| Summary: | 碩士 === 臺北醫學大學 === 傷害防治學研究所 === 94 === Purpose: This study was to evaluate the effects of exercise training, environmental modification, and education on quality of life among
elderly fallers aged 65 years or older and living in Shin-Sher Township, Taichung Country, Taiwan. Methods: The study design was a randomized controlled trial at older people’s home. One hundred and fifty participants were randomized to three groups of exercise training, environmental modification, and education. The health-related quality of life was evaluated by the brief version of the World Health Organization Quality of Life (WHOQOL-BREF). The general mixed-effect model was used to investigate the change in quality of life among three groups while adjustment for other potential confounders. Result: Compared with the educational group, exercise training group had significant improvement in the psychological domain (increase 1.5, 95% CI(confidence interval) was 0.4 to 2.5), social domain (increase 1.3, 95% CI was 0.4 to 2.2), and environmental domain (increase 1.4, 95% CI was 0.6 to 2.3). The environmental modification group had significantly improvement in social domain (increase 1.0,95% CI was 0.1 to 1.9), compared with the educational group. Conclusion: Exercise training significantly improved the quality of life among elderly fallers in the psychological domain, social domain, and environment domain. It revealed that exercise can improve multiple domains of quality of life among elderly fallers.
Keywords: elderly, randomized controlled trial, block randomization, exercise training, quality of life
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