Influence of Adherence and Satisfaction with an Intervention Based on Case Management on Physical Functional Outcomes...

The aim of this study was to determine whether adherence, satisfaction, and overall satisfaction in a remote case management-based intervention influence changes in functional physical performance in older adults with a history of recurrent falls. A clinical trial was conducted with 28 older adults randomized to the intervention group (IG), who received an online case management program focused on fall prevention and reducing modifiable risk factors for 16 weeks. The control group (CG) consisted of 26 participants who received general health guidance. Performance was assessed using the Short Physical Performance Battery (SPPB), Timed Up and Go (TUG), and Timed Up and Go Dual Task (TUGDT) tests at three time points (baseline, after 16 weeks, and after 1 year). After 16 weeks, adherence was evaluated based on participation frequency in the intervention, and satisfaction with remote interventions was assessed using a questionnaire based on the Short Assessment of Patient Satisfaction (SAPS). Adherence significantly influenced changes in postural balance (p = 0.044, R² = 0.09) and in muscle strength gain in lower limbs (sit-to-stand, seconds) (p = 0.034, R² = 0.11). Overall satisfaction positively influenced changes in verbal fluency (p = 0.048, R² = 0.11). Good adherence and satisfaction contributed to improvements in muscle strength, mobility and postural balance in older adults.