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A home based intervention reduced disability in physically frail older people

Key Words: frail elderly • home care services • activities of daily living

The first 150 words of the full text of this article appear below.

Design
Randomised (allocation concealed^*), blinded (outcome assessors),^* controlled trial with 12 months of follow up.

Setting
Primary care practices in Connecticut, USA.

Participants
188 people 75 years of age (mean age 83 y, 80% women) who lived at home and were physically frail (needed >10 s to walk a 3.0 m course and back and inability to stand from a seated position in a hardback chair with their arms folded). People who met 1 of the frailty criteria were moderately frail; people who met both were severely frail. Exclusion criteria included inability to walk; receipt of physical therapy or exercise programme; dementia; and stroke, hip fracture, myocardial infarction, or hip or knee replacement surgery in the past 6 months. Follow up data were available for 176 people (94%).

Intervention
Participants were allocated to a home based intervention (n=94) or an educational control group (n=94). The intervention involved assessment by a physical therapist of . . . [Full text of this article]

Bruce E Johnson, MD

University of Iowa Carver College of Medicine
Iowa City, Iowa, USA