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Head Over Heels: Impact of a Health Promotion Program to Reduce Falls in the Elderly

Published online by Cambridge University Press:  29 November 2010

Elaine M. Gallagher  and
Howard Brunt
Elaine M. Gallagher
Affiliation:
University of Victoria
Howard Brunt
Affiliation:
University of Victoria
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Abstract

The Fit (Falls Intervention Trials) Project was a randomized clinical trial of a program designed to reduce falls and their sequela among older people. The sample consisted of 100 persons who were age 60 and over, who lived in the Capital Region District (Victoria, B.C.) and who had experienced a fall in the preceding three months. The intervention consisted of a comprehensive risk assessment, individualized feedback about identified risks and a motivational video and booklet entitled “Head Over Heels”. Outcome measures included fall incidence, falls self-efficacy, fear of falling, social functioning, health service utilization and quality of life. While there were no statistically significant differences between the intervention and control groups on the key study variables, there were improvements in both groups between the beginning of the study and the six-month follow-up assessment. The paper discusses possible reasons for these findings and their implications for further research.

Résumé

Le projet FIT – Falls Intervention Trials (étude sur les essais d'intervention après les chutes) – consistait en une étude clinique avec répartition aléatoire des effets d'un programme visant à réduire l'incidence de chutes et leurs séquelles chez les personnes âgées. L'échantillon se composait de 100 personnes de 60 ans et plus, vivant dans la région de la capitale provinciale (Victoria, C.-B.) et ayant fait une chute au cours des trois mois précédant l'étude. L'intervention prenait la forme d'une évaluation détaillée des risques, de commentaires individuels quant aux risques déterminés, ainsi qu'une bande vidéo accompagnée d'une brochure d'information intitulées Head over Heels. La mesure des résultats comprenait l'incidence des chutes, l'auto-efficacité en cas de chutes, la crainte de chuter, le fonctionnement social, l'utilisation des services de santé et la qualité de vie. Bien que les principales variables de l'étude n'aient révélé aucune différence statistique importante entre le groupe expérimental et le groupe témoin, on a pu constater une amélioration au sein des deux groupes entre le début de l'étude et l'évaluation de suivi, six mois après sa conclusion. L'article traite des différentes raisons possibles expliquant ces résultats et leurs conséquences en fonction de recherches plus approfondies.

Keywords

AgingAccidental InjuryFallsHealth PromotionRisk Reduction.Vieillissementaccident avec blessurechûtepromotions de la santéréduction des risques.
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 15 , Issue 1 , Spring/printemps 1996 , pp. 84 - 96
Copyright
Copyright © Canadian Association on Gerontology 1996

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