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

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

Development of a Community-Based Fall Prevention Program: Stay in Balance

2012 ◽  
Vol 9 (4) ◽  
pp. 571-580 ◽  
Author(s):  
Harriet G. Williams ◽  
Gerhild Ullmann
Keyword(s):  
Older Adults ◽  
Fall Prevention ◽  
Prevention Program ◽  
Service Providers ◽  
Community Based ◽  
Local Service ◽  
Support Materials ◽  
Fall Prevention Program ◽  
Program Content ◽  
Evidenced Based

Background:Falls and fall-related injuries are critical issues for older adults; evidence indicates that multidimensional interventions that address modifiable risk factors can be successful in reducing falls. Few evidence-based fall prevention interventions exist due, in part, to complex issues associated with development and implementation. There is a need for a variety of such programs from which older adults may choose. We describe steps, outcomes, and issues involved in developing/implementing an evidenced-based fall prevention program in community settings.Methods:The Stay In Balance program (SIB), developed by a team of professionals, local service providers and active older adults, was carried out with total of 135 older adults in several steps: developing objectives and program content, laboratory-based randomized controlled trial (RCT), pilot program in the community, community-based RCT, and implementation at 2 community sites.Results:Each step in development provided useful and different insights into needed changes in program content, equipment, support materials, training, and appropriate outcome measures.Conclusion:Development of an evidenced-based fall prevention program requires a long term commitment on the part of all partners, University personnel, local service providers, and older adult participants; funding is also critical.

scholarly journals PERSONAL FACTORS ASSOCIATED WITH DROPOUT RATE IN SHORT-TERM FALL PREVENTION PROGRAM FOR OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S123-S123
Author(s):  
Qiwei Li ◽  
Becky P Knight
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Fall Prevention ◽  
Prevention Program ◽  
Educational Level ◽  
Prevention Programs ◽  
Dropout Rate ◽  
Personal Factors ◽  
Short Term ◽  
Fall Prevention Program

Abstract Fall prevention programs towards older adults are beneficial, however, drop-out rate among older adults in short-term fall prevention programs are relatively high (one out of three). With older adults dropping out, the programs benefit less for their target populations and achieve a lower level of cost-effectiveness as reported to funders. Literature review has revealed that previous studies on attrition frequently focus on longitudinal research, leaving the factors causing older adults to quit short-term (e.g., 8 weeks) fall prevention programs understudied. This study aimed to explore the association between demographic factors, educational level, health status, fall history, and the completion of the short-term fall prevention program named A Matter of Balance. A total of 691 older adults (526 females, 76.1%) 65 and older participated in the program were included and a Descriptive Discrimination Analysis (DDA) was conducted to analyze the multivariate relationship stated above. The results have identified that fall frequency, educational level, fear of falls, health status, perceived limitations due to fall, injury cases resulted from falls, and having arthritis are the most statistically significant factors that are associated with the completions among older adults for the short-term fall prevention program. The implications of this study include suggestions to modify future recruitment eligibilities in order to include the most suitable participants in certain programs, as well as adaptive modifications for short-term fall prevention programs that aim to serve larger aging populations with individualized conditions. Networking of evidence-based research outcomes should be shared for increased success of future programs.

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.

scholarly journals Delivery of Fall Prevention Interventions for At-Risk Older Adults in Rural Areas: Findings from a National Dissemination

2018 ◽  
Vol 15 (12) ◽  
pp. 2798 ◽  
Author(s):  
Matthew Smith ◽  
Samuel Towne ◽  
Angelica Herrera-Venson ◽  
Kathleen Cameron ◽  
Scott Horel ◽  
...  
Keyword(s):  
Older Adults ◽  
Fall Prevention ◽  
Rural Areas ◽  
Prevention Program ◽  
Technical Assistance ◽  
Prevention Programs ◽  
The United States ◽  
Incidence Rates ◽  
Retention Rates ◽  
Fall Prevention Program

Falls incidence rates and associated injuries are projected to increase among rural-dwelling older adults, which highlights the need for effective interventions to prevent falls and manage fall-related risks. The purpose of this descriptive study was to identify the geospatial dissemination of eight evidence-based fall prevention programs (e.g., A Matter of Balance, Stepping On, Tai Chi, Otago Exercise Program) across the United States (U.S.) in terms of participants enrolled, workshops delivered, and geospatial reach. These dissemination characteristics were compared across three rurality designations (i.e., metro areas; non-metro areas adjacent to metro areas; and, non-metro areas not adjacent to metro areas). Data were analyzed from a national repository of 39 Administration for Community Living (ACL) grantees from 2014–2017 (spanning 22 states). Descriptive statistics were used to assess program reach, delivery-site type, and completion rate by rurality. Geographic information systems (GIS) geospatially represented the collective reach of the eight interventions. Of the 45,812 participants who attended a fall prevention program, 12.7% attended workshops in non-metro adjacent areas and 6.6% attended workshops in non-metro non-adjacent areas. Of the 3755 workshops delivered (in over 550 unique counties), most were delivered in senior centers (26%), residential facilities (20%), healthcare organizations (13%), and faith-based organizations (9%). On average, the workshop attendance/retention rates were consistent across rurality (~70%). Findings highlight the need to diversify the delivery infrastructure for fall prevention programs to adequately serve older adults in rural areas. Ongoing efforts are needed to offer sustainable technical assistance and to develop scalable clinical-community referral systems to increase fall prevention program participation among rural-dwelling older adults.

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