Effects of a Multifactorial Fall Prevention Program on Fall Incidence and Physical Function in Community-Dwelling Older Adults With Risk of Falls

2013 ◽  
Vol 94 (4) ◽  
pp. 606-615.e1 ◽  
Author(s):  
Hsuei-Chen Lee ◽  
Ku-Chou Chang ◽  
Jau-Yih Tsauo ◽  
Jen-Wen Hung ◽  
Yu-Ching Huang ◽  
...  
Author(s):  
Sonia Singh ◽  
Ashley Kwon ◽  
David G. T. Whitehurst ◽  
Kathleen Friesen ◽  
Vicky Scott ◽  
...  

RÉSUMÉChez les personnes âgées, les chutes sont associées à des causes courantes et multifactorielles, et peuvent provoquer des blessures importantes. Cette étude avant-après a évalué les impacts d’une clinique mobile de prévention des chutes (Fall Prevention Mobile Clinic[FPMC]) pour la réduction du risque de chutes chez des personnes âgées de Colombie-Britannique (Canada). Quatre cent soixante-seize participants, dont l’âge moyen était de 83,6 ans, ont pris part à cette étude et ont été suivis pendant 12 mois après leur passage à la FPMC. À leur rendez-vous de suivi de 12 mois, le pourcentage moyen d’adoption des recommandations pour la prévention des chutes était de 48,8 % (ÉT : 25,7 %), la performance au testTimed up and Go(une mesure de mobilité) s’était améliorée, passant d’une médiane de 19,04 s à 17,45 s, et le nombre de participants ayant chuté a diminué, passant de 64,8 % (dans les 12 mois précédant le premier RDV à la clinique) à 55,6 % (au cours des 12 mois suivant le premier RDV à la clinique ; p = 0,012). Le FPMC évalué dans cette étude a fourni des recommandations qui ont été prises en compte par les participants; et qui ont amélioré leur mobilité et diminué leur risque de chutes dans l’année suivante.


2001 ◽  
Vol 18 (3) ◽  
pp. 27-43 ◽  
Author(s):  
C. Lambert ◽  
K. A. Sterbenz ◽  
D. E. Womack ◽  
L. T. Zarrinkhameh ◽  
R. A. Newton

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512515371p1-7512515371p1
Author(s):  
Tracy Chippendale

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Using a quasi-experimental design, the feasibility of the Stroll Safe outdoor fall prevention program was examined. Process, scientific, management, and resource assessments were conducted. Results reveal that the program is feasible to implement among active, community-dwelling older adults. Further study using an efficacy trial is warranted. This study helps to build the body of knowledge in outdoor fall prevention, an area of research and practice that is critical to productive aging. Primary Author and Speaker: Tracy Chippendale


2019 ◽  
Author(s):  
Lisa Dillon ◽  
Lindy Clemson ◽  
Helen Nguyen ◽  
Kirsten B Jakobsen ◽  
Jodi Martin ◽  
...  

Abstract Background People with vision impairment are at an increased risk of falls compared with their sighted peers, but have very little access to existing community fall prevention programs. The Lifestyle-integrated Functional Exercise (LiFE) program can prevent falls in older people and may be suitable for adults aged ≥50 with vision impairment.Methods The LiFE program was adapted for older adults with vision impairment (v-LiFE) and delivered by Orientation and Mobility Specialists (Instructors), who are experienced with individualised programs for people with vision impairment. Perspectives of older adults with vision impairment (recipients) receiving the v-LiFE program and their Instructors were explored through semi-structured interviews.Results Of 73 trained Instructors, 51(70%) delivered at least one session to a total of 240 older adults with vision impairment between March 2017 and May 2019. Of these, 11/51(22%) Instructors and 154/172(90%) of invited recipients (until thematic saturation was reached) were interviewed. Six key themes were identified relating to recipient (delivery aptitude; social norms; habit formation) and Instructor (individualised adaptation; complimentary to scope of practice; challenges to delivery) perspectives. Instructors considered delivering v-LiFE as an extension of their scope of work.Conclusions Older adults with vision impairment demonstrated positive attitudes towards the program, but younger or more physically fit recipients considered the program too easy for them. The perspectives of recipients and instructors indicate that the v-LiFE program delivered within existing services may fill the gap for a fall prevention program for people with vision impairment.


2019 ◽  
Author(s):  
Lisa Dillon ◽  
Lindy Clemson ◽  
Helen Nguyen ◽  
Kirsten B Jakobsen ◽  
Jodi Martin ◽  
...  

Abstract Background People with vision impairment are at an increased risk of falls compared with their sighted peers, but have very little access to existing community fall prevention programs. The Lifestyle-integrated Functional Exercise (LiFE) program can prevent falls in older people and may be suitable for adults aged ≥50 with vision impairment. Methods The LiFE program was adapted for older adults with vision impairment (v-LiFE) and delivered by Orientation and Mobility Specialists (Instructors), who are experienced with individualised programs for people with vision impairment. Perspectives of older adults with vision impairment (recipients) receiving the v-LiFE program and their Instructors were explored through semi-structured interviews. Results Of 73 trained Instructors, 51(70%) delivered at least one session to a total of 240 older adults with vision impairment between March 2017 and May 2019. Of these, 11/51(22%) Instructors and 154/172(90%) of invited recipients (until thematic saturation was reached) were interviewed. Six key themes were identified relating to recipient (delivery aptitude; social norms; habit formation) and Instructor (individualised adaptation; complimentary to scope of practice; challenges to delivery) perspectives. Instructors considered delivering v-LiFE as an extension of their scope of work. Conclusions Older adults with vision impairment demonstrated positive attitudes towards the program, but younger or more physically fit recipients considered the program too easy for them. The perspectives of recipients and instructors indicate that the v-LiFE program delivered within existing services may fill the gap for a fall prevention program for people with vision impairment.


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