Open AccessPilot Outcomes of a Multicomponent Fall Risk Program Integrated Into Daily Lives of Community-Dwelling Older Adults
Author(s) -
Sarah L. Szanton,
Lindy Clemson,
Minhui Liu,
Laura N. Gitlin,
Melissa Hladek,
Sarah LaFave,
David L. Roth,
Katherine Marx,
Cynthia Felix,
Safiyyah Okoye,
Xuan Zhang,
Svetlana Bautista,
Marianne Granbom
Publication year - 2020
Publication title -
journal of applied gerontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.857
H-Index - 50
eISSN - 1552-4523
pISSN - 0733-4648
DOI - 10.1177/0733464820912664
Subject(s) - fall prevention , medicine , intervention (counseling) , physical therapy , balance (ability) , randomized controlled trial , gerontology , poison control , injury prevention , falls in older adults , referral , medical emergency , family medicine , nursing , surgery
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.