32484
document
A randomized controlled trial of a health-promotion programme and its effect on ADL dependence and self-reported health problems for the elderly visually impaired . BACKGROUND Ageing with visual impairment is associated with a high degree of disability whereby age-related macular degeneration in particular causes dependence in activities of daily living ( ADL ) even at an early stage . AIMS To compare an activity-based , health-promotion programme with an individual programme , targeting the elderly with age-related macular degeneration concerning the effect on the development of dependence in ADL , general health , and self-reported health problems . METHODS A randomized controlled study with a 28-month follow-up . A total of 229 persons were randomized to the study and 131 ( 57 % ) were followed up ( individual intervention n=69 , health-promotion programme n=62 ) at 28-month . RESULTS The health-promotion group maintained their ADL level despite a significant decrease in visual acuity , while the individual intervention group increased its dependence in ADL . General health systematically dropped to a lower level in both groups , but participants from the health-promotion group reported fewer health problems . There were significantly fewer reports of tiredness and dizziness among the health-promotion participants . CONCLUSION The health-promotion programme seems to have slowed down the disablement process among elderly with decreased vision by enabling them to maintain their ADL level and by reducing self-reported health problems for at least 28 months following intervention .
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Intervention_Educational
health-promotion programme
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Intervention_Educational
health-promotion programme
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Intervention_Educational
individual programme
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Intervention_Control
( individual intervention
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Intervention_Educational
health-promotion programme
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Intervention_Educational
health-promotion group
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Intervention_Educational
individual intervention
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Intervention_Educational
health-promotion group
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Intervention_Physical
health-promotion
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Outcome_Mental
ADL
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Outcome_Mental
self-reported health problems
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Outcome_Mental
activities of daily living ( ADL )
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Outcome_Physical
ADL level
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Outcome_Physical
visual acuity
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Outcome_Mental
ADL
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Outcome_Physical
General health
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Outcome_Physical
fewer health problems
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Outcome_Adverse-effects
tiredness
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Outcome_Physical
and dizziness
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Outcome_Physical
disablement process
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Outcome_Physical
ADL level
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Outcome_Physical
reducing self-reported health problems
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Participant_Age
elderly
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Participant_Condition
visually impaired
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Participant_Condition
age-related macular degeneration
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Participant_Sample-size
229