Journal of the American Geriatrics Society
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Randomized Controlled Trial Multicenter Study Comparative Study
A randomized trial comparing digital video disc with written delivery of falls prevention education for older patients in hospital.
To compare the effectiveness of a digital video disc (DVD) with that of a written workbook delivering falls prevention education to older hospital patients on self-perceived risk of falls, perception of falls epidemiology, knowledge of prevention strategies, and motivation and confidence to engage in self-protective strategies. To compare the effect of receiving either education approach versus no education on patients' perception of falls epidemiology. ⋯ Delivery of falls prevention education on a DVD compared to a written workbook is more likely to achieve important changes in parameters likely to affect successful uptake of falls prevention messages in the hospital setting.
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Randomized Controlled Trial
Computerized decision support to reduce potentially inappropriate prescribing to older emergency department patients: a randomized, controlled trial.
To evaluate the effectiveness of computer-assisted decision support in reducing potentially inappropriate prescribing to older adults. ⋯ Computerized physician order entry with decision support significantly reduced prescribing of potentially inappropriate medications for seniors. This approach might be used in other efforts to improve ED care.
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Randomized Controlled Trial Comparative Study
Scheduled bright light for treatment of insomnia in older adults.
To determine whether bright light can improve sleep in older individuals with insomnia. ⋯ Except for one subjective measure, scheduled morning or evening bright light effects were not different from those of scheduled dim light. Thus, support was not found for bright light treatment of older individuals with primary insomnia.
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Randomized Controlled Trial
Fewer emergency readmissions and better quality of life for older adults at risk of hospital readmission: a randomized controlled trial to determine the effectiveness of a 24-week exercise and telephone follow-up program.
To evaluate the effect of an exercise-based model of hospital and in-home follow-up care for older people at risk of hospital readmission on emergency health service utilization and quality of life. ⋯ Early introduction of an individualized exercise program and long-term telephone follow-up may reduce emergency health service utilization and improve quality of life of older adults at risk of hospital readmission.
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Randomized Controlled Trial Multicenter Study
Lack of effect of Tai Chi Chuan in preventing falls in elderly people living at home: a randomized clinical trial.
To evaluate the effectiveness of Tai Chi Chuan in fall prevention in elderly people living at home with a high risk of falling. ⋯ These results suggest that Tai Chi Chuan may not be effective in elderly people at a high risk of falling who live at home.