Adesão de idosos que vivem na comunidade a um programa multifatorial para prevenção de quedas (PrevQuedas Brasil): estudo prospectivo

• Ano de defesa: 2020
• Autor(a) principal: Varanda, Renata dos Ramos
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Cidade de são Paulo; Brasil; Pós-Graduação; Programa Pós-Graduação Mestrado e Doutorado em Fisioterapia; UNICID
• Palavras-chave em Português: Acidentes por quedas; Idoso; Modalidades de fisioterapia; CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL
• Link de acesso: https://repositorio.cruzeirodosul.edu.br/handle/123456789/3852

Background: There is evidence of the effectiveness of multifactorial interventions in reducing falls in elderly people living in the community. However, low adherence to fall prevention programs has been reported in the literature as a recurring problem, questioning the effectiveness and sustainability of these programs. Objectives: To analyze the profile of community-dwelling older people with different levels of adherence to a multifactorial fall prevention program using data from the PrevQuedas Brazil clinical trial. Methods: This is a prospective study with secondary data from the clinical trial of the PrevQuedas Brazil Fall Prevention Program. Elderly people from the community who lived in the community were included in the intervention group. Adherence was assessed by attending weekly meetings for 12 weeks. The variables studied were: sociodemographic, physical and mental health, functional capacity and performance and the risk of falling collected in the initial assessment. Participants were compared using the variables of interest. Results: 257 with an average age of 73.5 7.4 years were included and 86% were women. The participants suffered an average of 3.0, 2.7 falls, 54.9% of the falls were outside, 76.3% were afraid of falling again and 65.4% were recurrent fallers. The median adherence was 10.0, 44.4% of the elderly had low / moderate adherence and 55.6% had high adherence. An association was found between low compliance and depression and lower MMSE scores. The association between fear of falling and depression proved to be a barrier to adherence in 25.4% in the general and 30.4% in the elderly in tertiary centers. Conclusion: The results suggest that depression and lower scores are barriers to adherence to a multifactorial fall prevention program. In addition, the combination of fear of falling and depression were identified as barriers to adherence both in the sample in general and among participants in tertiary centers.