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Can the provision of a home help service for the elderly population reduce the incidence of fall-related injuries?
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences (from 2013). Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety (from 2013).ORCID iD: 0000-0002-1189-9950
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Environmental and Life Sciences (from 2013). Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety (from 2013).ORCID iD: 0000-0003-4840-6424
2016 (English)In: Injury Prevention, ISSN 1353-8047, E-ISSN 1475-5785, Vol. 22, no Suppl.2, p. A181-A181Article in journal (Refereed) Published
Abstract [en]

Background Fall-related injuries are a global public health problem, especially in elderly populations. In this study, the effect of an intervention aimed at reducing the risk of falls in the homes of community-dwelling elderly persons was evaluated. The intervention, which involves home hazards reduction by providing a minor home help service, is provided in the majority of Swedish municipalities.

Methods Intention-to-treat effect estimates were derived using quasi-experimental time series intervention (ITS) analysis for immediate effects and a difference-in-discontinuity (RD) design for long term effects, and community-level estimates were pooled using meta-analysis. The outcome measure was the incidence of fall-related hospitalizations in the treatment population, the age of which varied by municipality (≥65 years, ≥67 years, ≥70 years or ≥75 years).

Results We found no statistically significant reductions in injury incidence in the ITS (IRR 1.01 [95% CI: 0.98–1.05]) or RD (IRR 1.00 [95% CI: 0.97–1.03]) analyses. The results are robust to several different model specifications, including segmented panel regression analysis with linear trend change and community fixed effects parameters.

Conclusions It is unclear whether absence of an effect is due to a low efficacy of the home hazards modifications provided, or a result of low utilisation. Additional studies of the effects on other quality of life measures are recommended before conclusions are drawn regarding the cost-effectiveness of the provision of home help services

Place, publisher, year, edition, pages
2016. Vol. 22, no Suppl.2, p. A181-A181
National Category
Geriatrics Health Care Service and Management, Health Policy and Services and Health Economy Public Health, Global Health, Social Medicine and Epidemiology Social Work
Identifiers
URN: urn:nbn:se:kau:diva-65698DOI: 10.1136/injuryprev-2016-042156.501ISI: 000405066801187OAI: oai:DiVA.org:kau-65698DiVA, id: diva2:1175633
Available from: 2018-01-18 Created: 2018-01-18 Last updated: 2018-07-04Bibliographically approved

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Bonander, CarlGustavsson, Johanna

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GeriatricsHealth Care Service and Management, Health Policy and Services and Health EconomyPublic Health, Global Health, Social Medicine and EpidemiologySocial Work

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