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

Details

• Alternative Title:
  J Appl Gerontol
• Personal Author:
  Szanton, Sarah L. ; Clemson, Lindy ; Liu, Minhui ; Gitlin, Laura N. ; Hladek, Melissa D. ; LaFave, Sarah E. ; Roth, David L. ; Marx, Katherine A. ; Felix, Cynthia ; Okoye, Safiyyah M. ; Zhang, Xuan ; Bautista, Svetlana ; Granbom, Marianne
• Description:
  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.
  
  
• Subjects:
  Accidental Falls Aged Article Community-dwelling Exercise Exercise Therapy Female Home Hazards Humans Independent Living Lifestyle-integrated Exercise Male Medication Review Postural Balance Resistance Training

  More +
• Source:
  J Appl Gerontol. 40(3):320-327
• Pubmed ID:
  32193981
• Pubmed Central ID:
  PMC8381477
• Document Type:
  Journal Article
• Funding:
  R49 CE002466/CE/NCIPC CDC HHSUnited States/ ; R49CE002466/ACL/ACL HHSUnited States/
• Volume:
  40
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:140b66d85dc586d77db46012d06890abb106fc646c80e3bca3509b1796130bf7
• Download URL:
  https://stacks.cdc.gov/view/cdc/109154/cdc_109154_DS1.pdf
• File Type:
  [PDF - 462.94 KB ]