Uppsala University, Sweden.
Mälardalen University, Västerås, Sweden.
J Appl Gerontol. 2021 Mar;40(3):289-299. doi: 10.1177/0733464820902652. Epub 2020 Mar 2.
The aim of this randomized controlled trial was to examine the 12-month effects of the home-based Otago Exercise Program (OEP) with or without the support of motivational interviewing (MI) on community-dwelling people 75 years and older who needed walking aids and/or home help service. In total, 175 participants were randomized into three groups: OEP ( = 61), OEP with MI ( = 58), and a control group ( = 56) ( age = 83 years). Measures were physical performance, physical activity level, balance, grip strength, fall-related self-efficacy, fall rate, and fall injury rate. The OEP with and the OEP without MI, with the support of a physical therapist (six home visits and three phone calls), demonstrated no benefits in any of the measures compared with a control group. In this subgroup of pre-frail older adults, more frequent support by personnel may be required to secure efficient intensity and progression in the exercises performed on your own at home.
本随机对照试验的目的是检验居家奥塔哥运动计划（OEP）在 12 个月内对需要助行器和/或家庭援助服务的 75 岁及以上社区居住者的影响，这些人有无动机访谈（MI）的支持。共有 175 名参与者被随机分为三组：OEP（=61）、OEP 加 MI（=58）和对照组（=56）（年龄=83 岁）。测量指标包括身体机能、身体活动水平、平衡能力、握力、与跌倒相关的自我效能感、跌倒率和跌倒伤害率。OEP 加 MI 和 OEP 组（在物理治疗师的支持下进行了六次家访和三次电话访问）与对照组相比，在任何一项测量指标中均未显示出获益。在这个虚弱前期老年人亚组中，可能需要更频繁的人员支持，以确保在家中自行进行的锻炼有足够的强度和进展。
