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• W3132620498 abstract "We identified adherence-based case-mixes from participants' longitudinal adherence to falls prevention exercise interventions over 12 months. Second, we identified modifiable baseline predictors (cognition, mobility and functional status) based on participants' case-mix adherence trajectories.This study was a 12-month longitudinal secondary analysis of data from 172 participants who received the Otago Exercise Program (OEP) in a randomized controlled trial. Adherence to the OEP was ascertained monthly via self-report. Case-mixes, groups of individuals who followed similar adherence trajectories, were visually defined using 12-month longitudinal trajectories; we used latent class growth modeling. Baseline predictors of adherence were examined for the following categories: 1) cognition, 2) mobility and 3) functional status.Four distinct case-mixes were identified. The non-adherent case-mix (18 %) was distinguished by a non-adherent and decreasing adherence trajectory over time. The low adherence case-mix (45 %) did not have complete adherence or consistent adherence over the 12-month follow-up. The moderate adherence case-mix (27 %) was characterized by a stable (i.e., non-variable) adherence trajectory with a slightly increasing pattern at midpoint. The high adherence case-mix (10 %) demonstrated consistent and high adherence over the 12-month follow-up. For individuals with moderate adherence, the Digit Symbol Substitution Test (DSST) significantly predicted adherence (relative risk ratio (RRR) = 1.12 (0.95 CI: 1.0-1.26); p = 0.049). For individuals with high adherence, the Digits Forward minus Digits Backward (RRR = 0.43 (0.95 CI: 0.23-0.79); p = 0.002) and Instrumental Activities of Daily Living (RRR = 0.36 (0.95 CI: 0.16-0.81); p = 0.01) significantly predicted adherence.Cognitive profile and activities of daily living at baseline may predict the longitudinal pattern of adherence." @default.
• W3132620498 created "2021-03-01" @default.
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• W3132620498 date "2021-05-01" @default.
• W3132620498 modified "2023-10-16" @default.
• W3132620498 title "A ‘case-mix’ approach to understand adherence trajectories for a falls prevention exercise intervention: A longitudinal cohort study" @default.
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• W3132620498 doi "https://doi.org/10.1016/j.maturitas.2021.02.004" @default.
• W3132620498 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/33832641" @default.
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