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Int J Geriatr Psychiatry. 2008 May;23(5):504-10.

The effects of multifactorial fall prevention on depressive symptoms among the aged at increased risk of falling.

Author information

1
The Institute of Clinical Medicine, Family Medicine, University of Turku, Turku, Finland. nookau@utu.fi

Abstract

OBJECTIVES:

The aim was to determine the effects of multifactorial fall prevention on depressive symptoms among aged Finns at increased risk of falling.

METHODS:

This study is part of a multifactorial fall prevention trial with a randomised controlled design implemented in the town of Pori, western Finland. The study population consisted of ambulatory, 65-year-old or older Finns, with moderate or high cognitive and physical abilities who had fallen at least once during the previous 12 months. The participants (n=591) were randomised into a risk-based multifactorial fall prevention programme (intervention group, IG) or into a one-time counselling group (control group, CG). The 1-year intervention included individual geriatric assessment followed by treatment recommendations, individual guidance regarding fall prevention, physical exercise in small groups twice a month, psychosocial group activities and lectures once a month, home-exercises and home hazard assessment. The outcome, depressive symptoms, was measured by the 30-item Geriatric Depression Scale (GDS).

RESULTS:

The full GDS data with no missing items were available for 464 persons. A significant decrease in depressive symptoms during the 12-month intervention was found both in IG and in CG, but the difference in change was not significant (p=0.110). However, a significant difference in change between the groups was found among men and older subjects (>or=75) in favour of the IG.

CONCLUSION:

Multifactorial fall prevention had no effects on depressive symptoms among the community-dwelling aged. However, men and older participants benefited from the intervention.

PMID:
17932996
DOI:
10.1002/gps.1927
[Indexed for MEDLINE]
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