The Effects of a Fall Prevention Program on the Low-Income Elderly at Risk of Falls

2010 ◽  
Vol 21 (2) ◽  
pp. 200 ◽  
Author(s):  
Il Seon Hyeon ◽  
Myonghwa Park ◽  
Kyong Min Park ◽  
Chung Nam Kim
Keyword(s):  
At Risk ◽  
Low Income ◽  
Fall Prevention ◽  
Prevention Program ◽  
Fall Prevention Program ◽  
Risk Of Falls

Lack of Effectiveness of a Multidisciplinary Fall-Prevention Program in Elderly People at Risk: A Randomized, Controlled Trial

2008 ◽  
Vol 56 (8) ◽  
pp. 1390-1397 ◽  
Author(s):  
Marike R. C. Hendriks ◽  
Michel H. C. Bleijlevens ◽  
Jolanda C. M. Van Haastregt ◽  
Harry F. J. M. Crebolder ◽  
Joseph P. M. Diederiks ◽  
...  
Keyword(s):  
At Risk ◽  
Randomized Controlled Trial ◽  
Elderly People ◽  
Fall Prevention ◽  
Prevention Program ◽  
Controlled Trial ◽  
Fall Prevention Program ◽  
Randomized Controlled

scholarly journals A Feasibility Study of Multi-Component Fall Prevention for Homebound Older Adults Facilitated by Lay Coaches and Using a Tablet-Based, Gamified Exercise Application

2021 ◽  
pp. 073346482199102
Author(s):  
Namkee G. Choi ◽  
Emma Stanmore ◽  
Julieta Caamano ◽  
Kelly Vences ◽  
Nancy M. Gell
Keyword(s):  
Older Adults ◽  
Feasibility Study ◽  
Low Income ◽  
Fall Prevention ◽  
Prevention Program ◽  
Physical Therapist ◽  
Mobility Limitations ◽  
Fall Prevention Program ◽  
Ambulation Training ◽  
Homebound Older Adults

Although homebound older adults face high risk for falls, they are unable to utilize community-based fall prevention programs due to their mobility limitations. In this article, we report a feasibility study of a four-session, multicomponent fall prevention program for low-income homebound older adults using pre, post, mixed-method design. The manualized program was delivered by lay coaches who were trained and supervised by a physical therapist. The program also used an iPad-based gamified strength and balance exercise app (called KOKU) that was operable without the need to connect to the internet. Participants ( N = 28) in this study were highly receptive to the program and approved all components: psychoeducation, the KOKU app, home-safety checks, safe ambulation training, and medication review. The study showed that a brief, multi-component fall prevention program for homebound older adults is feasible and acceptable. Further research is needed to evaluate its effectiveness.

Analysis of risk factors of falls and audit of fall prevention program in the multidisciplinary hospital

2021 ◽  
Vol 22 (2) ◽  
pp. 132-135
Author(s):  
S. V. Lapik ◽  
Keyword(s):  
Quality Management ◽  
Fall Prevention ◽  
Prevention Program ◽  
Management System ◽  
Quality Management System ◽  
Medical Personnel ◽  
Medical Documentation ◽  
Medical Organization ◽  
Fall Prevention Program ◽  
Risk Of Falls

Aim. To explore the organization of the activities of nurses in the prevention of falls and injuries of patients in the multidisciplinary hospital for compliance with the requirements of the quality management system. Materials and methods. Retrospective analysis of 1600 medical records of patients admitted to the surgical and therapeutic department of the multidisciplinary hospital, assessment of the risk of falls using the Morse scale, interviews of medical personnel, audit of the hospital using quality management system approaches. Results. Most of the patients in the hospital, despite of the profile, have a low and medium risk of falls, regardless of age, but due to the underlying disorders and concomitant diseases, as well as restrictions imposed by the disease, the presence of falls in the anamnesis. To assess the risk of falls in a medical organization for adult patients, it is advisable to use the Morse Fall Scale (MFS) in dynamics with fixation in the medical documentation in accordance with the adopted regulations. We have confirmed 70% compliance of the fall prevention program in the multidisciplinary hospital with the practical guidelines of Roszdravnadzor for the safety of medical care. Conclusions. In the context of limited resources, a differentiated approach to the prevention of falls in the medical organization will contribute to the decrease and absence of injuries.

scholarly journals Recipient and Instructor perspectives of an adapted exercise-based fall prevention program for older adults with vision impairment: a qualitative study nested within a randomised controlled trial

2019 ◽  
Author(s):  
Lisa Dillon ◽  
Lindy Clemson ◽  
Helen Nguyen ◽  
Kirsten B Jakobsen ◽  
Jodi Martin ◽  
...  
Keyword(s):  
Older Adults ◽  
Fall Prevention ◽  
Prevention Program ◽  
Controlled Trial ◽  
Vision Impairment ◽  
Fall Prevention Program ◽  
Positive Attitudes ◽  
Increased Risk ◽  
Risk Of Falls ◽  
Randomised Controlled

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.

scholarly journals HOW TO STEADI YOUR PATIENTS WITH THE COORDINATED CARE PLAN TO PREVENT OLDER ADULT FALLS AND EVALUATION GUIDE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S857-S858
Author(s):  
Janice A Mark
Keyword(s):  
At Risk ◽  
Older Adult ◽  
Fall Prevention ◽  
Prevention Program ◽  
Fall Risk ◽  
Healthcare Providers ◽  
Care Plan ◽  
Coordinated Care ◽  
Fall Prevention Program ◽  
Risk Patients

Abstract Falls are common, costly, and the leading cause of fatal and nonfatal injuries for older Americans. Reports show that fall death rates are increasing. Healthcare providers play an important role in fall prevention but few talk to their patients about falls. This lack of communication demonstrates the need for more physician-initiated fall prevention. The Centers for Disease Control and Prevention (CDC) created the Stopping Elderly Accidents, Deaths, and Injuries (STEADI) initiative to help providers talk to their patients about falls. Specifically, CDC’s new STEADI-based fall prevention program, the Coordinated Care Plan to Prevent Older Adult Falls (CCP) and Evaluation Guide for Older Adult Clinical Fall Prevention Programs can assist healthcare providers in integrating and evaluating new fall prevention programs that screen older adults for fall risk, assess patients’ modifiable fall risk factors, and implement evidenced-based fall prevention interventions (e.g., medication management, physical therapy). The CCP offers guidance for incorporating a STEADI-based fall prevention program including how to engage leadership, integrate with existing clinic workflow and electronic health records, and strategies on how to obtain reimbursement for fall prevention. The Evaluation Plan offers details on how to engage stakeholders, collect data, interpret findings and how to share results for maximum impact. Both documents were based on lessons learned from successful implementation of STEADI-based programs in primary care. A STEADI-based program in New York found fewer fall-related hospitalizations among at-risk patients who received a fall prevention care plan compared to at-risk patients who did not receive a care plan.

scholarly journals Recipient and Instructor perspectives of an adapted exercise-based fall prevention program for older adults with vision impairment: a qualitative study nested within a randomised controlled trial

2019 ◽  
Author(s):  
Lisa Dillon ◽  
Lindy Clemson ◽  
Helen Nguyen ◽  
Kirsten B Jakobsen ◽  
Jodi Martin ◽  
...  
Keyword(s):  
Older Adults ◽  
Fall Prevention ◽  
Prevention Program ◽  
Controlled Trial ◽  
Vision Impairment ◽  
Structured Interviews ◽  
Fall Prevention Program ◽  
Increased Risk ◽  
Risk Of Falls ◽  
Randomised Controlled

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.

Best Practices for Data Visualization: Creating and Evaluating a Report for an Evidence-Based Fall Prevention Program (Preprint)

2018 ◽  
Author(s):  
Srijesa Khasnabish ◽  
Zoe Burns ◽  
Madeline Couch ◽  
Mary Mullin ◽  
Randall Newmark ◽  
...  
Keyword(s):  
Literature Review ◽  
Best Practices ◽  
Implementation Science ◽  
Data Visualization ◽  
Systematic Literature Review ◽  
Fall Prevention ◽  
Prevention Program ◽  
Evidence Based ◽  
Data Display ◽  
Fall Prevention Program

BACKGROUND Data visualization experts have identified core principles to follow when creating visual displays of data that facilitate comprehension. Such principles can be applied to creating effective reports for clinicians that display compliance with quality improvement protocols. A basic tenet of implementation science is continuous monitoring and feedback. Applying best practices for data visualization to reports for clinicians can catalyze implementation and sustainment of new protocols. OBJECTIVE To apply best practices for data visualization to create reports that clinicians find clear and useful. METHODS First, we conducted a systematic literature review to identify best practices for data visualization. We applied these findings and feedback collected via a questionnaire to improve the Fall TIPS Monthly Report (FTMR), which shows compliance with an evidence-based fall prevention program, Fall TIPS (Tailoring Interventions for Patient Safety). This questionnaire was based on the requirements for effective data display suggested by expert Stephen Few. We then evaluated usability of the FTMR using a 15-item Health Information Technology Usability Evaluation Scale (Health-ITUES). Items were rated on a 5-point Likert scale from strongly disagree (1) to strongly agree (5). RESULTS The results of the systematic literature review emphasized that the ideal data display maximizes the information communicated while minimizing the cognitive efforts involved with data interpretation. Factors to consider include selecting the correct type of display (e.g. line vs bar graph) and creating simplistic reports. The qualitative and quantitative evaluations of the original and final FTMR revealed improved perceptions of the visual display of the reports and their usability. Themes that emerged from the staff interviews emphasized the value of simplified reports, meaningful data, and usefulness to clinicians. The mean (SD) rating on the Health-ITUES scale when evaluating the original FTMR was 3.86 (0.19) and increased to 4.29 (0.11) when evaluating the revised FTMR (Mann Whitney U Test, z=-12.25, P<0.001). CONCLUSIONS Best practices identified through a systematic review can be applied to create effective reports for clinician use. The lessons learned from evaluating FTMR perceptions and measuring usability can be applied to creating effective reports for clinician use in the context of other implementation science projects.

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