{"id":6086,"date":"2019-05-04T16:12:09","date_gmt":"2019-02-06T10:39:19","guid":{"rendered":"https:\/\/gerec.fi\/?page_id=6086"},"modified":"2024-06-19T08:42:27","modified_gmt":"2024-06-19T05:42:27","slug":"cosmos","status":"publish","type":"page","link":"https:\/\/www.gerec.fi\/en\/research\/archived\/cosmos\/","title":{"rendered":"Counselling for Physical Activity, Life-Space Mobility and Falls Prevention in Old Age (COSMOS)","raw":"Counselling for Physical Activity, Life-Space Mobility and Falls Prevention in Old Age (COSMOS)"},"content":{"rendered":"[vc_row][vc_column][vc_column_text]\n
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The primary aim of the COSMOS trial is to examine the effectiveness of the community-based health and physical activity counselling program in increasing life-space mobility and reducing the rate of falls in community-dwelling elderly people. Secondary aims of the study are to evaluate the effects of the counselling on fall-induced injuries, physical activity, physical ability and performance, quality of life, fracture risk, fear of falling, balance confidence, mood, cognition, and living-arrangements.<\/p>\n

The trial is planned for four years. Health examinations and physical performance tests are carried out four times at the Health Kiosk of Yl\u00f6j\u00e4rvi or at the Crevice Centre of Yl\u00f6j\u00e4rvi: at baseline and one, two, and four years after the baseline measurements. Participants are at least 65 years old, live in Pirkanmaa district, and have at least minor mobility limitation. Our goal is to have 450 participants.<\/p>\n

During the first health examination, the research nurse confirms the eligibility of the participants. In addition, height, weight, blood pressure, pulse, medical and geriatric conditions, and prescribed medications are confirmed. Physical performance tests are carried out to measure muscle strength, balance, agility, and walking speed. Interviews and questionnaires are used to collect information on life-space mobility, earlier falls and fall-induced injuries, balance confidence, fear of falling, fracture risk, quality of life, mood, cognition and living arrangements. All participants wear an activity meter for seven days after the baseline, one-year and two-year assessments.
\nAdditionally, participants fill a physical activity diary during the first year and a fall diary for two years.<\/p>\n

After the baseline assessments, participants are randomly allocated into a physical activity group (225 persons) or relaxation group (225 persons). There are five group specific individualized counselling sessions for all participants taking place at one week, and one, three, six, and 12 months after the baseline assessments. The participants in the physical activity group receive individualized health and physical activity counselling based on the Otago program. Those in the relaxation group receive structured relaxation exercises. All counselling sessions are face-to-face meetings at the Health Kiosk of Yl\u00f6j\u00e4rvi or at the Cervice Centre of Yl\u00f6j\u00e4rvi.<\/p>\n

The aim of this study is to develop and test a new easily accessible health care concept to enable rapid screening and counselling, especially for those elderly people, who have a demanding situation in life.<\/p>\n

Funding<\/strong>
\nAcademy of Finland<\/p>\n

Research group<\/strong>
\nPrincipal Investigator<\/i>
\nProfessor Riku Nikander, Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyv\u00e4skyl\u00e4 and GeroCenter Foundation, Jyv\u00e4skyl\u00e4, Finland<\/p>\n

Head Investigator<\/i>
\nPostdoctoral Researcher Johanna Edgren, Gerontology Research Center, Faculty of Sport and Health Sciences<\/p>\n

Senior Researchers (University of Jyv\u00e4skyl\u00e4)<\/i>
\nProfessor Taina Rantanen, Gerontology Research Center, Faculty of Sport and Health Sciences
\nProfessor Urho Kujala, Faculty of Sport and Health Sciences
\nSenior Researcher Timo T\u00f6rm\u00e4kangas, Gerontology Research Center, Faculty of Sport and Health Sciences
\nDean, Professor Ari Heinonen, Faculty of Sport and Health Sciences
\nProfessor Sarianna Sipil\u00e4, Gerontology Research Center, Faculty of Sport and Health Sciences
\nProfessor Emeritus Lasse Kannas, Faculty of Sport and Health Sciences
\nSenior Researcher Timo Rantalainen, Faculty of Sport and Health Sciences<\/p>\n

Collaborators<\/i>
\nProfessor Robin Daly, Institute for Physical Activity and Nutrition, Deakin University, Geelong, Victoria, Australia
\nSenior Researcher, Saija Karinkanta, UKK Institute for Health Promotion, Tampere, Finland
\nChief Physician Pekka Kannus, UKK Institute for Health Promotion, Tampere, Finland
\nResearch Director Harri Siev\u00e4nen, UKK Institute for Health Promotion, Tampere, Finland
\nProject Specialist Outi Teittinen, Research and Development, School of Health and Social Studies, JAMK University of Applied Sciences, Jyv\u00e4skyl\u00e4, Finland<\/p>\n

Other personnel<\/i>
\nResearch Physiotherapist Eerika Tiirikainen, MsC
\nResearch Physiotherapist Paju Becker, MsC-student
\nResearch Physiotherapist Elina Ahlstedt-Kivel\u00e4, physiotherapist
\nResearch Nurse Tiina Raittila, nurse
\nResearch Nurse Laura-Emilia Vainio, public health nurse<\/p>\n

Publications<\/strong>
\nEdgren J, Karinkanta S, Rantanen T, Daly R, Kujala UM, T\u00f6rm\u00e4kangas T, Siev\u00e4nen H, Kannus P, Heinonen A, Sipil\u00e4 S, Kannas L, Rantalainen T, Teittinen O, Nikander R. Counselling for physical activity, life-space mobility and falls prevention in old age (COSMOS): protocol of a randomised controlled trial.<\/a> BMJ Open<\/em>. 2019 Sep 24;9(9):e029682. doi: 10.1136\/bmjopen-2019-029682.<\/p>\n<\/div>\n<\/div>\n[\/vc_column_text][\/vc_column][\/vc_row]\n","protected":false,"raw":"[vc_row][vc_column][vc_column_text]\r\n

\r\n
\r\n\r\n \r\n\r\n \r\n\r\nThe primary aim of the COSMOS trial is to examine the effectiveness of the community-based health and physical activity counselling program in increasing life-space mobility and reducing the rate of falls in community-dwelling elderly people. Secondary aims of the study are to evaluate the effects of the counselling on fall-induced injuries, physical activity, physical ability and performance, quality of life, fracture risk, fear of falling, balance confidence, mood, cognition, and living-arrangements.\r\n\r\nThe trial is planned for four years. Health examinations and physical performance tests are carried out four times at the Health Kiosk of Yl\u00f6j\u00e4rvi or at the Crevice Centre of Yl\u00f6j\u00e4rvi: at baseline and one, two, and four years after the baseline measurements. Participants are at least 65 years old, live in Pirkanmaa district, and have at least minor mobility limitation. Our goal is to have 450 participants.\r\n\r\nDuring the first health examination, the research nurse confirms the eligibility of the participants. In addition, height, weight, blood pressure, pulse, medical and geriatric conditions, and prescribed medications are confirmed. Physical performance tests are carried out to measure muscle strength, balance, agility, and walking speed. Interviews and questionnaires are used to collect information on life-space mobility, earlier falls and fall-induced injuries, balance confidence, fear of falling, fracture risk, quality of life, mood, cognition and living arrangements. All participants wear an activity meter for seven days after the baseline, one-year and two-year assessments.\r\nAdditionally, participants fill a physical activity diary during the first year and a fall diary for two years.\r\n\r\nAfter the baseline assessments, participants are randomly allocated into a physical activity group (225 persons) or relaxation group (225 persons). There are five group specific individualized counselling sessions for all participants taking place at one week, and one, three, six, and 12 months after the baseline assessments. The participants in the physical activity group receive individualized health and physical activity counselling based on the Otago program. Those in the relaxation group receive structured relaxation exercises. All counselling sessions are face-to-face meetings at the Health Kiosk of Yl\u00f6j\u00e4rvi or at the Cervice Centre of Yl\u00f6j\u00e4rvi.\r\n\r\nThe aim of this study is to develop and test a new easily accessible health care concept to enable rapid screening and counselling, especially for those elderly people, who have a demanding situation in life.\r\n\r\nFunding<\/strong>\r\nAcademy of Finland\r\n\r\nResearch group<\/strong>\r\nPrincipal Investigator<\/i>\r\nProfessor Riku Nikander, Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyv\u00e4skyl\u00e4 and GeroCenter Foundation, Jyv\u00e4skyl\u00e4, Finland\r\n\r\nHead Investigator<\/i>\r\nPostdoctoral Researcher Johanna Edgren, Gerontology Research Center, Faculty of Sport and Health Sciences\r\n\r\nSenior Researchers (University of Jyv\u00e4skyl\u00e4)<\/i>\r\nProfessor Taina Rantanen, Gerontology Research Center, Faculty of Sport and Health Sciences\r\nProfessor Urho Kujala, Faculty of Sport and Health Sciences\r\nSenior Researcher Timo T\u00f6rm\u00e4kangas, Gerontology Research Center, Faculty of Sport and Health Sciences\r\nDean, Professor Ari Heinonen, Faculty of Sport and Health Sciences\r\nProfessor Sarianna Sipil\u00e4, Gerontology Research Center, Faculty of Sport and Health Sciences\r\nProfessor Emeritus Lasse Kannas, Faculty of Sport and Health Sciences\r\nSenior Researcher Timo Rantalainen, Faculty of Sport and Health Sciences\r\n\r\nCollaborators<\/i>\r\nProfessor Robin Daly, Institute for Physical Activity and Nutrition, Deakin University, Geelong, Victoria, Australia\r\nSenior Researcher, Saija Karinkanta, UKK Institute for Health Promotion, Tampere, Finland\r\nChief Physician Pekka Kannus, UKK Institute for Health Promotion, Tampere, Finland\r\nResearch Director Harri Siev\u00e4nen, UKK Institute for Health Promotion, Tampere, Finland\r\nProject Specialist Outi Teittinen, Research and Development, School of Health and Social Studies, JAMK University of Applied Sciences, Jyv\u00e4skyl\u00e4, Finland\r\n\r\nOther personnel<\/i>\r\nResearch Physiotherapist Eerika Tiirikainen, MsC\r\nResearch Physiotherapist Paju Becker, MsC-student\r\nResearch Physiotherapist Elina Ahlstedt-Kivel\u00e4, physiotherapist\r\nResearch Nurse Tiina Raittila, nurse\r\nResearch Nurse Laura-Emilia Vainio, public health nurse\r\n\r\nPublications<\/strong>\r\nEdgren J, Karinkanta S, Rantanen T, Daly R, Kujala UM, T\u00f6rm\u00e4kangas T, Siev\u00e4nen H, Kannus P, Heinonen A, Sipil\u00e4 S, Kannas L, Rantalainen T, Teittinen O, Nikander R. Counselling for physical activity, life-space mobility and falls prevention in old age (COSMOS): protocol of a randomised controlled trial.<\/a> BMJ Open<\/em>. 2019 Sep 24;9(9):e029682. doi: 10.1136\/bmjopen-2019-029682.\r\n\r\n<\/div>\r\n<\/div>\r\n[\/vc_column_text][\/vc_column][\/vc_row]"},"excerpt":{"rendered":"[vc_row column_spacing=\"50\" bg_style=\"stretch\" css=\".vc_custom_1544814296502{padding-top: 30px !important;padding-bottom: 5px !important;}\"][vc_column][vc_column_text font_size=\"-\"]   COSMOS-tutkimuksessa selvitet\u00e4\u00e4n yksil\u00f6llisen terveysneuvonnan ja liikuntaohjauksen vaikutuksia yli 65-vuotiaiden henkil\u00f6iden kaatumisten m\u00e4\u00e4r\u00e4\u00e4n ja elinpiirin laajuuteen. Lis\u00e4ksi tarkastellaan terveysneuvonnan ja liikuntaohjauksen vaikutuksia kaatumistapaturmien m\u00e4\u00e4r\u00e4\u00e4n, fyysiseen aktiivisuuteen, toiminta- ja liikkumiskykyyn, el\u00e4m\u00e4nlaatuun, murtumariskiin,…","protected":false,"raw":""},"author":3,"featured_media":0,"parent":5279,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_mi_skip_tracking":false,"_fi_post_content":"[vc_row column_spacing=\"50\" bg_style=\"stretch\" css=\".vc_custom_1544814296502{padding-top: 30px !important;padding-bottom: 5px !important;}\"][vc_column][vc_column_text font_size=\"-\"]\r\n
\r\n
\r\n\r\n \r\n\r\nCOSMOS-tutkimuksessa selvitet\u00e4\u00e4n yksil\u00f6llisen terveysneuvonnan ja liikuntaohjauksen vaikutuksia yli 65-vuotiaiden henkil\u00f6iden kaatumisten m\u00e4\u00e4r\u00e4\u00e4n ja elinpiirin laajuuteen. Lis\u00e4ksi tarkastellaan terveysneuvonnan ja liikuntaohjauksen vaikutuksia kaatumistapaturmien m\u00e4\u00e4r\u00e4\u00e4n, fyysiseen aktiivisuuteen, toiminta- ja liikkumiskykyyn, el\u00e4m\u00e4nlaatuun, murtumariskiin, kaatumisen pelkoon, tasapainovarmuuteen, mielialaan, kognitioon ja asumismuotoon.\r\n\r\nTutkimuksen kokonaiskesto on nelj\u00e4 vuotta, mink\u00e4 aikana tutkittaville tehd\u00e4\u00e4n terveystarkastus ja liikkumiskyvyn testaus Yl\u00f6j\u00e4rven Terveyskioskilla tai Yl\u00f6j\u00e4rven L\u00e4hitorilla yhteens\u00e4 nelj\u00e4 kertaa: alkutilanteessa, vuoden kuluttua, kahden vuoden kuluttua ja nelj\u00e4n vuoden kuluttua. Tutkimukseen voivat osallistua 65-vuotta t\u00e4ytt\u00e4neet Pirkanmaalla asuvat henkil\u00f6t, joilla on lievi\u00e4 liikkumiskyvyn vaikeuksia. Tavoitteena on saada tutkimukseen mukaan 450 osallistujaa.\r\n\r\nEnsimm\u00e4isess\u00e4 terveystarkastuksessa terveydenhoitaja varmistaa tutkittavien soveltuvuuden tutkimukseen. Lis\u00e4ksi tarkistetaan pituus, paino, verenpaine, pulssi, sairaudet ja k\u00e4yt\u00f6ss\u00e4 olevat reseptil\u00e4\u00e4kkeet. Liikkumiskykytesteill\u00e4 ker\u00e4t\u00e4\u00e4n tietoa lihasvoimasta, tasapainosta, ketteryydest\u00e4 ja k\u00e4velynopeudesta. Kyselylomakkeilla ja haastatellen ker\u00e4t\u00e4\u00e4n tietoa elinpiirin laajuudesta, aiemmista kaatumisista ja kaatumistapaturmista, tasapainovarmuudesta, kaatumisen pelosta, murtumariskist\u00e4, el\u00e4m\u00e4nlaadusta, mielialasta, kognitiosta ja asumisj\u00e4rjestelyist\u00e4. Kaikki tutkittavat k\u00e4ytt\u00e4v\u00e4t alkumittausten sek\u00e4 vuoden ja kahden vuoden seurantamittausten j\u00e4lkeen liikunta-aktiivisuusmittaria seitsem\u00e4n p\u00e4iv\u00e4n ajan. Lis\u00e4ksi tutkittavat pit\u00e4v\u00e4t liikuntap\u00e4iv\u00e4kirjaa ensimm\u00e4isen 12 kuukauden ajan ja kaatumisp\u00e4iv\u00e4kirjaa 24 kuukauden ajan.\r\n\r\nAlkutestauksen j\u00e4lkeen tutkittavat arvotaan sattumanvaraisesti liikuntaryhm\u00e4\u00e4n (225 hl\u00f6) ja rentoutusryhm\u00e4\u00e4n (225 hl\u00f6). Henkil\u00f6kohtaisia neuvonta- ja ohjaustapaamisia on viisi ryhm\u00e4st\u00e4 riippumatta ja ne ajoittuvat yhden viikon sek\u00e4 yhden, kolmen, kuuden ja 12 kuukauden p\u00e4\u00e4h\u00e4n alkumittauksista. Liikuntaryhm\u00e4l\u00e4isille tarjotaan yksil\u00f6llist\u00e4 terveysneuvontaa ja liikuntaohjausta Otago-ohjelmaa soveltaen. Rentoutusryhm\u00e4l\u00e4isille ohjataan rentoutusharjoittelua. Kaikki tapaamiset ovat yksil\u00f6k\u00e4yntej\u00e4 Yl\u00f6j\u00e4rven Terveyskioskilla tai L\u00e4hitorilla.\r\n\r\nHankkeen tavoitteena on kehitt\u00e4\u00e4 ja testata uutta matalan kynnyksen sosiaali- ja terveydenhuollon palvelumuotoa, joka mahdollistaa nopean ohjaus- ja neuvontapalvelujen piiriin p\u00e4\u00e4syn erityisesti haasteellisessa el\u00e4m\u00e4ntilanteessa oleville ik\u00e4\u00e4ntyville henkil\u00f6ille.\r\n\r\nRahoittaja<\/strong>\r\nSuomen Akatemia\r\n\r\nTutkijaryhm\u00e4<\/strong>\r\nVastuullinen tutkija<\/i>\r\nProfessori Riku Nikand<\/a>er<\/a>, Gerontologian tutkimuskeskus, Liikuntatieteellinen tiedekunta, Jyv\u00e4skyl\u00e4n yliopisto (JY) ja GeroCenter s\u00e4\u00e4ti\u00f6, Jyv\u00e4skyl\u00e4\r\n\r\nK\u00e4yt\u00e4nn\u00f6n toteutuksesta vastaava tutkija<\/i>\r\nTutkijatohtori Johanna Edgren, Gerontologian tutkimuskeskus, Liikuntatieteellinen tiedekunta\r\n\r\nSenioritutkijat (JY)<\/i>\r\nProfessori Taina Rantanen, Gerontologian tutkimuskeskus, Liikuntatieteellinen tiedekunta\r\nProfessori Urho Kujala, Liikuntatieteellinen tiedekunta\r\nYliopistotutkija Timo T\u00f6rm\u00e4kangas, Gerontologian tutkimuskeskus, Liikuntatieteellinen tiedekunta\r\nDekaani, prof. Ari Heinonen, Liikuntatieteellinen tiedekunta\r\nProfessori Sarianna Sipil\u00e4, Gerontologian tutkimuskeskus, Liikuntatieteellinen tiedekunta\r\nProfessori emeritus Lasse Kannas, Liikuntatieteellinen tiedekunta\r\nYliopistotutkija Timo Rantalainen, Liikuntatieteellinen tiedekunta\r\n\r\nYhteisty\u00f6kumppanit<\/i>\r\nProfessori Robin Daly, Deakinin Yliopisto, Victoria, Australia\r\nErikoistutkija Saija Karinkanta, UKK-instituutti, Tampere\r\nYlil\u00e4\u00e4k\u00e4ri Pekka Kannus, UKK-instituutti, Tampere\r\nTutkimusjohtaja Harri Siev\u00e4nen, UKK-instituutti, Tampere\r\nProjektiasiantuntija Outi Teittinen, Jyv\u00e4skyl\u00e4n Ammattikorkeakoulu\r\n\r\nMuut ty\u00f6ntekij\u00e4t<\/i>\r\nTutkimusfysioterapeutti Eerika Tiirikainen, TtM\r\nTutkimusfysioterapeutti Paju Becker, TtM-opiskelija\r\nTutkimusfysioterapeutti Elina Ahlstedt-Kivel\u00e4, fysioterapeutti\r\nTutkimushoitaja Tiina Raittila, sairaanhoitaja\r\nTutkimushoitaja Laura-Emilia Vainio, terveydenhoitaja\r\n\r\nTutkimusjulkaisut\r\n<\/strong>Edgren J, Karinkanta S, Rantanen T, Daly R, Kujala UM, T\u00f6rm\u00e4kangas T, Siev\u00e4nen H, Kannus P, Heinonen A, Sipil\u00e4 S, Kannas L, Rantalainen T, Teittinen O, Nikander R. Counselling for physical activity, life-space mobility and falls prevention in old age (COSMOS): protocol of a randomised controlled trial.<\/a> BMJ Open. 2019 Sep 24;9(9):e029682. doi: 10.1136\/bmjopen-2019-029682.\r\n\r\n<\/div>\r\n<\/div>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","_fi_post_name":"cosmos","_fi_post_excerpt":"","_fi_post_title":"Terveysneuvonta i\u00e4kk\u00e4iden henkil\u00f6iden fyysisen aktiivisuuden ja elinpiirin laajuuden edist\u00e4misess\u00e4 ja kaatumisten ehk\u00e4isyss\u00e4 (COSMOS)","_en_post_content":"[vc_row][vc_column][vc_column_text]\r\n
\r\n
\r\n\r\n \r\n\r\n \r\n\r\nThe primary aim of the COSMOS trial is to examine the effectiveness of the community-based health and physical activity counselling program in increasing life-space mobility and reducing the rate of falls in community-dwelling elderly people. Secondary aims of the study are to evaluate the effects of the counselling on fall-induced injuries, physical activity, physical ability and performance, quality of life, fracture risk, fear of falling, balance confidence, mood, cognition, and living-arrangements.\r\n\r\nThe trial is planned for four years. Health examinations and physical performance tests are carried out four times at the Health Kiosk of Yl\u00f6j\u00e4rvi or at the Crevice Centre of Yl\u00f6j\u00e4rvi: at baseline and one, two, and four years after the baseline measurements. Participants are at least 65 years old, live in Pirkanmaa district, and have at least minor mobility limitation. Our goal is to have 450 participants.\r\n\r\nDuring the first health examination, the research nurse confirms the eligibility of the participants. In addition, height, weight, blood pressure, pulse, medical and geriatric conditions, and prescribed medications are confirmed. Physical performance tests are carried out to measure muscle strength, balance, agility, and walking speed. Interviews and questionnaires are used to collect information on life-space mobility, earlier falls and fall-induced injuries, balance confidence, fear of falling, fracture risk, quality of life, mood, cognition and living arrangements. All participants wear an activity meter for seven days after the baseline, one-year and two-year assessments.\r\nAdditionally, participants fill a physical activity diary during the first year and a fall diary for two years.\r\n\r\nAfter the baseline assessments, participants are randomly allocated into a physical activity group (225 persons) or relaxation group (225 persons). There are five group specific individualized counselling sessions for all participants taking place at one week, and one, three, six, and 12 months after the baseline assessments. The participants in the physical activity group receive individualized health and physical activity counselling based on the Otago program. Those in the relaxation group receive structured relaxation exercises. All counselling sessions are face-to-face meetings at the Health Kiosk of Yl\u00f6j\u00e4rvi or at the Cervice Centre of Yl\u00f6j\u00e4rvi.\r\n\r\nThe aim of this study is to develop and test a new easily accessible health care concept to enable rapid screening and counselling, especially for those elderly people, who have a demanding situation in life.\r\n\r\nFunding<\/strong>\r\nAcademy of Finland\r\n\r\nResearch group<\/strong>\r\nPrincipal Investigator<\/i>\r\nProfessor Riku Nikander, Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyv\u00e4skyl\u00e4 and GeroCenter Foundation, Jyv\u00e4skyl\u00e4, Finland\r\n\r\nHead Investigator<\/i>\r\nPostdoctoral Researcher Johanna Edgren, Gerontology Research Center, Faculty of Sport and Health Sciences\r\n\r\nSenior Researchers (University of Jyv\u00e4skyl\u00e4)<\/i>\r\nProfessor Taina Rantanen, Gerontology Research Center, Faculty of Sport and Health Sciences\r\nProfessor Urho Kujala, Faculty of Sport and Health Sciences\r\nSenior Researcher Timo T\u00f6rm\u00e4kangas, Gerontology Research Center, Faculty of Sport and Health Sciences\r\nDean, Professor Ari Heinonen, Faculty of Sport and Health Sciences\r\nProfessor Sarianna Sipil\u00e4, Gerontology Research Center, Faculty of Sport and Health Sciences\r\nProfessor Emeritus Lasse Kannas, Faculty of Sport and Health Sciences\r\nSenior Researcher Timo Rantalainen, Faculty of Sport and Health Sciences\r\n\r\nCollaborators<\/i>\r\nProfessor Robin Daly, Institute for Physical Activity and Nutrition, Deakin University, Geelong, Victoria, Australia\r\nSenior Researcher, Saija Karinkanta, UKK Institute for Health Promotion, Tampere, Finland\r\nChief Physician Pekka Kannus, UKK Institute for Health Promotion, Tampere, Finland\r\nResearch Director Harri Siev\u00e4nen, UKK Institute for Health Promotion, Tampere, Finland\r\nProject Specialist Outi Teittinen, Research and Development, School of Health and Social Studies, JAMK University of Applied Sciences, Jyv\u00e4skyl\u00e4, Finland\r\n\r\nOther personnel<\/i>\r\nResearch Physiotherapist Eerika Tiirikainen, MsC\r\nResearch Physiotherapist Paju Becker, MsC-student\r\nResearch Physiotherapist Elina Ahlstedt-Kivel\u00e4, physiotherapist\r\nResearch Nurse Tiina Raittila, nurse\r\nResearch Nurse Laura-Emilia Vainio, public health nurse\r\n\r\nPublications<\/strong>\r\nEdgren J, Karinkanta S, Rantanen T, Daly R, Kujala UM, T\u00f6rm\u00e4kangas T, Siev\u00e4nen H, Kannus P, Heinonen A, Sipil\u00e4 S, Kannas L, Rantalainen T, Teittinen O, Nikander R. Counselling for physical activity, life-space mobility and falls prevention in old age (COSMOS): protocol of a randomised controlled trial.<\/a> BMJ Open<\/em>. 2019 Sep 24;9(9):e029682. doi: 10.1136\/bmjopen-2019-029682.\r\n\r\n<\/div>\r\n<\/div>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","_en_post_name":"cosmos","_en_post_excerpt":"","_en_post_title":"Counselling for Physical Activity, Life-Space Mobility and Falls Prevention in Old Age (COSMOS)","edit_language":"en","footnotes":""},"class_list":["post-6086","page","type-page","status-publish","hentry","entry","no-media"],"_links":{"self":[{"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/pages\/6086","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/comments?post=6086"}],"version-history":[{"count":18,"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/pages\/6086\/revisions"}],"predecessor-version":[{"id":9431,"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/pages\/6086\/revisions\/9431"}],"up":[{"embeddable":true,"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/pages\/5279"}],"wp:attachment":[{"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/media?parent=6086"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}