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Promoting physical activity in older people in general practice: ProAct65+cluster randomised controlled trial

Iliffe, S, Kendrick, D, Morris, R, Griffin, M, Haworth, D, Carpenter, H, Masud, T, Skelton, DA, Dinan-Young, S, Bowling, A and Gage, Heather (2015) Promoting physical activity in older people in general practice: ProAct65+cluster randomised controlled trial BRITISH JOURNAL OF GENERAL PRACTICE, 65 (640). E731-E738.

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Background Regular physical activity reduces falls, hip fractures, and all-cause mortality, but physical activity levels are low in older age groups. Aim To evaluate two exercise programmes promoting physical activity among older people. Design and setting Pragmatic three-arm, parallel-design cluster randomised controlled trial involving 1256 people aged ≥65 years (of 20 507 invited) recruited from 43 general practices in London, Nottingham, and Derby. Method Practices were randomised to the class-based Falls Management Exercise programme (FaME), the home-based Otago Exercise Program (OEP), or usual care. The primary outcome was the proportion reaching the recommended physical activity target 12 months post-intervention. Secondary outcomes included falls, quality of life, balance confidence, and costs. Results In total, 49% of FaME participants reached the physical activity target compared with 38% for usual care (adjusted odds ratio 1.78, 95% confidence interval [CI] =1.11 to 2.87, P = 0.02). Differences between FaME and usual care persisted 24 months after intervention. There was no significant difference comparing those in the OEP (43% reaching target at 12 months) and usual-care arms. Participants in the FaME arm added around 15 minutes of moderate-to-vigorous physical activity per day to their baseline level; this group also had a significantly lower rate of falls (incident rate ratio 0.74, 95% CI = 0.55 to 0.99, P = 0.042). Balance confidence was significantly improved in both intervention arms. The mean cost per extra person achieving the physical activity target was £1740. Attrition and rates of adverse reactions were similar. Conclusion The FaME programme increases self-reported physical activity for at least 12 months post-intervention and reduces falls in people aged ≥65 years, but uptake is low. There was no statistically significant difference in reaching the target, or in falls, between the OEP and usual-care arms.

Item Type: Article
Subjects : Economics
Divisions : Faculty of Arts and Social Sciences > School of Economics
Authors :
Iliffe, S
Kendrick, D
Morris, R
Griffin, M
Haworth, D
Carpenter, H
Masud, T
Skelton, DA
Dinan-Young, S
Bowling, A
Date : 1 November 2015
DOI : 10.3399/bjgp15X687361
Copyright Disclaimer : © British Journal of General Practice 2015
Uncontrolled Keywords : Science & Technology, Life Sciences & Biomedicine, Primary Health Care, Medicine, General & Internal, General & Internal Medicine, aged people, exercise promotion, falls, general practice, physical activity, PRIMARY-CARE, EXERCISE PROGRAM, ADULTS, FALLS, MORTALITY, FITNESS, MEN
Related URLs :
Additional Information : Full text not available from this repository.
Depositing User : Symplectic Elements
Date Deposited : 10 Aug 2016 11:17
Last Modified : 31 Jul 2018 16:32

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