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07.10.2016 | Original Research | Ausgabe 2/2017

Translational Behavioral Medicine 2/2017

Predictors of and health- and fall-related program outcomes resulting from complete and adequate doses of a fall risk reduction program

Zeitschrift:
Translational Behavioral Medicine > Ausgabe 2/2017
Autoren:
Thelma J. Mielenz, Laura L. Durbin, Fern Hertzberg, Diana Nobile-Hernandez, Haomiao Jia
Wichtige Hinweise

Implications

Practice: Understanding factors that encourage individuals to complete the AMOB/VLL program and understanding if incomplete, yet adequate attendance can still have the same anticipated positive health effects can help inform program developers and deliverers about how to handle attrition concerns.
Policy: The AMOB/VLL program has proven its worth for older adults who complete the program to adopt fall prevention strategies, but knowing if the program can still benefit individuals with incomplete attendance will help inform program delivery sites when tough financial decisions must be made regarding which programs to continue offering.
Research: The reality of community-based health promotion programs, particularly those focused on falls prevention, is that complete attendance from all participants is unlikely even when transportation is provided, so future research on program success should continue to investigate the impact that varying programmatic session attendance levels can have for program participants.

Abstract

Falls are dangerous and costly for older adults. The A Matter of Balance/Volunteer Lay Leader (AMOB/VLL) program is an evidence-based fall risk reduction program that could help reduce this burden. This study introduced a door-through-door transportation program to improve program delivery (N = 126). Characteristics predicting completion of all eight AMOB/VLL sessions were identified using logistic regression. Individual growth models were employed to determine the immediate, intermediate, and long-term goal outcomes resulting from receiving an adequate dose of the program (five to eight sessions). Self-restriction of activities due to fear of falling (OR 5.04, 95 % CI 1.86–13.69) and a lower frequency of moderate and vigorous physical activity (OR 1.14, 95 % CI 1.04–1.27) were significantly predictive of receiving a complete dose. Three outcome goals were significant, including (1) immediate—improved self-efficacy of managing medications and treatments, (2) intermediate—reduced activity limitations, and (3) intermediate—reduced physical disability. Self-restriction of activities due to a fear of falling and physical activity levels may be simple and effective screening questions to prevent AMOB/VLL attrition. In our study, those who did receive the program improved on a specific type of self-efficacy and on self-reported physical functioning.

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