Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands.
Age Ageing. 2012 Jul;41(4):474-81. doi: 10.1093/ageing/afs007. Epub 2012 Feb 23.
to explore the preferences of community-dwelling older persons regarding different programme formats for managing concerns about falls.
cross-sectional study of 5,755 community-dwelling people aged ≥ 70 years in the Netherlands.
a questionnaire assessed people's willingness to participate per programme format (n=6), i.e. a programme at home, via telephone, via home visits and telephone consultations, via television or via Internet.
of the 2,498 responders, 62.7% indicated no interest in any of the formats. The willingness to participate per programme format varied between 21.5 (at home) and 9.4% (via Internet). Among people interested in at least one of the formats (n=931), higher levels of fall-related concerns were associated with increased preference for a programme with home visits. Poor perceived health and age ≥ 80 years were associated with less preference for a group programme. Higher educated people were more in favour of a programme via Internet compared with their lower educated counterparts.
the majority of community-dwelling older people are not likely to participate in any of the six proposed programme formats for managing concerns about falls. However, when diverse formats of effective programmes will be made available, uptake and adherence may be increased since programme preferences are associated to specific population characteristics.
探讨社区居住的老年人对不同的跌倒管理方案格式的偏好。
荷兰 5755 名年龄≥70 岁的社区居住者的横断面研究。
通过问卷评估了人们对每个方案格式（n=6）的参与意愿，即家庭、电话、家访和电话咨询、电视或互联网方案。
在 2498 名应答者中，62.7%的人对任何一种方案格式都不感兴趣。对每种方案格式的参与意愿在 21.5%（家庭）至 9.4%（互联网）之间存在差异。在对至少一种格式感兴趣的人群（n=931）中，与跌倒相关的担忧程度越高，越倾向于选择有家访的方案。健康状况差和年龄≥80 岁与对群体方案的偏好程度降低相关。受教育程度较高的人比受教育程度较低的人更倾向于通过互联网参与方案。
大多数社区居住的老年人不太可能参与六种拟议的跌倒管理方案格式。然而，当提供多样化的有效方案格式时，参与率和依从性可能会提高，因为方案偏好与特定的人口特征相关。
