Title

Promoting Declines in the Prevalence Late-Life Disability: Comparisons of Three Potentially High-Impact Interventions

Document Type

Journal Article

Faculty

Computing, Health and Science

School

School of Nursing, Midwifery and Postgrad Medicine, WA Centre for Cancer and Palliative Care

RAS ID

8962

Comments

This article was originally published as: Freedman, V. A., Hodgson, N., Lynn, J., Spillman, B. C., Waidmann, T., Wilkinson, A. M., & Wolf, D. A. (2006). Promoting Declines in the Prevalence of Late‐Life Disability: Comparisons of Three Potentially High‐Impact Interventions. Milbank Quarterly, 84(3), 493-520. Original article available here

Abstract

Although the prevalence of late-life disability has been declining, how best to promote further reductions remains unclear. This article develops and then demonstrates an approach for comparing the effects of interventions on the prevalence of late-life disability. We review evidence for three potentially high-impact strategies: physical activity, depression screening and treatment, and fall prevention. Because of the large population at risk for falling, the demonstrated efficacy of multi-component interventions in preventing falls, and the strong links between falls and disability, we conclude that, in the short run, multi-component fall-prevention efforts would likely have a higher impact than either physical activity or depression screening and treatment. However, longer-term comparisons cannot be made based on the current literature and may differ from short-run conclusions, since increases in longevity may temper the influences of these interventions on prevalence. Additional research is needed to evaluate longer-term outcomes of interventions, including effects on length and quality of life.

DOI

10.1111/j.1468-0009.2006.00456.x

 

Link to publisher version (DOI)

10.1111/j.1468-0009.2006.00456.x