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A fall risk reduction intervention for community -dwelling older adults.

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	A fall risk reduction intervention for community -dwelling older adults./
Author:	Hakim, Renee M.
Description:	1 online resource (189 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 63-04, Section: B.
Contained By:	Dissertations Abstracts International63-04B.
Subject:	Public health. -
Online resource:	click for full text (PQDT)
ISBN:	9780493248233

A fall risk reduction intervention for community -dwelling older adults.
Hakim, Renee M.

A fall risk reduction intervention for community -dwelling older adults. - 1 online resource (189 pages)

Source: Dissertations Abstracts International, Volume: 63-04, Section: B.

Thesis (Ph.D.)--Temple University, 2001.

Includes bibliographical references

The purpose of this study was to determine the efficacy of a three-month Fall Risk Reduction Intervention Program with a home exercise component versus no intervention on reduction of selected fall risk factors with community-dwelling older adults. Participant adherence to exercise and type of follow-up to reduce fall risk factors (i.e., personal and environmental) were also reported. Social Cognitive Theory (SCT) provided the theoretical framework. A prospective, quasi-experimental pretest-posttest design was conducted on two groups of Senior Companions, an intervention group (n = 49) in Dunmore, Pennsylvania and a comparison group (n = 31) in Altoona, Pennsylvania. Data were collected on selected cognitive (fall-related knowledge), affective (falls self-efficacy) and behavioral (balance, strength, follow-up) variables. Following Analysis of Covariance on the data (using the pretest scores as the covariate), this study found that the Fall Risk Reduction Program was effective in significantly increasing the fall-related knowledge of participants in the intervention group as compared to the comparison group, F(1,144) = 5.81; p < .05. The comparison group increased balance as measured by forward reach, F(1,45) = 5.05: p < .05, although they did not participate in Tai Chi. Otherwise, there were no significant differences between groups for balance as measured by backward, right and left reach and the Timed-Up-and-Go test, for falls self-efficacy as measured by the Activity-specific Balance Confidence (ABC) scale, or for general leg strength as measured by the 30 second Chair Stand test. Based on descriptive analysis, the adherence of the intervention group to the Tai Chi exercise component was variable with full adherence by 24.5%, partial adherence by 20.4% and no adherence by more than half (55.1%) of the group. The follow-up to reduce or eliminate fall risk factors was accomplished with 110 changes made to reduce intrinsic risk factors and 154 to reduce extrinsic factors by the intervention group. As peer educators, Companions engaged in discussion (n = 49) and/or action (n = 24) in order to address fall risk factor reduction with their clients. These findings demonstrated that fall-related knowledge could be increased for older adults during a series of three monthly in-services (6 hours total) in a community-based setting. Subsequently, these older adults made behavioral changes to reduce fall risk factors (N = 264) and some served as peer educators by sharing program content with their clients ( N = 73). The changes were most often environmental, requiring no cost. However, the exercise component (i.e., Tai Chi) was not sufficient to improve the physical performance (i.e., balance, strength) of the intervention group during posttesting.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024

Mode of access: World Wide Web

ISBN: 9780493248233Subjects--Topical Terms:

560998
Public health.
Subjects--Index Terms:

Community-dwellingIndex Terms--Genre/Form:

554714
Electronic books.

A fall risk reduction intervention for community -dwelling older adults.
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520 $a The purpose of this study was to determine the efficacy of a three-month Fall Risk Reduction Intervention Program with a home exercise component versus no intervention on reduction of selected fall risk factors with community-dwelling older adults. Participant adherence to exercise and type of follow-up to reduce fall risk factors (i.e., personal and environmental) were also reported. Social Cognitive Theory (SCT) provided the theoretical framework. A prospective, quasi-experimental pretest-posttest design was conducted on two groups of Senior Companions, an intervention group (n = 49) in Dunmore, Pennsylvania and a comparison group (n = 31) in Altoona, Pennsylvania. Data were collected on selected cognitive (fall-related knowledge), affective (falls self-efficacy) and behavioral (balance, strength, follow-up) variables. Following Analysis of Covariance on the data (using the pretest scores as the covariate), this study found that the Fall Risk Reduction Program was effective in significantly increasing the fall-related knowledge of participants in the intervention group as compared to the comparison group, F(1,144) = 5.81; p < .05. The comparison group increased balance as measured by forward reach, F(1,45) = 5.05: p < .05, although they did not participate in Tai Chi. Otherwise, there were no significant differences between groups for balance as measured by backward, right and left reach and the Timed-Up-and-Go test, for falls self-efficacy as measured by the Activity-specific Balance Confidence (ABC) scale, or for general leg strength as measured by the 30 second Chair Stand test. Based on descriptive analysis, the adherence of the intervention group to the Tai Chi exercise component was variable with full adherence by 24.5%, partial adherence by 20.4% and no adherence by more than half (55.1%) of the group. The follow-up to reduce or eliminate fall risk factors was accomplished with 110 changes made to reduce intrinsic risk factors and 154 to reduce extrinsic factors by the intervention group. As peer educators, Companions engaged in discussion (n = 49) and/or action (n = 24) in order to address fall risk factor reduction with their clients. These findings demonstrated that fall-related knowledge could be increased for older adults during a series of three monthly in-services (6 hours total) in a community-based setting. Subsequently, these older adults made behavioral changes to reduce fall risk factors (N = 264) and some served as peer educators by sharing program content with their clients ( N = 73). The changes were most often environmental, requiring no cost. However, the exercise component (i.e., Tai Chi) was not sufficient to improve the physical performance (i.e., balance, strength) of the intervention group during posttesting.
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