the balance sub-component of the SPPB, 
      and also indicated for ABC and Icon-FES in this high functioning population. In 
      SPPB, gait speed, 30s CST, and LLFDI-FC, 21-56% of participants did not change 
      their scores beyond the Minimal Clinically Important Difference (MCID). At 
      pre-assessment all performance-based tests correlated significantly with the 
      self-reported scales, however, no such significant correlations were seen with 
      change-scores. Improvement of performance-based functional leg strength with 
      substantial effect sizes and significant correlations with self-reported exercise 
      time was shown. There were no differences in outcomes between the exercise 
      programmes except that DP users reported improved change of leg strength to a 
      higher degree than PB users. CONCLUSION: The LLFDI-FC and sit-to-stand tests were 
      feasible and sensitive to change in this specific population. The balance 
      sub-component of SPPB and self-reported measures ABC and Icon-FES indicated 
      ceiling effects and might not be suitable as outcome measures for use in a high 
      functioning older population. Development and evaluation of new outcome measures 
      are needed for self-managed fall-preventive interventions with high functioning 
      community-dwelling older adults.
CI  - (c) 2022. The Author(s).
FAU - Mansson, Linda
AU  - Mansson L
AD  - Department of Community Medicine and Rehabilitation, Section of Physiotherapy, 
      Umea University, Umea, Sweden.
FAU - Pettersson, Beatrice
AU  - Pettersson B
AD  - Department of Community Medicine and Rehabilitation, Section of Physiotherapy, 
      Umea University, Umea, Sweden.
FAU - Rosendahl, Erik
AU  - Rosendahl E
AD  - Department of Community Medicine and Rehabilitation, Section of Physiotherapy, 
      Umea University, Umea, Sweden.
FAU - Skelton, Dawn A
AU  - Skelton DA
AD  - School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
FAU - Lundin-Olsson, Lillemor
AU  - Lundin-Olsson L
AD  - Department of Community Medicine and Rehabilitation, Section of Physiotherapy, 
      Umea University, Umea, Sweden.
FAU - Sandlund, Marlene
AU  - Sandlund M
AD  - Department of Community Medicine and Rehabilitation, Section of Physiotherapy, 
      Umea University, Umea, Sweden. marlene.sandlund@umu.se.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20220222
PL  - England
TA  - BMC Geriatr
JT  - BMC geriatrics
JID - 100968548
SB  - IM
MH  - *Accidental Falls/prevention & control
MH  - Aged
MH  - Aged, 80 and over
MH  - Exercise Therapy
MH  - Feasibility Studies
MH  - Female
MH  - Humans
MH  - Independent Living
MH  - Patient Reported Outcome Measures
MH  - Postural Balance
MH  - Self Report
MH  - *Self-Management
PMC - PMC8862529
OTO - NOTNLM
OT  - Aged
OT  - Falls prevention
OT  - Patient outcome assessment
OT  - Self-managed
COIS- D.S. is Director of Later Life Training, a non-profit making organisation who 
      provide the Otago Home Exercise Booklet free online. All other authors declare 
      that they have no competing interest.
EDAT- 2022/02/24 06:00
MHDA- 2022/03/19 06:00
PMCR- 2022/02/22
CRDT- 2022/02/23 05:29
PHST- 2021/09/10 00:00 [received]
PHST- 2022/02/17 00:00 [accepted]
PHST- 2022/02/23 05:29 [entrez]
PHST- 2022/02/24 06:00 [pubmed]
PHST- 2022/03/19 06:00 [medline]
PHST- 2022/02/22 00:00 [pmc-release]
AID - 10.1186/s12877-022-02851-9 [pii]
AID - 2851 [pii]
AID - 10.1186/s12877-022-02851-9 [doi]
PST - epublish
SO  - BMC Geriatr. 2022 Feb 22;22(1):147. doi: 10.1186/s12877-022-02851-9.