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BMC Geriatrics
Published in: BMC Geriatrics 1/2018

Open Access 01-12-2018 | Research article

The impact of community-based interventions for the older population: a quasi-experimental study of a hip-fracture prevention program in Norway

Authors: Henning Øien, Niklas Jakobsson, Carl Bonander

Published in: BMC Geriatrics | Issue 1/2018

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Abstract

Background

Hip fractures among older adults are a major public health problem in many countries. Hip fractures are associated with expensive health care treatments, and serious adverse effects on patients’ health and quality-of-life. In this paper, we estimate the effect of a community-based hip fracture prevention program that was initiated in 16 Norwegian municipalities in 2007. Specifically, the participating municipalities implemented one or more of the following interventions: exercise programs for older adults, information and education campaigns to communicate how to effectively reduce falls to care workers and older adults, and preventive home safety assessment and modification help services.

Methods

We used a difference-in-difference design, and identified control municipalities by matching on pre-intervention trends in the outcome. The outcome measure was the incidence of hip-fractures among older adults (≥65 years).

Results

We found no statistically significant effects of the implemented program on the incidence of hip fractures, on average, in older subgroups (≥80 years) or in municipality-specific analyses.

Conclusions

It is unclear whether the interventions managed to achieve a change in hip fracture rates at the population level.
Footnotes
1
They used the criteria in the “Data Collection Checklist” by the Cochrane Effective Practice and Organization of Care Review Group (EPOC) that are relevant for community interventions.
 
2
This is regulated in the Health and Care Services Act of 2011.
 
3
The municipalities are Ski, Hamar, Namsos, Namdalseid, Fosnes, Overhalla, Flatanger, Stryn, Gloppen, Luster, Årdal, Laerdal, Balestrand, Höyanger, Förde, and the city district Laksevåg in Bergen. About 3.3% of the Norwegian population lived in these municipalities in 2007.
 
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Metadata
Title
The impact of community-based interventions for the older population: a quasi-experimental study of a hip-fracture prevention program in Norway
Authors
Henning Øien
Niklas Jakobsson
Carl Bonander
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2018
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-018-1004-z

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