title: Evaluation of an osteoporosis and fall risk intervention program for community-dwelling elderly. A quasi-experimental study of behavioral modifications.
abstract: OBJECTIVE
  Osteoporosis and fall fractures are increasing problems amongst the elderly. The aim of this study was to explore whether combined population-based and individual interventions directed at risk factors for osteoporosis and falls result in behavioral changes in an elderly population.
  
  
  METHODS
  A quasi-experimental design was used for the study. Persons aged >or=65 years were randomly selected in the intervention and control community. An intervention program was managed from the primary health care center and delivered to the community. Health education was designed to increase awareness of risk factors for the development of osteoporosis and falling. Questionnaires about lifestyle, health, previous fractures, safety behavior and physical activity level were distributed at baseline in 1989 and at the follow-ups in 1992 and 1994 in both communities.
  
  
  RESULTS
  There was a difference of 17.7% between the dual intervention (receiving both population-based and individual interventions) and the control samples regarding the self-reported use of shoe/cane spikes, and a difference of 20.5% regarding the reported "moderate level" of physical activity in 1994. There was an increase in the number of participants in the dual intervention sample who, at baseline, had not reported equipping their homes with non-slip mats and removing loose rugs but who did report these changes in 1994. The increase in the reported use of shoe/cane spikes in the dual intervention sample was observed mainly for the period 1992-1994.
  
  
  CONCLUSIONS
  A public health intervention model, including both population-based and individual interventions, can contribute to behavioral changes in the prevention of falls and changed physical activity patterns amongst elderly people.
authors.affiliation: Vadstena Primary Health Care Center, 592 32 Vadstena, Sweden. lotta.grahn-kronhed@lio.se.
authors.forename: Ann-Charlotte
authors.initials: AC
authors.lastname: Grahn Kronhed
authors.forename: Carina
authors.initials: C
authors.lastname: Blomberg
authors.forename: Owe
authors.initials: O
authors.lastname: Löfman
authors.forename: Toomas
authors.initials: T
authors.lastname: Timpka
authors.forename: Margareta
authors.initials: M
authors.lastname: Möller
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000368:Aged; D016022:Case-Control Studies; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D010024:Osteoporosis / Q000517:prevention & control*; D015397:Program Evaluation; D012111:Residence Characteristics; D012307:Risk Factors; D040242:Risk Reduction Behavior