Health Status Of Elderly People Research Articles

Research on the Relationship Between Urban and Traffic Environments and Health Among Returning Drivers of Drivers’ Licenses

This study sought to determine the relationship between urban and transportation environments and health among older adults who have returned their driver’s licenses. Many elderly people who have given up their driver’s license consider it a good thing. The reasons given were that they no longer had to worry about causing traffic crashes and the stress of driving. Factors that influenced whether or not they were glad to give up their driver’s license included the shift in transportation from driving to walking, and the health benefits of walking. Returning one’s driver’s license at the appropriate time may contribute to the health of elderly people. The health status of elderly people was assessed using the Tokyo Metropolitan Institute of Gerontology Index of Competence and a frailty index. Structural equation modeling was used to structure the relationship between the urban and transportation environment and health of elderly people who had given up their driver’s licenses. The results showed that the layout of facilities (e.g., supermarkets, hospitals, and bus stops) around the home influenced the age at which the driver’s license was returned. It was also shown that the younger the age of returning the motor vehicle driver’s license, the less frailty and the higher activity capacity was experienced by individuals. This may be because returning a driver’s license at an earlier age makes it easier to adjust to a new life and to new modes of transportation.

Elderly oral health condition in palliative care at public hospitals from Recife-PE, Brazil

This research aimed to evaluate the oral health condition of elderly people undergoing palliative care in public hospitals in the city of Recife-PE, Brazil. A sociodemographic questionnaire and the DMFT index were applied, as well as clinically evaluating the number of teeth, oral manifestations, use and types of dental prostheses. A descriptive analysis of the data was carried out and Fisher´s Exact Test was used with a significance level of p=0.05. 130 elderly people in palliative care participated, 55% were male and 70% were aged between 60 and 79 years. Regarding the number of teeth present in the mouth, 76% had between 0 and 10 teeth and 55% used dental prostheses, the most prevalent being the upper complete denture at 86%. The most prevalent oral manifestation was tongue coating and xerostomia with 58%. DMFT-d had a mean value of 27.3, which is considered very high, and was associated with the number of teeth with p=0.05. It is concluded that the DMFT index of elderly people receiving palliative care was considered very high, which makes it important to install prevention and intervention programs to improve the oral health condition of these people.

Psycho-Social Condition of Elder Persons in Bangladesh: A Case Study on Elder People in Bangladesh

Ageing is basically a biological process that needs continuous health and medical care and other related support services. Unfortunately, older persons (OP) in Bangladesh are suffering very badly in this area due to lack of our national, cultural and even individual farsightedness, prudence, appropriate preparations, balanced initiatives and arrangements. In Bangladesh due to improved quality of life the number of people over 60 years is increasing rapidly. This should be seen as an emerging challenge as the elderly will have special needs and require different care-giving services. Since Bangladesh does not have a social welfare system there will be competition for inadequate resources specially health and medical services. Older persons suffer the cumulative effects of a lifetime deprivation, entering old age in a poor state of health and without savings or material assets. Older persons are always neglected in our society. It is envisaged that due to more elderly population the demographic structure will undergo a slow change from the present pyramid structure. The growing trend towards nuclear family or where children live abroad will put the elderly parents in a dilemma-the financial and social support that is essential for them has not yet emerged. The nutrition and health status of elderly people depend on adequate food safe water, proper sanitation facilities and maintaining hygienic standards. Our new generations have to be responsive, informed and attentive about their duties and responsibilities towards the elderly people. Taking proper care of the elderly is our ethical duty and responsibility.

Do the New Rural Pension Scheme promote the health status of chronic patients in old age? —Evidence from CHARLS 2018 in China

BackgroundMany researchers have examined the impact of social insurance on health in elderly. However, in most cases, they have only demonstrated correlational results and have not been able to determine causal effects, possibly because confounding biases have not been fully addressed. In this study, we investigated the health effects of the New Rural Pension Scheme (NRPS) on the elderly (age≥60 years old) with chronic diseases in rural areas, and to explore the causal relationship and effects of NRPS and health status.MethodsThis paper used data from the 2018 China Health and Retirement Longitudinal Study (CHARLS) and applied Bayesian networks and fuzzy regression discontinuity design to conduct causal analysis. Bayesian networks were used to explore the causal directed acyclic graphs of factors related to NRPS and health status. Based on the results of Bayesian network, a fuzzy regression discontinuity design was employed to estimate the causal effect of NRPS on health status.ResultsAmong rural elderly with chronic diseases, Bayesian network mapping of causal relationships among NRPS, health status and covariates showed that age was a common cause of NRPS receipt and satisfaction with health. The results of the fuzzy regression discontinuity analysis showed that the effect of receiving NRPS on the health status was positive, but there was no statistically significant difference concerning the interval estimates. The results of the subgroup analysis with chronic obstructive pulmonary disease (COPD) and asthma indicated that the effect of NRPS receipt on the health status of elderly people with COPD was positive. There was a statistically significant effect of receiving NRPS on self-rated health description (β1=3.653,P=0.032\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$${\\beta }_{1}=3.653,P=0.032$$\\end{document}) and health satisfaction (β1=4.204,P=0.033\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$${\\beta }_{1}=4.204,P=0.033$$\\end{document}) in COPD population and a statistically significant effect of receiving NRPS on health satisfaction in asthma population (β1=9.844,P=0.008\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$${\\beta }_{1}=9.844,P=0.008$$\\end{document}).ConclusionThis paper has confirmed the contribution and positive causal effect of NRPS on health status in a subgroup of older adults with COPD and asthma, using the CHARLS database as evidence. Thus, Chinese government should increase the take-up rate of the NRPS to enhance their positive impact on health status of elderly people with chronic diseases in rural areas.

A Contactless Smart WiFi-Based Application Presence or Fall Detection System: Analyzing Channel State Information (CSI) Signals

Falls are considered to be the most common accident among people of determination and the elderly. Recently, many solutions have been proposed, whether wearable or noncontact, for people presence or falling detection (FD). These solutions can use wearable sensors to effectively monitor the health condition of elderly people at home and ensure their performance. However, all of these solutions require users to always wear specialized devices and sensors in their bodies, which limits the deployment of large-scale systems. Additionally, camera-based systems can raise privacy concerns. Recently, the non-contact Wi-Fi approach is becoming more and more popular because of its ubiquitous and non-invasiveness. In this paper, we propose a smart contactless system that uses Artificial Intelligence (AI) to analyze the Channel State Information (CSI) signals extracted from Wi-Fi signals. Our proposed application can help the people of determination and senior citizens (e.g., remote monitoring of the elderly) to be engaged all the time through closed monitoring based on ability to analyse the CSI signals extracted from Wi-Fi signals. This system can detect the presence, and falls of users without requiring them to wear any specialized devices or sensors. We believe that this application can help elderly and disabled people to remain engaged and monitored at all times, providing their communities with the means to better care for and serve them.

THE CHARACTERISTICS OF MENTAL HEALTH IN ELDERLY PEOPLE

The article is about an experimental psychological study of the mental health of 152 elderly people between the ages of 55 and 92 years. To achieve this goal, a special battery of techniques was selected. The results showed that 1) the mental health status of the elderly population may be considered normal; 2) Elderly people who receive a personal income from work, play sports, have hobbies and actively pursue activities suited to their age, and participate in the public life of the country are in good mental health; 3) The mental health status of elderly people who live in the suburbs or in nursing homes and who are employed in industries that require a high level of intelligence is worse than that of other elderly people. Elderly people living with their spouses have the best mental health status. 4) A negative attitude of elderly people toward disease and their environments can adversely affect their mental health, but a harmonious attitude does not significantly affect the mental state of elderly people.

Проблемы оказания эндокринологической помощи пожилым лицам в РФ

The main goal of the modern organization of medical care to the population with diseases of the endocrine system is to improve the quality, efficiency and accessibility of medical care to persons suffering from diseases of the endocrine system. For many years now, the problem of the dynamics of the prevalence of diseases of the endocrine system reflects frightening figures. At the same time, the group of the most common diseases is still diabetes mellitus (DM), obesity and thyroid diseases. Diseases of the endocrine system significantly reduce the quality of life of the elderly. The health status of elderly people is most often characterized by the comorbidity of chronic diseases, which in turn leads to a deterioration in the prognosis regarding life and health, and also makes necessary forced polyprogmasia. Identification of the problems of providing endocrinological care to the elderly will improve the quality and effectiveness of medical care at all stages of its provision. The purpose of the study: to analyze the organization of medical care in the development of endocrine diseases in the elderly population of the Russian Federation. Materials and methods. A content analysis of regulatory and legal documents on the provision of medical care to elderly patients in the field of Endocrinology in the Russian Federation, an analysis of Rosstat data on the main health indicators of the elderly population of the Russian Federation over the past 10 years was carried out.

Death Anxiety During COVID-19 and its Related Factors among Chinese Elderly People.

This study aimed at investigating death anxiety and its related factors in Chinese elderly people during COVID-19. This study totally interviewed 264 participants from four cities in different regions of China. Death anxiety scale (DAS), NEO-Five-Factor Inventory (Neo-FFI) and Brief COPE were scored on the basis of one-on-one interviews. Quarantine experience didn't make significant difference in death anxiety among the elderly; Elderly people with high death anxiety had higher scores of neuroticism, and were more likely to use a Behavior Disengagement coping strategy; Multiple linear regression analysis showed that neuroticism, openness and COVID impact predicted 44.6% of the variance in the death anxiety among elderly people. The results support both theories of vulnerability-stress model and terror management theory (TMT). In the post-epidemic era, we suggest to pay attention to the mental health status of elderly people with personality susceptibility to handling the stress of infection badly.

The Impact of Labor Force Participation on Elderly Health in China.

In the context of the deepening of population aging and the trial implementation of a progressive retirement delay policy in China, understanding the relationship between the labor force participation and health status of the elderly will not only enrich relevant research but also help the elderly better achieve their goals of active aging and aging. Using the 2018 China Health and Retirement Longitudinal Study, this paper first established multiple linear regression models to analyze the impact of labor force participation on the health status of elderly people in China and then established simultaneous equation models using households living on minimum living allowances and the community average of labor participation as instrumental variables to deal with the endogeneity caused by two-way causality. The findings confirmed significant positive correlations between labor force participation and physical and mental health, while caring for grandchildren and participating in social activities were found to be negatively moderated the relationship between labor force participation and the physical and mental health of older adults. The impact of labor force participation on the physical health status of older men and the mental health status of older women may be greater. In addition, labor force participation may have a greater impact on the physical health of the rural elderly, and its impact on mental health was not found to be statistically significant between urban and rural areas.

Socio-Economic and Health Status of Elderly People in Nepal

Old age is the time associated with biological, psychological and social changes. This study aims to explore the socio-economic and health status among the elderly people. A cross sectional descriptive study was carried out among 136 elderly who were the received old age allowance of Kusma municipality, Parbat. Elderly of aged 60 years & above were selected for the study by cluster sampling method. The information was collected through interview scheduled by semi structured questionnaire with quantitative and qualitative methods. Focused group discussion and case study also carried out. The major part of the elderly population was in theage group of 70-75 (29.4%) and 75-80 (22.8%) years. Sixty-eight percent elderly were illiterate and majority (71.3%) has land ownership. There is no any income source of elderly except old age allowance (94.1%). The most health problem was gastric, sugar and pressure problem as found in 44.85%. Nearly two -fifth (37.5%) were suffering from physical; heart related and bone related problems. Types of family and health status of elderly are significance at 5% level of significance (Chi-square). The results of the study show that family support, and old age allowance schemes have a positive impact on the social and health status of the elderly. The government has to care for the elderly people with special provision to increase their quality of life and make their life healthy and productive.

Enhancement of The Participation of Elderly people in Posyandu Health Services in Sunggal District Towards Healthy Living

Elderly people have susceptible to degenerative diseases that increase with their age. In Sunggal District, the number of elderly people is quite high as much as 8759 people, however, elderly people who have utilized the posyandu health services are still low. This impacted on the risk of degenerative diseases. The aim of this activity was trained cadres of posyandu to improve their performance, monitor the health status of elderly people, and educate them on the importance of monitoring health status. In this activity, training was carried out for the cadres to improve their performance in the implementation of posyandu. From the health status examination of elderly people, we found that many elderly people have a risk of metabolic syndrome, 47.76% of elderly people with obese, 40.30% of elderly people with systolic hypertension and 28.36% with diastolic hypertension, 20.90% of elderly people with high blood glucose levels, and 32.84% of elderly people with high cholesterol. Health education regarding monitoring health status through posyandu health services and improvement of the performance of cadres in the implementation of posyandu is necessary to enhance the participation of the elderly people in healthy living. Furthermore, it was expected that the performance of cadres in the implementation of posyandu will increase and the elderly people will regularly check their health status.

Hybrid InceptionV3-SVM-Based Approach for Human Posture Detection in Health Monitoring Systems

Posture detection targets toward providing assessments for the monitoring of the health and welfare of humans have been of great interest to researchers from different disciplines. The use of computer vision systems for posture recognition might result in useful improvements in healthy aging and support for elderly people in their daily activities in the field of health care. Computer vision and pattern recognition communities are particularly interested in fall automated recognition. Human sensing and artificial intelligence have both paid great attention to human posture detection (HPD). The health status of elderly people can be remotely monitored using human posture detection, which can distinguish between positions such as standing, sitting, and walking. The most recent research identified posture using both deep learning (DL) and conventional machine learning (ML) classifiers. However, these techniques do not effectively identify the postures and overfits of the model overfits. Therefore, this study suggested a deep convolutional neural network (DCNN) framework to examine and classify human posture in health monitoring systems. This study proposes a feature selection technique, DCNN, and a machine learning technique to assess the previously mentioned problems. The InceptionV3 DCNN model is hybridized with SVM ML and its performance is compared. Furthermore, the performance of the proposed system is validated with other transfer learning (TL) techniques such as InceptionV3, DenseNet121, and ResNet50. This study uses the least absolute shrinkage and selection operator (LASSO)-based feature selection to enhance the feature vector. The study also used various techniques, such as data augmentation, dropout, and early stop, to overcome the problem of model overfitting. The performance of this DCNN framework is tested using benchmark Silhouettes of human posture and classification accuracy, loss, and AUC value of 95.42%, 0.01, and 99.35% are attained, respectively. Furthermore, the results of the proposed technology offer the most promising solution for indoor monitoring systems.

Health Condition of Elderly People at Dhurkot Rural Municipality in Gulmi District, Nepal

Aging is a gradual, continuous process of natural change that begins in early adulthood. The objective of the study was to analyse the health condition of elderly people atDhurkot Rural Municipality in Gulmi district. Purposively three wards were chosen for sample population. There were 930 elderly people aged 60 years and above who had received Old Age Allowance provided by the government of Nepal. A total of 280 elderly were interviewed. Finding shows that hill Dalit elderly people have better health condition than hill Brahmin elderly people [OR=.46(.26-.81)]. Elderly people who depended on agriculture labour were found to have better health condition than elderly who depended on their own agriculture [OR=.38(.19-.81)]. Elderly belonging to the age of 65-69 years had more good health condition than that of elderly people above 75 years and above [OR= .35(.15-.79)]. Elderly people work as a household work are two times more better health condition than who do agriculture work [OR=2.13(.95-4.47)]. Elderly people living with family without spouse are better health condition than elderly live alone [OR=.22(.07-.69)]. Likewise, elderly people living with spouse and family are better health condition than elderly people living alone [OR= .33(.1-1.03)]. Various health schemes, policies and programmes can be designed in the research area and similar settings based on the study findings.

Effect of the oral health care program (FUNDEE) on the oral health care behavior status of elderly ethnic groups living in rural areas: a quasi-experimental study

The oral health of elderly people plays a major role in their overall health and quality of life and is an integral part of personal care. The aim of this study was to evaluate the effect of implementing the oral health care program on the oral health status of elderly people living in rural areas. This quasi-experimental study was carried out using a pretest-posttest design on 60 elderly people (30 in the intervention group and 30 in the control group) residing in two randomly selected rural areas of lower-northern Thailand. In the intervention group, the “FUNDEE” model was applied to Hmong elderly people for 12 weeks. The control group received routine care. Using the oral health care behavior assessment tool, the oral health behavior status of elderly people was assessed in both groups on two occasions: a pretest at the onset of the study, and the 12th week after the start of the study. The oral health behavior status of the elderly people in both groups was not statistically significantly different at the baseline, but it changed significantly at the 12th week (p<0.01). The implementation of the “FUNDEE” model for elderly people residing in rural areas may improve their oral health status after 12 weeks. It is recommended that the “FUNDEE” model be included in the care plans of all rural areas to improve the elderly people’s oral health behavior status.

Health Status of Elderly people at selected old age homes in Chamarajanagar District

Each older person is a unique individual and his or her own values, needs, ways of living and perspectives on life. The only factor common to all older people is an accumulation of a variety of different life experiences over a greater period of time than those of younger people. Health status is an important factor that decides the quality of life of an individual. Thus, the researcher felt the need to conduct the study on health status of elderly people.1 A non-experimental descriptive design was adopted to accomplish the objectives of the study. A sample of 500 elderly people was selected by using convenient sampling technique. The standardized RAND 36 item health survey scale to assess health status of the elderly people. Findings of the study found that the majority of elderly people 395 (79%) were having moderate health status and 85 (17%) were having good health status. The mean score of the health status was found to be 56.13 with the standard deviation of 16.136. The study concluded that the elderly people have moderate health status and there is a necessity to improve the health status of elderly.

Self-assessment of health status and its relationship with psychological and sociocultural values in elderly residents of Petrozavodsk

AIM: To analyze the relationship between the subjective assessment of their health status by elderly citizens of Petrozavodsk and the indicators of their personal and sociocultural values.
 MATERIAL AND METHODS: Psychological characteristics, leisure activity, and subjective assessment of the health of 411 elderly people were studied through medical and sociological questioning. These people consisted of residents of the city of Petrozavodsk (men: 32.6% [n=134]; women: 67.4% [n=277]). The average age of the respondents was 64.436.57 years.
 RESULTS: Elderly citizens have predominantly internal personal characteristics: responsibility (48.42%), diligence (41.36%), and accuracy (35,04% of respondents). Responsibility (p=0.021) and accuracy (p=0.017) significantly dominate in women, and courage (p=0.001), purposefulness (p=0.002), and efficiency in business (p=0.043) dominate in men. The prioritized ways of organizing their free time are passive forms: communicating with friends and relatives (24.09%), watching TV (20.68%), and reading (17.76% of respondents). Gender specificity is determined only in the following positions: visiting exhibitions and theater and concert performances (p=0.044), reading (p=0.008), and communication (p=0.041), with a predominance of women. A satisfactory subjective assessment of the health status of older Petrozavodsk residents is in direct proportion to their sociocultural values and is not associated with their psychological values.
 CONCLUSIONS: Among the elderly of Petrozavodsk, a satisfactory subjective assessment of the state of health has a healthy significantly positive correlation with sociocultural values in the absence of a statistically significant relationship with their psychological characteristics. Responsibility, diligence, and accuracy are the leading psychological characteristics of the elderly residents of Petrozavodsk. At the same time, responsibility and accuracy prevail in women, but courage, determination, and efficiency in business prevail in men. The most frequent activities older people engage in during their free time are live communication, watching TV shows, and reading. Gender specificity can be traced only in the positions of visiting exhibition and theater and concert productions, reading, and live communication. These preferences prevail in women. The revealed trends of personal properties and sociocultural characteristics are associated with the health status of elderly people. These trends may be in demand for the construction of population strategies for medical, psychological, pedagogical, and social rehabilitation among this age cohort of the population. These strategies aim to prevent diseases and improve the quality of life within the framework of the concept of successful aging.

Socio-cultural Perspective of Senior Citizens Health Status in Nepal

This study examines the elderly people’s health status differentials according to selected background variables on the basis of Ageing Survey 2014. The general objective of the study is to identify the health status of elderly people in socio-cultural perspective. This study examined the associations of different twelve socio-cultural factors with combination of health outcome (Good or Bad) in older age by applying the cross tables, Chi squire test and binary logistic regression analysis. These variables are selected on the basis of theoretical and empirical studies sighted in the literature reviews. This research is find out only three major socio-cultural factors that make variation determine in the health status of elderly people in Nepal. General literacy status does not impact the elderly health situation in Nepal so high level education need to elderly to improve health status of elderly. Highly appreciating and follow up elderly advices help to increase health status of elderly so it should be utilized in most societies of Nepal. Only Kirat religion elderly are found to be in good health condition than Hindu religion. So other religions of Nepal have not significant impact on health status of elderly compare to Hindu religion.

PHYSICAL HEALTH STATUS OF PEOPLE AGED 60 YEARS AND OVER AT NURSING CLUBS IN DISTRICT 10, HO CHI MINH CITY

Background: The age of support and endurance against external and internal factors and agents is greatly less so that the need for health care including physical and mental training to improve the quality of life is essential especially the physical health of the elderly.
 Target:. Determination of physical health scores and associations of people aged 60 years and older at nursing clubs in District 10, Ho Chi Minh City, in 2019.
 Methods and materials: Descriptive cross-section study. People aged 60 years and over who have been training at nursing clubs living in District 10, Ho Chi Minh City were surveyed from September 2018 to October 2019.
 Results: The study showed an average score of 63.3 in ±17.3 points. In particular, physical activity: 61.0±23.1; physical limitations: 57.2±26.1; pain sensation: 68.2±22,2; general health: 59.6±14.9. Considering the relationship, as the age group increases, the mean score of the elderly's quality of life decreases statistically significantly in four áreas (p<0,05). Women have a statistically significantly higher mean score on quality of life than men (p<0,05).
 Conclusions: The results of the study are important information that informs the physical health status of elderly people aged 60 years and older, and suggests recommendations in improving the quality of physical health care of the elderly.

Nutrition and Health Status of Elderly People in Bangladesh: Evidence From a Nationwide Survey

Abstract Objectives Though Bangladesh is passing through demographic, epidemiologic and nutritional transitions, national estimates on nutrition and health status of the elderly population are largely unknown. We aimed to determine the status of selected health and nutrition indicators among the elderly population in Bangladesh. Methods For the first time in Bangladesh, we included elderly population (≥60 years old females and males) as a separate population group in the national food security and nutrition surveillance round 2018–2019. We collected data on dietary diversity, nutritional status, behavioral risk factors of non-communicable diseases, blood pressure, and self-reported chronic diseases from 4,818 elderly people (48% female) living in 82 clusters (57 rural, 15 non-slums urban, and 10 slums) randomly selected from eight administrative division of Bangladesh. Results Majority (59% in rural, 53% in non-slum urban, and 69% in slums) of elderly people were consuming an inadequately diverse (4 or less food groups out of 10) diet. Overall, 89% of elderly people were malnourished (20%) or at risk of malnutrition (69%). The highest prevalence of malnutrition was in Mymensingh division (37%) followed by Sylhet division (27%). The prevalence of obesity was 5%, 16%, and 11%, in rural, non-slum urban, and slums, respectively. The national prevalence of smoking, smokeless tobacco consumption, physical inactivity was 18%, 52%, and 38%, respectively. There was a high burden of hypertension (49% in rural, 53% in non-slum urban, and 39% in slums). Overall, 16% of elderly people had heart diseases, 14% had chronic respiratory diseases, 3% had kidney diseases, 9% had diabetes, 8% had stroke, 0.5% had cancer and 1.4% had mental health problems. Conclusions The government of Bangladesh should design and implement health and nutrition programs among the elderly population. The regional differences in the prevalence of health and nutrition indicators should be considered while designing such programs. Funding Sources Ministry of Health and Family Welfare, Government of Bangladesh

Happier Elderly Residents. The Positive Impact of Physical Activity on Objective and Subjective Health Condition of Elderly People in Nursing Homes. Evidence from a Multi-Site Randomized Controlled Trial

We explore the effects of adapted physical exercise programs in nursing homes, in which some residents suffer from dementia and/or physical limitations and others do not. We use data from 452 participants followed over 12 months in 32 retirement homes in four European countries. Using a difference-in-difference with individual random effects model, we show that the program had a significant impact on the number of falls and the self-declared health and health-related quality of life of residents (EQ-5D). The wide scope of this study, in terms of sites, countries, and measured outcomes, brings generality to previously existing evidence. A simple computation, in the case of France, suggests that such programs are highly cost-efficient.