University of Surrey

Test tubes in the lab Research in the ATI Dance Research

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, H (2015) Promoting physical activity in older people in general practice: ProAct65+cluster randomised controlled trial BRITISH JOURNAL OF GENERAL PRACTICE, 65 (640). E731-E738.

[img]
Preview
PDF (licence)
SRI_deposit_agreement.pdf
Available under License : See the attached licence file.

Download (33kB) | Preview

Abstract

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 :
AuthorsEmailORCID
Iliffe, SUNSPECIFIEDUNSPECIFIED
Kendrick, DUNSPECIFIEDUNSPECIFIED
Morris, RUNSPECIFIEDUNSPECIFIED
Griffin, MUNSPECIFIEDUNSPECIFIED
Haworth, DUNSPECIFIEDUNSPECIFIED
Carpenter, HUNSPECIFIEDUNSPECIFIED
Masud, TUNSPECIFIEDUNSPECIFIED
Skelton, DAUNSPECIFIEDUNSPECIFIED
Dinan-Young, SUNSPECIFIEDUNSPECIFIED
Bowling, AUNSPECIFIEDUNSPECIFIED
Gage, HUNSPECIFIEDUNSPECIFIED
Date : 1 November 2015
Identification Number : 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 : 10 Aug 2016 11:17
URI: http://epubs.surrey.ac.uk/id/eprint/811660

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year


Information about this web site

© The University of Surrey, Guildford, Surrey, GU2 7XH, United Kingdom.
+44 (0)1483 300800