Abstract
The objective was to investigate whether a 3-year educational intervention towards primary health care professionals had effect on change in tiredness in daily activities during a 3-year intervention period in non-disabled older adults. The design was a controlled 3-year intervention study in 34 Danish municipalities with randomization and intervention at municipality level. The 17 intervention municipality visitors received regular education and general practitioners were introduced to a short assessment program. The effect was measured among old non-disabled individuals living in the municipalities by a validated scale on tiredness in daily activities at baseline and at the end of the intervention period. In total 2,515, 75- and 80-year-old men and women participated in all parts of the present study. Eighty-year-old non-disabled men and women who lived in the control municipalities had larger odds ratios of sustained tiredness during the 3-year intervention period compared with 80-year-olds living in intervention municipalities where both GPs and home visitors participated in the educational programme (OR = 3.48; 95% CI 1.51–8.00) and in intervention municipalities where only the home visitors (OR = 2.63; 95% CI 0.97–7.12) were educated. The intervention had no effect on stability and change in tiredness among the 75-year-old men and women. A brief, feasible educational intervention for primary care professionals has beneficial effect on changes in feelings of tiredness in non-disabled 80-year-old men and women.
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References
Allman BL, Rice CL (2002) Neuromuscular fatigue and aging: central and peripheral factors. Muscle Nerve 25:785–796
Avlund K (2004) Disability in old age: longitudinal population-based studies of the disablement process. Dan Med Bull 51:315–349
Avlund K, Holstein BE (1998) Functional ability among elderly people in three service settings: the discriminatory power of a new functional ability scale. Eur J Epidemiol 14:783–790
Avlund K, Schroll M, Davidsen M, Løvborg B, Rantanen T (1994) Maximal isometric muscle strength and functional ability in daily activities among 75-year-old men and women. Scand J Med Sci Sports 4:32–40
Avlund K, Thudium D, Davidsen M, Fuglsang-Sørensen B (1995) Are self-ratings of functional ability reliable?. Scand J Occup Ther 2:10–16
Avlund K, Kreiner S, Schultz-Larsen K (1996) Functional ability scales for the elderly. A validation study. Eur J Public Health 6:35–42
Avlund K, Schultz-Larsen K, Davidsen M (1998) Tiredness in daily activities at age 70 as a predictor of mortality during the next 10 years. J Clin Epidemiol 51:323–333
Avlund K, Damsgaard MT, Schroll M (2001) Tiredness as determinant of subsequent use of health and social services. J Aging Health 13:267–286
Avlund K, Damsgaard MT, Sakari-Rantala R, Laukkanen P, Schroll M (2002) Tiredness in daily activities among non-disabled old people as determinant of onset of disability. J Clin Epidemiol 55:965–973
Avlund K, Vass M, Hendriksen C (2003) Onset of disability among community-dwelling old men and women. The role of tiredness in daily activities. Age Ageing 32:579–584
Avlund K, Sakari-Rantala R, Pedersen AN, Frändin K, Schroll M (2004) Tiredness and onset of walking limitations in older adults. J Am Geriatr Soc 52:1963–1965
Avlund K, Rantanen T, Schroll M (2006) Tiredness and subsequent disability in older adults: The role of walking limitations. J Gerontol Med Sci 61:1201–1205
Avlund K, Rantanen T, Schroll M (2007a) Factors underlying tiredness in older adults. Aging Clin Exp Res 19:16–25
Avlund K, Vass M, Kvist K, Hendriksen C, Keiding N (2007b) The effect of education about preventive home visits to older adults: results from a randomized controlled trial in 34 Danish municipalities. J Clin Epidemiol (in press)
Bennett BK, Hickie IB, Vollmer-Conna US, Quigley B, Brennan CM, Wakefield D, Douglas MP, Hansen GR, Tahmindjis AJ, Lloyd AR (1998) The relationship between fatigue, psychological and immunological variables in acute infectious illness. Aust NZ J Psychiatry 32:180–186
Era P, Avlund K, Jokela J, Gause-Nilsson I, Heikkinen E, Steen B, Schroll M (1997) Postural balance and self-reported functional ability in 75-year-old men and women-a cross-national comparative study. J Am Geriatr Soc 45:21–29
Ferrucci L, Penninx BWJH, Leveille SG, Corti MC, Pahor M, Wallace R, Harris TB, Havlik RJ, Guralnik JM (2000) Characteristics of nondisabled older persons who perform poorly in objective tests of lower extremity function. J Am Geriatr Soc 48:1102–1110
Fried LP, Ferrucci L, Darer J, Williamson JD, Anderson G (2004) Untangling the concepts of disability, frailty, and comorbidity: Implications for improved targeting and care. J Gerontol Med Sci 59:255–263
Rantanen T (2003) Muscle strength, disability and mortality. Scand J Med Sci Sports 51:636–641
Schultz-Larsen K, Avlund K, Kreiner S (1992) Functional ability of community dwelling elderly. Criterion-related validity of a new measure of functional ability. J Clin Epidemiol 45:1315–1327
Seeman TE, Singer BH, Ryff CD, Love GD, Levy-Storms L (2002) Social relationships, gender, and allostatic load across two age cohorts. Psychosom Med 64:395–406
Thage O (2001) Tiredness. In: The Danish National Encyclopedia, vol 19. Gyldendal, Copenhagen, pp 297–298
Vass M, Avlund K, Andersen CK, Hendriksen C, Keiding N (2002) Preventive home visits to older people in Denmark. Aging Clin Exp Res 14:509–515
Vass M, Avlund K, Kvist K, Hendriksen C, Andersen CK, Keiding N (2004) Structured home visits to older people: are they only of benefit for women? A randomised controlled trial. Scand J Prim Health Care 22:106–111
Vass M, Avlund K, Lauridsen J, Hendriksen C (2005) A feasible model for prevention of functional decline in older people: a municipality-randomised controlled trial. J Am Geriatr Soc 53:563–568
Vass M, Avlund K, Kvist K, Hendriksen C (2007) Baseline and follow-up characteristics of participants and non-participants. The Danish randomised intervention trial on preventive home visits. Scand J Public Health (in press)
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This study was supported by grants from the Danish Medical Research Council, the Research Foundation for General Practice and Primary Care, Eastern Danish Research Forum, the County Value-Added Tax Foundation and the Danish Ministry of Social Affairs. We thank all participating municipalities and Eva Jepsen for following up questionnaires.
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Avlund, K., Vass, M. & Hendriksen, C. Education of preventive home visitors: the effects on change in tiredness in daily activities. Eur J Ageing 4, 125–131 (2007). https://doi.org/10.1007/s10433-007-0058-0
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DOI: https://doi.org/10.1007/s10433-007-0058-0