Lindy Clemson

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OBJECTIVES To test whether Stepping On, a multifaceted community-based program using a small-group learning environment, is effective in reducing falls in at-risk people living at home. DESIGN A randomized trial with subjects followed for 14 months. SETTING The interventions were conducted in community venues, with a follow-up home visit. PARTICIPANTS(More)
OBJECTIVES To determine whether a lifestyle integrated approach to balance and strength training is effective in reducing the rate of falls in older, high risk people living at home. DESIGN Three arm, randomised parallel trial; assessments at baseline and after six and 12 months. Randomisation done by computer generated random blocks, stratified by sex(More)
OBJECTIVE This study examined adherence to home modification recommendations made by an occupational therapist and attempted to identify predictors of adherence. METHOD An experienced occupational therapist visited the homes of 178 people (mean age = 764 years) to evaluate for and recommend appropriate home modifications for falls prevention. One year(More)
PURPOSE To examine the validity and reliability of a modified Reintegration to Normal Living Index (mRNL Index) with a sample of community-dwelling adults with mixed diagnoses. METHOD Forty-six adults (mean 55.2 ± 20.3 years) were recruited through convenience sampling from outpatient rehabilitation services. They completed the mRNL Index, Community(More)
BACKGROUND People with dementia have a disproportionately high rate of falls and fractures and poorer outcomes, yet there is currently no evidence to guide falls prevention in this population. METHODS A randomised trial design was used to test feasibility of study components and acceptability of a home hazard reduction and balance and strength exercise(More)
BACKGROUND Home exercise can prevent falls in the general older community but its impact in people recently discharged from hospital is not known. The study aimed to investigate the effects of a home-based exercise program on falls and mobility among people recently discharged from hospital. METHODS AND FINDINGS This randomised controlled trial(More)
OBJECTIVE To summarise existing systematic reviews that assess the effects of non-pharmacological, pharmacological and alternative therapies on activities of daily living (ADL) function in people with dementia. DESIGN Overview of systematic reviews. METHODS A systematic search in the Cochrane Database of Systematic Reviews, DARE, Medline, EMBASE and(More)
RATIONALE Excess mortality and residual disability are common after hip fracture. HYPOTHESIS Twelve months of high-intensity weight-lifting exercise and targeted multidisciplinary interventions will result in lower mortality, nursing home admissions, and disability compared with usual care after hip fracture. DESIGN Randomized, controlled,(More)
OBJECTIVES To determine the efficacy of vision and eye examinations, with subsequent treatment of vision problems, for preventing falls and fractures in frail older people. DESIGN Randomized, controlled trial. SETTING Community in Sydney, Australia. PARTICIPANTS Six hundred sixteen men and women aged 70 and older (mean age 81) recruited mainly from(More)
The importance of environmental hazards in the home as risk factors for falls and fractures is uncertain. A case-control study was conducted, involving people aged 65 years and over referred to an occupational therapy department for home assessment. There were 52 subjects with a recent hip fracture, 43 fallers (subjects with two or more falls in the past(More)