Analyzing evidence-based falls prevention data with significant missing information using variable selection after multiple imputation

Objective: Adults aging with a long-term disability (LTD) are at an increased risk for falls. The Older Americans Act Title III-D and Prevention and Public Health Fund (PPHF) support several organizations to deliver falls prevention evidence-based programs designed to reduce risk factors; however, little is understood about the reach and effectiveness of these fall prevention programs for those with LTD compared to those without LTD. This study compared the reach and effectiveness of two evidence-based falls prevention programs between older adults with and without LTD. Method: Using a matched case-control design, 105 LTD older adults enrolled in A Matter of Balance (AMOB) or Stepping On were matched to 315 non-LTD older adults on age, sex, race, and education. Results: On average, LTD older adults attended a higher number of class sessions and were significantly more likely to complete the program compared with the matched-sample of non-LTD older adults. LTD older adults were equally likely as non-LTD older adults to report significant reductions in self-reported fear of falling, falls-related activity restriction, and improvement in falls self-efficacy following completion of the programs. Discussion: These findings provide preliminary evidence for the effectiveness of these evidence-based falls prevention programs for LTD older adults; however, more research is needed to extend these findings.

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Selecting Patients for Falls-Prevention Protocols: An Evidence-Based Approach on a Geriatric Rehabilitation Unit

Journal of Gerontological Nursing ◽

10.3928/0098-9134-20011001-07 ◽

2001 ◽

Vol 27 (10) ◽

pp. 19-25 ◽

Cited By ~ 3

Author(s):

Louise Patrick ◽

Angela Blodgett

Keyword(s):

Falls Prevention ◽

Geriatric Rehabilitation ◽

Evidence Based ◽

Rehabilitation Unit

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Irish occupational therapists use of evidenced-based falls prevention programmes

Irish Journal of Occupational Therapy ◽

10.1108/ijot-02-2019-0002 ◽

2019 ◽

Vol 48 (1) ◽

pp. 17-30 ◽

Cited By ~ 1

Author(s):

Kim Lombard ◽

Laura Desmond ◽

Ciara Phelan ◽

Joan Brangan

Keyword(s):

Older Adults ◽

Occupational Therapists ◽

Exercise Programme ◽

Falls Prevention ◽

Evidence Based ◽

Snowball Sampling ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Content Type ◽

Prevention Programmes

Purpose As one ages, the risk of experiencing a fall increases and poses a number of serious consequences; 30 per cent of individuals over 65 years of age fall each year. Evidence-based falls prevention programmes demonstrate efficacy in reducing the rate and risk of falls among older adults, but their use in Irish occupational therapy practice is unknown. This study aims to investigate the implementation of falls prevention programmes by occupational therapists working with older adults in Ireland. Design/methodology/approach A cross-sectional survey was used to gather data on the use of falls prevention programmes among occupational therapists working with older adults in any clinical setting across Ireland. Purposeful, convenience and snowball sampling methods were used. The Association of Occupational Therapists of Ireland acted as a gatekeeper. Descriptive statistics and summative content analysis were used to analyse quantitative and qualitative data, respectively. Findings In all, 85 survey responses were analysed. Over 85 per cent of respondents reported “Never” using any of the evidence-based falls prevention programmes. The “OTAGO” Exercise Programme was the most “Frequently” used programme (9.5 per cent, n = 7); 29 respondents reported using “in-department” developed falls prevention programmes and 14 provided additional comments regarding current falls prevention practices in Ireland. Originality/value In the absence of Irish data on the subject, this study provides a benchmark to describe the use of evidence-based falls programmes by Irish occupational therapists with older adults.

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STRATEGIES TO DISSEMINATE AND SUSTAIN EVIDENCE-BASED FALLS PREVENTION PROGRAMS AND NETWORKS

The Gerontologist ◽

10.1093/geront/gnw162.2584 ◽

2016 ◽

Vol 56 (Suppl_3) ◽

pp. 637-637

Keyword(s):

Prevention Programs ◽

Falls Prevention ◽

Evidence Based

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Feasibility and usefulness of a leadership intervention to implement evidence-based falls prevention practices in residential care in Canada

Pilot and Feasibility Studies ◽

10.1186/s40814-019-0485-7 ◽

2019 ◽

Vol 5 (1) ◽

Cited By ~ 1

Author(s):

Wendy Gifford ◽

Krystina B. Lewis ◽

Ann Catrine Eldh ◽

Val Fiset ◽

Tara Abdul-Fatah ◽

...

Keyword(s):

Residential Care ◽

Falls Prevention ◽

Evidence Based ◽

Leadership Intervention

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REACH OF NATIONAL EVIDENCE-BASED FALLS PREVENTION PROGRAMS AMONG TRIBAL COMMUNITIES: RESULTS AND LESSONS LEARNED

Innovation in Aging ◽

10.1093/geroni/igy023.2832 ◽

2018 ◽

Vol 2 (suppl_1) ◽

pp. 765-766

Author(s):

T Eagen ◽

A Herrera-Venson ◽

C Gilchrist ◽

E Schneider ◽

K Cameron

Keyword(s):

Prevention Programs ◽

Lessons Learned ◽

Falls Prevention ◽

Evidence Based ◽

Tribal Communities

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IS YOUR COMMUNITY-BASED HEALTH PROMOTION PROGRAM EVIDENCE BASED AND READY FOR DISSEMINATION? HERE’S HOW TO FIND OUT

Innovation in Aging ◽

10.1093/geroni/igz038.306 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S79-S79

Author(s):

Ellen C Schneider ◽

Lesley Steinman ◽

Casey Dicocco

Keyword(s):

Health Promotion ◽

Program Implementation ◽

Review Process ◽

Research Evaluation ◽

Falls Prevention ◽

Health Promotion Program ◽

Evidence Based ◽

Adult Health ◽

Promotion Program ◽

Support Organizations

Abstract Evidence-based programs (EBPs) offer proven ways to promote health and prevent disease among older adults in their communities. EBPs are based on rigorous study of the effects of specific interventions or model programs, demonstrate consistently positive changes in important health-related and functional measures, and have tools in place to maintain program access, quality, and efficiency across diverse settings. The University of North Carolina at Chapel Hill’s Center for Health Promotion and Disease Prevention (UNC HPDP), in partnership with the Evidence-Based Leadership Collaborative (EBLC), has established a review process and Review Council to identify new community programs that meet the evidence-based program criteria established by the Administration for Community Living (ACL), one of the chief U.S. federal agencies responsible for aging programs. Approved programs are then eligible for Older Americans Act Title III-D and other discretionary funding to support organizations that deliver EBPs to improve older adult health. The review process assesses the effectiveness, outcomes, and evaluation of the program, information about program implementation, training, and other key elements for successful program dissemination. The Review Council consists of national leaders with expertise in program research, evaluation, and implementation. The review process is supported by the ACL-funded National Chronic Disease Self-Management Education and Falls Prevention Resource Centers. This session will describe the ACL evidence-based health promotion program criteria that must be met for approval; an overview of the review process; and how researchers can submit their programs for review. Time will be allowed for questions, discussion, and research to practice implications.

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PARTICIPATION IN TWO EVIDENCE-BASED FALLS PREVENTION PROGRAMS AMONG OLDER ADULTS WITH AND WITHOUT A DISABILITY

Innovation in Aging ◽

10.1093/geroni/igz038.452 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S123-S124

Author(s):

Thomas J Eagen ◽

Ellen McGough ◽

Tracy Mroz ◽

Deborah Kartin ◽

Anjum Hajat ◽

...

Keyword(s):

Older Adults ◽

Program Effectiveness ◽

Fear Of Falling ◽

Prevention Programs ◽

Falls Prevention ◽

Original Research ◽

Evidence Based ◽

National Council ◽

Activity Restriction ◽

Using Data

Abstract Older adults with a disability are at greater risk for falls and injury due to falling compared to those without a disability. Evidence-based falls prevention programs (EBFPPs) have been developed and disseminated broadly, however individuals with disabilities were excluded from original research on effectiveness. Using data from the National Falls Prevention Database from the National Council on Aging, we compared the reach and effectiveness of two EBFPPs, A Matter of Balance (MOB) or Stepping On, between those with and without a disability. Program reach was measured using attendance percentage. Program effectiveness was measured using change in fear of falling (FOF), fall-related activity restriction (FAR), and falls self-efficacy (FSE) post-program. A total of 12,667 participants were analyzed. Participants were, on average, 76 years old (M = 76.18, SD = 9.86), largely female (75%), well educated (80% some college or higher), and white (90%). Nearly half self-reported a disability (40%). Older adults with a disability were as likely to attend (M = 0.88, SD = 0.14) the program compared to those without a disability (M = 0.88, SD = 0.14, p =.30). Older adults with a disability reported greater FOF and FAR and lower FSE compared to participants without a disability at baseline. Significant improvements were made across effectiveness measures, irrespective of disability status. MOB and Stepping On are effective programs, well attended by older adults with and without disabilities, however older adults with a disability continued to report higher FOF and FAR, and lower FSE compared to those without a disability.

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