Adherence and satisfaction with interventions and neuropsychological changes in older people: A randomized clinical trial

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-03-28 DOI:10.1016/j.gerinurse.2025.03.026

Graziele Norberto Pereira, Karina Gramani-Say, Mariana Ignácio Sossai, Mel Silva de Sá, Letícia Teodoro Maciel, Ana Beatriz Simões Pereira, Juliana Hotta Ansai

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引用次数: 0

Abstract

Purpose

To assess the impacts of adherence and satisfaction with interventions on changes in neuropsychological risk factors for falls in older adults with a history of falls.

Methods

This controlled, randomized, single-center clinical trial was conducted with Brazilian community-dwelling older adults with a history of at least 2 falls in the past 12 months. Participants were divided into two groups: the Intervention Group (IG) and the Control Group (CG), with assessments at baseline and after 16 weeks. The IG participated in a case management program, including a multidimensional assessment, an explanation of fall risk factors, an individualized intervention plan, and monitoring. The CG received monthly health-related guidance. Evaluations included clinical and sociodemographic data, neuropsychological measures (cognition, depressive and anxiety symptoms, fear of falling), adherence to intervention and satisfaction with interventions.

Results

The final sample consisted of 26 volunteers from the CG and 29 volunteers from the IG. The mean frequency in the IG (adherence) was 80.27 %. There was good satisfaction in both groups, especially in the IG. Both groups showed a non-significant increase in global cognitive functions, especially the IG. Adherence to the case management-based intervention and satisfaction with remote interventions did not positively influence neuropsychological changes over 16 weeks.

Conclusion

Despite individuals' adherence and satisfaction with the interventions being positive, these factors did not influence changes in neuropsychological risk factors for falls in older people with a history of recurrent falls in the past 12 months.

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.