[en] Background: Approximately one third of older people over 65 years fall each year. Home modifications may decrease occurrence of falls. Purpose: This study aims to determine the risk factors of falls for frail older persons and to evaluate the impact of home modifications by an occupational therapist on the occurrence of falls. Method: We conducted a longitudinal study using a quasiexperimental design to examine occurrence of falls. All participants 65 years of age and older and were assessed at baseline and 6 months after the intervention. Bivariate analysis and logistic regression models were used to study the risk factors of falls and the effect of home modifications on the incidence of falls. Findings: The main predictors of falls were vision problems, distress of informal caregiver, and insufficient informal support. Home modifications provided by an occupational therapist showed a significant reduction of falls. Implications: Informal caregivers and their health status had an impact on the fall risk of frail older persons. Home modifications by an occupational therapist reduced the fall risk of frail older persons at 6-months follow-up. [fr] Description: Environ un tiers des personnes âgées de plus de 65 ans font des chutes chaque année. Les modifications du domicile peuvent permettre de réduire la fréquence des chutes. But: Cette étude vise à déterminer les facteurs de risque de chute chez les personnes âgées et à évaluer l’impact des modifications du domicile effectuées par un ergothérapeute sur la fréquence des chutes. Méthodologie: Etude longitudinale effectuée à partir d’un devis quasi-expérimental pour examiner la fréquence des chutes. Tous les participants étaient âgés de 65 ans et plus et ils ont été évalués avant l’intervention et six mois après l’intervention. Une analyse bivariée et des modèles de régression logistique ont été utilisés pour étudier les facteurs de risque de chute et l’effet des modifications du domicile sur l’incidence des chutes. Résultats: Les principaux prédicteurs des chutes étaient les problèmes de vision, la détresse de l’aidant informel et un soutien informel insuffisant. Les modifications du domicile effectuées par un ergothérapeute ont entraîné une réduction importante des chutes. Conséquences: Les aidants informels, de même que l’état de santé de ces aidants ont eu un impact sur les risques de chute des personnes âgées en perte d’autonomie. Les modifications du domicile effectuées par un ergothérapeute ont entraîné une réduction des risques de chutes chez les personnes âgées en perte d’autonomie selon le suivi réalisé six mois après l’intervention.
Disciplines :
Public health, health care sciences & services
Author, co-author :
Maggi, Patrick ; Université de Liège - ULiège > Doct. sc. santé publ. (paysage)
de Almeida Mello, Johanna; Katholieke Universiteit Leuven - KUL
Delye, Samuel ; Université de Liège - ULiège > Département de Psychologie > Psychologie de la sénescence et du vieillissement
Cès, Sophie; Université Catholique de Louvain - UCL
Macq, Jean; Université Catholique de Louvain - UCL
Gosset, Christiane ; Université de Liège - ULiège > Département des sciences de la santé publique > Département des sciences de la santé publique
Declercq, Anja; Katholieke Universiteit Leuven - KUL
Language :
English
Title :
Fall determinants and home modifications by occupational therapists to prevent falls
Alternative titles :
[fr] Facteurs déterminants des chutes et modifications du domicile effectuées par les ergothérapeutes pour prévenir les chutes
Publication date :
February 2018
Journal title :
Canadian Journal of Occupational Therapy
ISSN :
0008-4174
Publisher :
Canadian Association of Occupational Therapists, Canada
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