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Elderly persons in the risk zone

SND-ID: EXT 0135

Creator/Principal investigator(s)

Synneve Dahlin-Ivanoff - University of Gothenburg, Institute of Neuroscience and Physiology

Description

"Elderly persons in the risk zone" is a health-promoting and preventive intervention study. The intention was that the study group should comprise a representative sample of pre-frail 80-year old persons still living at home in two municipalities of Gothenburg: The participants should live in their ordinary housing and not be dependent on the municipal home help service or care. Further, they should be independent of help from another person in activities of daily living and be cognitively intact, having a score of 25 or higher as assessed with the Mini Mental State Examination (MMSE).

The participants were randomised to three study groups: two intervention groups and one control group.
- Intervention A; Senior meetings and one follow-up home visit
- Intervention B; Preventive home visit
- Control group

459 persons were included in the study, 171 in intervention A, 174 in intervention B and 114 in the control group. All participants received a first visit that comprised an interview, assessment and observation. The first visit, i.e.the baseline interview, was performed in the participant's

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Research principal, contributors, and funding

Research principal

University of Gothenburg

Responsible department/unit

Institute of Neuroscience and Physiology

Protection and ethical review

Data contains personal data

No

Ethics Review

Gothenburg - Ref. 650-07

Method and time period

Study design

Experimental study

Sampling procedure

Probability: Simple random
Eligible persons for the study were drawn from official registers of all persons over 80 years of age in the two municipalities. Equal numbers from the two municipalities were listed in random order. The persons were included in the sample consecutively using the simple random sampling chart until the intended sample size was reached. Invitation letters were then sent to all persons in the sample asking them to participate in the study. The letter described the study, how it would be conducted and what would be expected of those consenting to participate. The letter stressed the fact that participation was voluntary. The letter was followed up by a telephone call about 1-2 weeks later. 365 persons out
of 2031 persons were either non-eligible or not traceable. The remaining persons was then informed verbally about the study and given the opportunity to ask questions if anything was unclear. They were also asked personally if they would like to participate, while again stressing that this was voluntary. After a baseline interview, those who fulfilled the study criteria were randomised to one of the three study arms by the use of sealed opaque envelopes. If eligible persons lived together, they were always allocated to the same intervention group.

Time period(s) investigated

2008 – 2011

Geographic coverage

Geographic spread

Geographic description: Örgryte and Härlanda in Gothenburg, Sweden.

Topic and keywords

Research area

HEALTH (CESSDA Topic Classification)
Clinical Medicine, Geriatrics, Other Social Sciences not elsewhere specified (The Swedish standard of fields of research 2011)

Keywords

aged, activities of daily living, aged, 80 and over, frail elderly, geriatrics, nursing care, geriatric nursing, signs and symptoms, exercise, surveys and questionnaires, case-control studies, [obsolete] intervention studies, cognition, registries, disease, hospitalization, social support, fatigue, weight loss, health services

Publications

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Gustafsson S, Eklund K, Wilhelmson K, Edberg AK, Johansson B, Häggblom Kronlöf G, Gosman-Hedström G, Dahlin-Ivanoff S. Long-term outcome for ADL following the health-promoting RCT--elderly persons in the risk zone.. Gerontologist. 2013 Aug;53(4):654-63. doi: 10.1093/geront/gns121.

Wilhelmson K, Eklund K. Positive effects on life satisfaction following health-promoting interventions for frail older adults: a randomized controlled study. Health Psychology Research 2013 1 (1): 44-50.

Behm L, Ivanoff SD, Zidén L. Preventive home visits and health--experiences among very old people. BMC Public Health. 2013 Apr 23;13:378. doi: 10.1186/1471-2458-13-378.
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Gustafsson S, Eklund K, Wilhelmson K, Edberg AK, Johansson B, Kronlöf GH, Gosman-Hedström G, Dahlin-Ivanoff S. Long-Term Outcome for ADL Following the Health-Promoting RCT - Elderly Persons in the Risk Zone. Gerontologist. 2013 Aug;53(4):654-63. doi: 10.1093/geront/gns121.
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Zidén L, Häggblom-Kronlöf G, Gustafsson S, Lundin-Olsson L, Dahlin-Ivanoff S. Physical function and fear of falling 2 years after a health-promoting randomized controlled trial: Elderly Persons in the Risk Zone. The Gerontologist 2013;54(3):387-97, doi:10.1093/geront/gnt078
DOI: https://doi.org/10.1093/geront/gnt078

Behm L, Zidén L, Dunér A, Falk K, Dahlin-Ivanoff S. Multi-professional and multi-dimensional group education--a key to action in elderly persons. Disabil Rehabil. 2013 Mar;35(5):427-35. doi: 10.3109/09638288.2012.697249.

Welmer A, Mörck A, Dahlin-Ivanoff S. Physical activity in people age 80 years and older as a means of counteracting disability, balanced in relation to frailty. J Aging Phys Act. 2012;20(3):317-31.

Wilhelmson K, Fritzell E, Eklund K, Dahlin-Ivanoff S. Life satisfaction and frailty among older adults. Health Psychology Research 2013 1 (3): 167-172. doi: 10.4081/hpr.2013.e32
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Dahlin-Ivanoff S. (red.). Livslots för seniorer. Göteborg, Vårdalinstitutet 2009.

Gustafsson S, Wilhelmson K, Eklund K, Gosman-Hedström G, Zidén L, Häggblom Kronlöf G, Højgaard B, Slinde F, Rothenberg E, Landahl S, Dahlin-Ivanoff S. Health-Promoting Interventions for Persons 80 Years and Over are Successful in the Short Term - Results from the Randomized and Three-Armed Study Elderly Persons in the Risk Zone. J Am Geriatr Soc. 2012: 60(3):447-54. doi: 10.1111/j.1532-5415.2011.03861.x.

Dahlin-Ivanoff S. Äldre i riskzon; En hälsofrämjande och sjukdomsförebyggande intervention för de allra äldsta. Vårdalnytt 2009; (2):18.

Ottenvall Hammar I, Dahlin-Ivanoff S, Wilhelmson K, Eklund K. Shifting between self-governing and being governed: a qualitative study of older persons' self-determination. BMC Geriatrics 2014,14:126 doi:10.1186/1471-2318-14-126.

Behm L, Wilhelmson K, Falk K, Eklund K, Zidén L, Dahlin-Ivanoff S. Positive health outcomes following health-promoting and disease-preventive interventions for independent very old persons: long-term results of the three-armed RCT Elderly Persons in the Risk Zone. Arch Gerontol Geriatr. 2014 May-Jun;58(3):376-83. doi: 10.1016/j.archger.2013.12.010.

Dahlin-Ivanoff S, Gosman-Hedström G, Edberg AK, Wilhelmson K, Eklund K, Duner A, Ziden L, Welmer AK, Landahl S. Elderly persons in the risk zone. Design of a multidimensional, health-promoting, randomised three-armed controlled trial for "prefrail" people of 80+ years living at home. BMC Geriatr. 2010 May 26;10:27. doi: 10.1186/1471-2318-10-27.
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Fornazar R, Spak F, Dahlin-Ivanoff S, Wilhelmson K. Alcohol consumption among the oldest old and how it changes during two years. ISRN Geriatrics 2013. Article ID 671218, 10 pages. doi:10.1155/2013/671218.

Lidén L, Häggblom-Kronlöf G, Gustafsson S, Lundin-Olsson L, Dahlin-Ivanoff S. Physical function and fear of falling 2 years after the health-promoting randomized controlled trial: elderly persons in the risk zone. Gerontologist. 2014 Jun;54(3):387-97. doi: 10.1093/geront/gnt078. Epub 2013 Aug 1.
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Dataset
Elderly persons in the risk zone

Associated documentation

Description

The dataset includes the participants in the two intervention groups and in the control group, a total of 459 participants. The baseline intervention was carried out between January 2008 and December 2010, and follow ups at 3 months, 1 year and 2 years.

Data format / data structure

Numeric

Creator/Principal investigator(s)

Synneve Dahlin-Ivanoff - University of Gothenburg, Institute of Neuroscience and Physiology

Time period(s) investigated

2008 – 2011

Data collection 1

  • Mode of collection: Face-to-face interview
  • Time period(s) for data collection: 2008–2011
  • Source of the data: Population group

Data collection 2

  • Mode of collection: Focus group
  • Time period(s) for data collection: 2008–2011
  • Source of the data: Population group

Data collection 3

  • Mode of collection: Physical measurements and tests
  • Time period(s) for data collection: 2008–2011
  • Source of the data: Population group
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Number of individuals/objects

459

Contact for questions about the data

Published: 2014-12-11
Last updated: 2021-09-09