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 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.

scholarly journals Recipient and instructor perspectives of an adapted exercise-based fall prevention programme for adults aged 50+ years with vision impairment: a qualitative study nested within a randomised controlled trial

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e038386
Author(s):  
Lisa Dillon ◽  
Lindy Clemson ◽  
Helen Nguyen ◽  
Kirsten Bonrud Jakobsen ◽  
Jodi Martin ◽  
...  
Keyword(s):  
Older Adults ◽  
Randomised Controlled Trial ◽  
Qualitative Study ◽  
Fall Prevention ◽  
Controlled Trial ◽  
Community Dwelling ◽  
Vision Impairment ◽  
Prevention Programme ◽  
Randomised Controlled ◽  
Fall Prevention Programme

ObjectiveOlder adults with vision impairment currently have no access to tailored fall prevention programmes. Therefore, the purpose of this study, nested within an ongoing randomised controlled trial (RCT), is to document the adaptation of an existing fall prevention programme and investigate the perspectives of instructors involved in delivery and the older adults with vision impairment receiving the programme (recipients).DesignWe documented programme adaptations and training requirements, and conducted semistructured, individual interviews with both the instructors and the recipients of the programme from 2017 to 2019. The content of each interview was analysed using behaviour change theory through deductive qualitative analysis.SettingNew South Wales and Australian Capital Territory, Australia.ParticipantsThe 11 trained instructors interviewed were employees of a vision rehabilitation organisation and had delivered at least one programme session as part of the RCT. The 154 recipients interviewed were community-dwelling adults aged ≥50 years with vision impairment and no diagnosis of dementia, and had completed their participation in the programme as part of the intervention group of the RCT.ResultsSix 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. With initial training, instructors required minimal ongoing support to deliver the programme and made dynamic adaptations to suit the individual circumstances of each recipient, but cited challenges delivering the number of programme activities required. Recipient perspectives varied; however, most appreciated the delivery of the programme by instructors who understood the impact of vision impairment.Conclusions and implicationsThis novel qualitative study demonstrates that the adapted programme, delivered by instructors, who already have expertise delivering individualised programmes to older people with vision impairment, may fill the gap for a fall prevention programme in this population.Trial registration numberACTRN12616001186448.

scholarly journals The (cost-)effectiveness of an implemented fall prevention intervention on falls and fall-related injuries among community-dwelling older adults with an increased risk of falls: protocol for the in balance randomized controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Maaike van Gameren ◽  
Daniël Bossen ◽  
Judith E. Bosmans ◽  
Bart Visser ◽  
Sanne W. T. Frazer ◽  
...  
Keyword(s):  
Older Adults ◽  
Cost Effectiveness ◽  
Fall Prevention ◽  
Controlled Trial ◽  
Cost Effective ◽  
Community Dwelling ◽  
Prevention Intervention ◽  
Increased Risk ◽  
Risk Of Falls ◽  
Fall Prevention Intervention

Abstract Background Falls and fall-related injuries among older adults are a serious threat to the quality of life and result in high healthcare and societal costs. Despite evidence that falls can be prevented by fall prevention programmes, practical barriers may challenge the implementation of these programmes. In this study, we will investigate the effectiveness and cost-effectiveness of In Balance, a fourteen-week, low-cost group fall prevention intervention, that is widely implemented in community-dwelling older adults with an increased fall risk in the Netherlands. Moreover, we will be the first to include cost-effectiveness for this intervention. Based on previous evidence of the In Balance intervention in pre-frail older adults, we expect this intervention to be (cost-)effective after implementation-related adjustments on the target population and duration of the intervention. Methods This study is a single-blinded, multicenter randomized controlled trial. The target sample will consist of 256 community-dwelling non-frail and pre-frail adults of 65 years or older with an increased risk of falls. The intervention group receives the In Balance intervention as it is currently widely implemented in Dutch healthcare, which includes an educational component and physical exercises. The physical exercises are based on Tai Chi principles and focus on balance and strength. The control group receives general written physical activity recommendations. Primary outcomes are the number of falls and fall-related injuries over 12 months follow-up. Secondary outcomes consist of physical performance measures, physical activity, confidence, health status, quality of life, process evaluation and societal costs. Mixed model analyses will be conducted for both primary and secondary outcomes and will be stratified for non-frail and pre-frail adults. Discussion This trial will provide insight into the clinical and societal impact of an implemented Dutch fall prevention intervention and will have major benefits for older adults, society and health insurance companies. In addition, results of this study will inform healthcare professionals and policy makers about timely and (cost-)effective prevention of falls in older adults. Trial registration Netherlands Trial Register: NL9248 (registered February 13, 2021).

Causes, Consequences, and Fall Prevention Preferences for Adults in Mid-Life

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512505114p1-7512505114p1
Author(s):  
Meredith H. Lee
Keyword(s):  
Older Adults ◽  
Pilot Study ◽  
Fall Prevention ◽  
Preliminary Data ◽  
Prevention Program ◽  
Fall Prevention Program ◽  
Functional Consequences ◽  
Almost All ◽  
Middle Aged Adults ◽  
Primary Author

Abstract Date Presented 04/20/21 Most research studying fall experiences and fall prevention program preferences focuses on older adults, overlooking the falls that occur in midlife. This pilot study gathered preliminary data on fall experiences, consequences, and fall prevention preferences of adults in midlife. Almost all participants experienced functional consequences from their fall and had interest in learning about fall prevention, suggesting that fall prevention programs could be beneficial for middle-aged adults. Primary Author and Speaker: Meredith H. Lee Additional Authors and Speakers: Rachel Reed Contributing Authors: Samantha Grant, Jodi Thomas, and Roy St. Laurent

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

Social Support as a Moderator in a Fall Prevention Program for Older Adults

2008 ◽  
Vol 34 (5) ◽  
pp. 19-25 ◽  
Author(s):  
Yasuyuki Fukukawa ◽  
Rumi Kozakai ◽  
Naoakira Niino ◽  
Yukiko Nishita ◽  
Fujiko Ando ◽  
...  
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Fall Prevention ◽  
Prevention Program ◽  
Fall Prevention Program
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