title: Educational intervention and functional decline among older people: the modifying effects of social capital.
abstract: OBJECTIVE
  To analyse if social capital modifies the effect of educational intervention of home visitors on mobility disability. Earlier studies have found that educational intervention of home visitors has a positive effect of older peoples' functional decline, but how social capital might modify this effect is still unknown.
  
  
  METHODS
  We used the Danish Intervention Study on Preventive Home Visits - a prospective cohort study including 2863 75-year-olds and 1171 80-year-olds in 34 Danish municipalities - to analyse the modifying effect of different aspects of social capital on the effect of educational intervention of home visitors on functional decline. The three measures of social capital (bonding, bridging, and linking) were measured at contextual level. Data was analysed with multivariate linear regression model using generalised estimating equations to account for repeated measurements.
  
  
  RESULTS
  We found that 80-year-olds living in municipalities with high bonding (B=0.089, p=0.0279) and high linking (B=0.0929; p=0.0217) had significant better mobility disability in average at 3-year follow up if their municipality had received intervention.
  
  
  CONCLUSIONS
  With the unique design of the Danish Intervention Study on Preventive Home Visits and with theory-based measures of social capital that distinguish between three aspects of social capital with focus on older people, this study contributes to the literature about the role of social capital for interventions on mobility disability.
authors: 1Department of Public Health, University of Copenhagen, Denmark.
authors: Tine
authors: T
authors: Poulsen
authors: Volkert Dirk
authors: VD
authors: Siersma
authors: Rikke
authors: R
authors: Lund
authors: Ulla
authors: U
authors: Christensen
authors: Mikkel
authors: M
authors: Vass
authors: Kirsten
authors: K
authors: Avlund
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D002947:Cities; D003718:Denmark; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D015577:Geriatric Assessment / Q000706:statistics & numerical data*; D006282:Health Personnel / Q000193:education*; D006302:Health Services Research; D006299:Health Services for the Aged; D006792:House Calls; D006801:Humans; D008297:Male; D011320:Primary Health Care; D011446:Prospective Studies; D012944:Social Support; D011795:Surveys and Questionnaires
keywords: Bonding; bridging; contextual level; educational intervention; functional decline; linking; older people; preventive home visits; social capital