The Otago Exercise Program With or Without Motivational Interviewing for Community-Dwelling Older Adults: A 12-Month Follow-Up of a Randomized, Controlled Trial. (March 2021)

• Record Type: Journal Article
• Authors: Tuvemo Johnson, Susanna; Anens, Elisabeth; Johansson, Ann-Christin; Hellström, Karin
• Is Part Of: Journal of applied gerontology. Volume 40:Number 3(2021)
• Page Start: 289
• Page End: 299
• Publication Date: 2021-03
• Subjects: falls -- physical function -- exercise -- health behaviors -- Otago Exercise Program -- motivational interviewing -- older adults; Gerontology -- Periodicals; 362.6
• DOI: 10.1177/0733464820902652
• Languages: English
• ISSNs: 0733-4648

Abstract

The aim of this randomized controlled trial was to examine the 12-month effects of the home-based Otago Exercise Program (OEP) with or without the support of motivational interviewing (MI) on community-dwelling people 75 years and older who needed walking aids and/or home help service. In total, 175 participants were randomized into three groups: OEP ( n = 61), OEP with MI ( n = 58), and a control group ( n = 56) ( M age = 83 years). Measures were physical performance, physical activity level, balance, grip strength, fall-related self-efficacy, fall rate, and fall injury rate. The OEP with and the OEP without MI, with the support of a physical therapist (six home visits and three phone calls), demonstrated no benefits in any of the measures compared with a control group. In this subgroup of pre-frail older adults, more frequent support by personnel may be required to secure efficient intensity and progression in the exercises performed on your own at home.