European Journal of Ageing

, Volume 7, Issue 1, pp 37–55

Interventions to prevent disability in frail community-dwelling older persons: an overview

Authors

    • Faculty of Health and CareZuyd University of Applied Sciences
    • Centre of Research on Autonomy and ParticipationZuyd University of Applied Sciences
    • Centre of Research on Technology in Health CareZuyd University of Applied Sciences
  • Silke Metzelthin
    • School for Public Health and Primary CareMaastricht University
  • Erik van Rossum
    • Centre of Research on Autonomy and ParticipationZuyd University of Applied Sciences
    • Centre of Research on Technology in Health CareZuyd University of Applied Sciences
    • School for Public Health and Primary CareMaastricht University
  • Luc de Witte
    • Centre of Research on Technology in Health CareZuyd University of Applied Sciences
    • School for Public Health and Primary CareMaastricht University
  • Wim van den Heuvel
    • School for Public Health and Primary CareMaastricht University
Review

DOI: 10.1007/s10433-010-0141-9

Cite this article as:
Daniels, R., Metzelthin, S., van Rossum, E. et al. Eur J Ageing (2010) 7: 37. doi:10.1007/s10433-010-0141-9

Abstract

This narrative review was conducted to provide an overview of the variety of interventions aimed at disability prevention in community-dwelling frail older persons and to summarize promising elements. The search strategy and selection process found 48 papers that met the inclusion criteria. The 49 interventions described in these 48 papers were categorized into ‘comprehensive geriatric assessment’, ‘physical exercise’, ‘nutrition’, ‘technology’, and ‘other interventions’. There is a large diversity within and between the groups of interventions in terms of content, disciplines involved, duration, intensity, and setting. For 18 of the 49 interventions, significant positive effects for disability were reported for the experimental group. Promising features of interventions seem to be: multidisciplinary and multifactorial, individualized assessment and intervention, case management, long-term follow-up, physical exercise component (for moderate physically frail older persons), and the use of technology. Future intervention studies could combine these elements and consider the addition of new elements.

Keywords

Frail older personsDisability preventionReviewFrailtyActivities of daily living

Copyright information

© Springer-Verlag 2010