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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Adherence to and efficacy of home exercise programs to prevent falls: A systematic review and meta-analysis of the impact of exercise program characteristics
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Adherence to and efficacy of home exercise programs to prevent falls: A systematic review and meta-analysis of the impact of exercise program characteristics

机译：坚持家庭锻炼计划并预防跌倒的功效：对锻炼计划特征的影响进行系统的回顾和荟萃分析

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Objective: To determine whether adherence to home exercise interventions for the prevention of falls in older adults relates to home exercise program characteristics and intervention efficacy. Methods: In Australia (2011) a systematic literature search of four databases was conducted. Randomized controlled trials were included. Random-effects meta-analysis of participant adherence rates was performed. Meta-regression analyses were used to determine the relationship between intervention program characteristics, intervention efficacy and adherence. Results: Twenty-three studies met the inclusion criteria. The pooled estimate of participants who were fully adherent was 21% (95% Confidence Interval: 15%-29%, range: 0%-68%). Higher levels of full adherence were found in interventions containing balance or walking exercise, moderate home visit support, physiotherapist led delivery and no flexibility training. Higher levels of partial adherence were found in interventions containing home visit or telephone support, a participant health service recruitment approach and no group exercise training. Neither full nor partial adherence to prescribed home exercise program dosages was associated with intervention efficacy. Conclusion: Adherence to home exercise for the prevention of falls in older adults is low and may be affected by home exercise program characteristics. There is an absence of evidence to link adherence to intervention efficacy.
机译：目的：确定坚持家庭锻炼干预措施以防止老年人摔倒与家庭锻炼计划的特征和干预效果是否相关。方法：在澳大利亚（2011年）对四个数据库进行了系统的文献检索。包括随机对照试验。进行参与者依从率的随机效应荟萃分析。荟萃回归分析用于确定干预计划特征，干预效果和依从性之间的关系。结果：23项研究符合纳入标准。完全依从的参与者的汇总估计为21％（95％置信区间：15％-29％，范围：0％-68％）。在包括平衡运动或步行运动，适度的上门拜访支持，物理治疗师指导下的分娩以及没有灵活性训练的干预措施中，发现较高的完全依从性。在包括上门拜访或电话支持，参与者健康服务招募方法以及没有小组运动训练的干预措施中发现了较高的部分依从性。完全或部分遵守规定的家庭锻炼计划剂量均与干预效果无关。结论：防止老年人摔倒的家庭锻炼依从性较低，可能受家庭锻炼计划特征的影响。没有证据将依从性与干预效果联系起来。

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