Health Promotion Can Postpone Frailty: Results from the RCT Elderly Persons in the Risk Zone

Public Health Nurs. 2016 Jul;33(4):303-15. doi: 10.1111/phn.12240. Epub 2015 Nov 16.

Abstract

Objective: Very old persons (80+) are often described as "frail", implying that they are particularly vulnerable to adverse health outcomes. Elderly Persons in the Risk Zone was designed to determine whether a preventive home visit or multiprofessional senior group meetings could postpone deterioration in frailty if the intervention is carried out when the person is not so frail.

Design and sample: The study was a RCT with follow-ups at 1 and 2 years. A total of 459 persons (80+), still living at home, were included. Participants were independent in activities of daily life and cognitively intact.

Measures: Frailty was measured in two complementary ways, with the sum of eight frailty indicators and with the Mob-T Scale measuring tiredness in daily activities.

Results: Both interventions showed favorable effects in postponing the progression of frailty measured as tiredness in daily activities for up to 1 year. However, neither of the two interventions was effective in postponing frailty measured with the sum of frailty indicators.

Conclusions: The results in this study show the potential of health promotion to older persons. The multiprofessional approach, including a broad spectrum of information and knowledge, might have been an important factor contributing to a more positive view of aging.

Keywords: Aged; community living elderly; disease prevention; frailty; health promotion; public health nursing.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Activities of Daily Living
  • Aged, 80 and over
  • Female
  • Follow-Up Studies
  • Frail Elderly / statistics & numerical data*
  • Geriatric Assessment*
  • Health Promotion / methods*
  • House Calls
  • Humans
  • Male
  • Program Evaluation
  • Risk