October 7, 2024
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Efficacy of the Otago Exercise Programme to reduce falls in community-dwelling adults aged 65-80 years old when delivered as group or individual training

Publicated to: JOURNAL OF ADVANCED NURSING. 74 (7): 1700-1711 - 2018-07-01 74(7), DOI: 10.1111/jan.13583

Authors:

Albornos-Munoz, Laura; Teresa Moreno-Casbas, Maria; Sanchez-Pablo, Clara; Bays-Moneo, Ana; Carlos Fernandez-Dominguez, Juan; Rich-Ruiz, Manuel; Gea-Sanchez, Montserrat
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Affiliations

CIBER Fragilidad & Envejecimiento Saludable CIBER, Madrid, Spain - Author
Inst Recerca Biomed, GRECS, Grp Recerca Cures Salut, Lleida, Spain - Author
Inst Salud Carlos III, Nursing & Healthcare Res Unit Investen Isciii, Madrid 28029, Spain - Author
Nursing & Healthcare Res Unit Investen Isciii, Madrid, Spain - Author
Red Invest Serv Salud Enfermedades Cron, REDISSEC, Madrid, Spain - Author
Univ Balearic Isl, Dept Nursing & Physiotherapy, Balearic Isl, Palma, Spain - Author
Univ Cordoba, Hosp Univ Reina Sofia, Inst Maimonides Invest Biomed IMIBIC, Cordoba, Spain - Author
Univ Lleida, Fac Infermeria & Fisioterapia, Dept Infermeria & Fisioterapia, Grp Estudios Sociedad Salud Educ & Cultura,GESEC, Lleida, Spain - Author
Univ Publ Navarra, Dept Hlth Sci, Navarra, Spain - Author
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Abstract

AimThis study will compare how falls can be reduced in non-institutionalized older Spanish adults aged 65-80years by providing group or individual exercise sessions using the Otago Exercise Programme. BackgroundThe Otago Exercise Programme is a progressive home-based exercise programme, where trained health professionals help people engage in strength, balance and endurance exercises. Its format is based on the evidence from four clinical trials. The benefits of the Otago Exercise Programme are the same for people who have and have not suffered falls and it can also be used for visually impaired people. DesignA multicentre, simply blinded, randomized, non-inferiority clinical trial, with two armsgroup training and individual trainingthat started in January 2017 and will continue until December 2019. MethodsEach study group has 364 subjects, who will take part in four individual or group sessions delivered mainly by nurses over an 8-week period, with a reinforcement session 6months later. Data will be collected at baseline and after 6 and 12months. The fall percentage will be the most relevant clinical variable and we will also consider safety, viability, compliance, economic analysis and therapeutic value. Approval and funding was granted in December 2016 for this 3-year study by the Spanish Health Research Fund (PI16CIII/00031). DiscussionOlder people from 65-80years old tend to be more isolated and tackling worries about falls can improve social activities and independence. It has been shown that group training provides better adherence to exercise than individual training and this study will test that hypothesis for the Otago Exercise Programme.
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Keywords

Accidental fallsAgedAged, 80 and overEconomic-evaluationExerciseExercise therapyFallsFemaleFrailtyGeneral-practiceHealthHomeHumansMaleNursesNursingOlder peoplePeoplePrevent fallsPreventionPrimary carPrimary carePsychotherapy, groupQualitRandomized controlled-trialSingle-blind methodSpainTreatment outcome

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Journal Of Advanced Nursing due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2018, it was in position 13/118, thus managing to position itself as a Q1 (Primer Cuartil), in the category Nursing.

From a relative perspective, and based on the normalized impact indicator calculated from World Citations provided by WoS (ESI, Clarivate), it yields a value for the citation normalization relative to the expected citation rate of: 1.91. This indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: ESI Nov 13, 2025)

This information is reinforced by other indicators of the same type, which, although dynamic over time and dependent on the set of average global citations at the time of their calculation, consistently position the work at some point among the top 50% most cited in its field:

  • Weighted Average of Normalized Impact by the Scopus agency: 2.66 (source consulted: FECYT Mar 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2026-04-04, the following number of citations:

  • WoS: 26
  • Scopus: 34
  • Europe PMC: 25
  • Google Scholar: 48
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Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2026-04-04:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 325.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 325 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 14.
  • The number of mentions on the social network X (formerly Twitter): 23 (Altmetric).
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Awards linked to the item

This study has been financed by the Spanish Health Research Fund PI16CIII/00031, the Region of Murcia (CARM, FFIS17/AP/02/04), the Region of Basque Country (2016111005) and the Institute of Health Carlos III through the REDISSEC (RD12/0001/0016), RETICEF (RD12/0043/0006) and CIBERFES (CB16/10/00468)
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