Community Fall Prevention Programs: Comparing Three InSTEP Models by Level of Intensity

2014 ◽  
Vol 22 (3) ◽  
pp. 372-379 ◽  
Author(s):  
B. Josea Kramer ◽  
Beth Creekmur ◽  
Michael N. Mitchell ◽  
Debra J. Rose ◽  
Jon Pynoos ◽  
...  
Keyword(s):  
Older Adults ◽  
Fall Prevention ◽  
Fall Risk ◽  
Community Dwelling ◽  
Medical Risk ◽  
Fall Risk Factors ◽  
Within Subjects ◽  
Prevention Center ◽  
Gait Function ◽  
Community Dwelling Older Adults

The Fall Prevention Center of Excellence designed three progressive-intensity fall prevention program models, Increasing Stability Through Evaluation and Practice (InSTEP), to reduce risk in community-dwelling older adults. Each model included physical activity, medical risk, and home safety components and was implemented as a 12-week program for small class sizes (12–15 people) in community and senior centers. Change in fall rates and fall risk factors was assessed using a battery of performance tests, self-reports of function, and fall diaries in a 3-group within-subjects (N = 200) design measured at baseline, immediately postintervention, and at 3 and 9 months postintervention. Overall, participants experienced a reduction in falls, improved self-perception of gait and balance, and improved dynamic gait function. The medium-intensity InSTEP model signifcantly (p = .003) reduced self-reported falls in comparison with the other models. InSTEP is a feasible model for addressing fall risk reduction in community-dwelling older adults.

Efficacy of an Exercise Game Based on Kinect in Improving Physical Performances of Fall Risk Factors in Community-Dwelling Older Adults

2013 ◽  
Vol 2 (4) ◽  
pp. 247-252 ◽  
Author(s):  
Hiroki Kayama ◽  
Kazuya Okamoto ◽  
Shu Nishiguchi ◽  
Taiki Yukutake ◽  
Takanori Tanigawa ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Fall Risk ◽  
Community Dwelling ◽  
Fall Risk Factors ◽  
Physical Performances ◽  
Exercise Game ◽  
Community Dwelling Older Adults

A Group Intervention to Reduce Fall Risk Factors in Community-Dwelling Older Adults

2004 ◽  
Vol 22 (1) ◽  
pp. 1-20 ◽  
Author(s):  
Renée M. Hakim ◽  
Roberta A. Newton ◽  
Jay Segal ◽  
Joseph P. DuCette
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Group Intervention ◽  
Fall Risk ◽  
Community Dwelling ◽  
Fall Risk Factors ◽  
Community Dwelling Older Adults

scholarly journals Pilot Outcomes of a Multicomponent Fall Risk Program Integrated Into Daily Lives of Community-Dwelling Older Adults

2020 ◽  
pp. 073346482091266
Author(s):  
Sarah L. Szanton ◽  
Lindy Clemson ◽  
Minhui Liu ◽  
Laura N. Gitlin ◽  
Melissa D. Hladek ◽  
...  
Keyword(s):  
Older Adults ◽  
Fall Prevention ◽  
Fall Risk ◽  
Pilot Trial ◽  
Balance Training ◽  
Community Dwelling ◽  
Control Group ◽  
Timed Up And Go ◽  
Daily Lives ◽  
Fall Risk Factors

Objectives: To evaluate whether a fall prevention intervention reduces fall risk in older adults who have previously fallen. Design: Randomized controlled pilot trial. Setting: Participants’ homes. Intervention: LIVE-LiFE, adapted from Lifestyle-Intervention Functional Exercise (LiFE) integrates strength and balance training into daily habits in eight visits over 12 weeks. The adaptations to LiFE were to also provide (a) US$500 in home safety changes, (b) vision contrast screening and referral, and (c) medication recommendations. Control condition consisted of fall prevention materials and individualized fall risk summary. Measurement: Timed Up and Go (TUG) and Tandem stand. Falls efficacy, feasibility, and acceptability of the intervention. Results: Sample ( N = 37) was 65% female, 65% White, and average 77 years. Compared with the control group, each outcome improved in the intervention. The LIVE-LiFE intervention had a large effect (1.1) for tandem stand, moderate (0.5) in falls efficacy, and small (0.1) in the TUG. Conclusion: Simultaneously addressing preventable fall risk factors is feasible.

Associations between gait speed and well-known fall risk factors among community-dwelling older adults

2018 ◽  
Vol 24 (1) ◽  
pp. e1743 ◽  
Author(s):  
Ingebjørg Lavrantsdatter Kyrdalen ◽  
Pernille Thingstad ◽  
Leiv Sandvik ◽  
Heidi Ormstad
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Gait Speed ◽  
Fall Risk ◽  
Community Dwelling ◽  
Fall Risk Factors ◽  
Community Dwelling Older Adults

scholarly journals 127 Older Adults' Knowledge and Perceptions of Falls: A Mixed Methods Study

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv28-iv33
Author(s):  
Cheah Ping Ng ◽  
Devinder Kaur Ajit Singh ◽  
Maw Pin Tan ◽  
Saravana Kumar
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Fall Prevention ◽  
Fall Risk ◽  
Community Dwelling ◽  
Limited Information ◽  
Older Individuals ◽  
Fall Risk Factors ◽  
Global Issue ◽  
Risk Of Falls

Abstract Introduction Falls is a global issue due to its devastating consequences and costs associated with fall injuries in older adults. There is limited information regarding knowledge and perceptions about falls among older individuals in Malaysia. The aim of this study was to assess knowledge and perceptions of falls among older adults. Methods A total of twenty-five (n=25) community dwelling older adults were invited to participate in this study (age range 61-83, median=73). Focus group discussions were conducted to explore older adults’ perceptions on falls, while the Fall Risk Assessment Questionnaire (FRAQ) was used to assess their knowledge on falls. Results Three themes emerged from the qualitative data, which were ‘Ageing and its association with falls’, ‘Reactions to a fall’ and ‘Knowledge of fall interventions’. The quantitative results showed that more than half of the participants considered themselves at the risk of falls (n=15, 60%). Older adults had better knowledge on behavioral and environmental (percentage of errors: 19.4%; 35.2%) compared to medical and medication related fall risk factors (percentage of errors: 55.2%; 57.33%). Discussion Older adults had both positive and negative views on ageing and falls. Some of the fall prevention strategies highlighted were in line with evidence-based recommendations. However, majority exhibit fall prevention behaviors that were largely based on their personal experiences. Older adults lacked the knowledge on medical related fall risk factors as these require understanding of various medical conditions and the related medications. Conclusion Education intervention emphasizing on ageing, medical and medication related fall risk factors should now be evaluated.

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