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The impact of community-based interventions for the older population: a quasi-experimental study of a hip-fracture prevention program in Norway
Oslo Metropolitan University, Oslo.
Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Handelshögskolan (from 2013).ORCID-id: 0000-0002-7143-8793
Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för miljö- och livsvetenskaper (from 2013).ORCID-id: 0000-0002-1189-9950
2018 (engelsk)Inngår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 18, nr 1, artikkel-id 311Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BackgroundHip fractures among older adults are a major public health problem in many countries. Hip fractures are associated with expensive health care treatments, and serious adverse effects on patients' health and quality-of-life. In this paper, we estimate the effect of a community-based hip fracture prevention program that was initiated in 16 Norwegian municipalities in 2007. Specifically, the participating municipalities implemented one or more of the following interventions: exercise programs for older adults, information and education campaigns to communicate how to effectively reduce falls to care workers and older adults, and preventive home safety assessment and modification help services.MethodsWe used a difference-in-difference design, and identified control municipalities by matching on pre-intervention trends in the outcome. The outcome measure was the incidence of hip-fractures among older adults (65years).ResultsWe found no statistically significant effects of the implemented program on the incidence of hip fractures, on average, in older subgroups (80years) or in municipality-specific analyses.ConclusionsIt is unclear whether the interventions managed to achieve a change in hip fracture rates at the population level.

sted, utgiver, år, opplag, sider
BioMed Central, 2018. Vol. 18, nr 1, artikkel-id 311
Emneord [en]
Hip fracture, Community interventions, Natural experiments, Difference-in-differences, Matching
HSV kategori
Forskningsprogram
Risk- och Miljöstudier
Identifikatorer
URN: urn:nbn:se:kau:diva-70946DOI: 10.1186/s12877-018-1004-zISI: 000453237700002PubMedID: 30545319OAI: oai:DiVA.org:kau-70946DiVA, id: diva2:1286665
Merknad

This work was supported by the Norwegian Research Council grant number 256644.

Bonander was supported by a research grant from the Swedish Civil Contingencies Agency (MSB, grant number 2013–4176).

Tilgjengelig fra: 2019-02-07 Laget: 2019-02-07 Sist oppdatert: 2019-04-26bibliografisk kontrollert

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