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Evaluation of a balance and mobility program for older adults at risk of falling: a mixed methods study
Author(s) -
Osho Oluwaseyi A.,
Harbidge Cathy,
Hogan David B.,
Manns Patricia J.,
Jones C. Allyson
Publication year - 2021
Publication title -
journal of evaluation in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.737
H-Index - 73
eISSN - 1365-2753
pISSN - 1356-1294
DOI - 10.1111/jep.13413
Subject(s) - fear of falling , balance (ability) , fall prevention , gerontology , falling (accident) , physical therapy , medicine , program evaluation , poison control , injury prevention , psychology , environmental health , public administration , political science
Abstract Rational, aims, and objectives The FallProof Balance and Mobility Program is a multifactorial fall prevention intervention that targets intrinsic risk factors such as muscle strength, balance, gait, and posture. Using mixed methods, we evaluated the implementation of the program for older adults at high risk of falling in the community. Methods A pre‐post program evaluation and semi‐structured interviews were used to evaluate FallProof Balance and Mobility Program offered to older adults who were recurrent fallers. Over a 1‐year period, the 12‐week program was offered five times. Feasibility, acceptability, and outcome evaluation along with semi‐structured interviews were done. Over the course of the evaluation, participants were evaluated three times (baseline, 12, and 16 weeks). Results Of the 19 participants, who enrolled in the program, 16 completed the program and 12 attended at least 80% of the classes. Fourteen participants had mildly impaired cognition (Montreal Cognitive Assessment <26). Large gains (effect size 0.90) were seen with self‐management (Partner‐in‐Health Scale). Participants were very satisfied with the program. Three themes emerged from the semi‐structured interviews: (a) fall‐related benefits, (b) variety of activities and motivating instructors, and (c) deterrents to participation. Conclusion Findings provided insights into pragmatic issues of implementing a balance and mobility program for older adults at risk of falling. The FallProof program was found to be feasible and acceptable in a small cohort of older adults from the community.