Re-shaping negative thoughts shields at-risk teens from depression: Cognitive prevention program trumps usual care in "real world" trial

Objectives: To examine the effect of a fall prevention program offered under real-world conditions on balance maintenance several months after the program. To explore the program’s impact on falls. Method: A quasi-experimental study was conducted among community-dwelling seniors, with pre- and postintervention measures of balance performance and self-reported falls. Ten community-based organizations offered the intervention (98 participants) and 7 recruited participants to the study’s control arm (102 participants). An earlier study examined balance immediately after the 12-week program. The present study focuses on the 12-month effect. Linear regression (balance) and negative binomial regression (falls) procedures were performed.falls. Results: During the 12-month study period, experimental participants improved and maintained their balance as reflected by their scores on three performance tests. There was no evidence of an effect on falls.falls. Discussion: Structured group exercise programs offered in community-based settings can maintain selected components of balance for several months after the program’s end.

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Brief Head Start Children at Risk for Emotional or Behavioral Disorders: Behavior Profiles and Clinical Implications of a Primary Prevention Program

Behavioral Disorders ◽

10.1177/019874290202700208 ◽

2002 ◽

Vol 27 (2) ◽

pp. 137-141 ◽

Cited By ~ 10

Author(s):

Loretta A. Serna ◽

Katina Lamros ◽

Elizabeth Nielsen ◽

Steven R. Forness

Keyword(s):

At Risk ◽

Primary Prevention ◽

Head Start ◽

Behavioral Disorders ◽

Prevention Program ◽

Clinical Implications ◽

Children At Risk ◽

Primary Prevention Program ◽

Head Start Children ◽

Behavior Profiles

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Suicide prevention program for at-risk groups: Pointers from an epidemiological study

Preventive Medicine ◽

10.1016/j.ypmed.2013.02.022 ◽

2013 ◽

Vol 57 ◽

pp. S45-S46 ◽

Cited By ~ 15

Author(s):

T. Maniam ◽

Karuthan Chinna ◽

C.H. Lim ◽

A.B. Kadir ◽

I. Nurashikin ◽

...

Keyword(s):

At Risk ◽

Epidemiological Study ◽

Suicide Prevention ◽

Prevention Program ◽

Risk Groups

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CAPTURING REAL-WORLD LOSSES OF BALANCE AND RECOVERY RESPONSES IN OLDER ADULTS AT RISK FOR FALLS

Innovation in Aging ◽

10.1093/geroni/igz038.030 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S9-S9

Author(s):

Neil Alexander ◽

Shirley Handelzalts-Pereg ◽

Linda Nyquist ◽

Debbie Strasburg ◽

Nicholas Mastruserio ◽

...

Keyword(s):

Older Adults ◽

At Risk ◽

Real World ◽

Trunk Motion ◽

Falls In Older Adults ◽

Measurement Units ◽

Near Falls ◽

Voice Recorder ◽

The Voice ◽

Full Body

Abstract Losses of balance (LOBs) such as trips can lead to falls in older adults; what actually happens during real-world LOBs is unclear. With 4 wearable inertial measurement units (IMUs), we recorded feet, trunk and wrist movements over 2 weeks. Using a wrist voice recorder to report the LOBs, we applied our IMU processing algorithms and reconstructed the full body LOB and recovery motions. We recruited 7 at-risk older adults (M=76 yrs) who reported 114 LOBs of which we reconstructed over 90%. Using a rating system, 52% of the LOBs involved a significant trip, stumble, recovery step, and/or large trunk motion. 25% involved double or stutter steps and smaller trunk motions. The other 23% had less striking associated motions. These data suggest that most, but not all, self-reported real world LOBs involve substantial postural destabilization and near falls. Analyses of the voice-recorded context under which the LOBs occurred are ongoing.

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At-Risk Driving Behavior in Drivers with Diabetes: A Neuroergonomics Approach

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/1541931213601950 ◽

2017 ◽

Vol 61 (1) ◽

pp. 1881-1885

Author(s):

Jennifer Merickel ◽

Robin High ◽

Lynette Smith ◽

Chris Wichman ◽

Emily Frankel ◽

...

Keyword(s):

At Risk ◽

Real World ◽

Driver Behavior ◽

Wearable Sensors ◽

Sensor Data ◽

Continuous Glucose Monitor ◽

Glucose Levels ◽

Driver Performance ◽

Safety Interventions ◽

And Behavior

This pilot study tackles the overarching need for driver-state detection through real-world measurements of driver behavior and physiology in at-risk drivers with type 1 diabetes mellitus (DM). 35 drivers (19 DM, 14 comparison) participated. Real-time glucose levels were measured over four weeks with continuous glucose monitor (CGM) wearable sensors. Contemporaneous real-world driving performance and behavior were measured with in-vehicle video and electronic sensor instrumentation packages. Results showed clear links between at-risk glucose levels (particularly hypoglycemia) and changes in driver performance and behavior. DM participants often drove during at-risk glucose levels (low and high) and showed cognitive impairments in key domains for driving, which are likely linked to frequent hypoglycemia. The finding of increased driving risk in DM participants was mirrored in state records of crashes and traffic citations. Combining sensor data and phenotypes of driver behavior can inform patients, caregivers, safety interventions, policy, and design of supportive in-vehicle technology that is responsive to driver state.

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