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Primary Prevention of Falls: Effectiveness of a Statewide Program

Identifieur interne : 001958 ( Main/Exploration ); précédent : 001957; suivant : 001959

Primary Prevention of Falls: Effectiveness of a Statewide Program

Auteurs : Steven M. Albert ; Jennifer King ; Robert Boudreau ; Tanushree Prasad ; Chyongchiou J. Lin ; Anne B. Newman

Source :

American Journal of Public Health [ 0090-0036 ] ; 2014.

RBID : PMC:3987590

Descripteurs français

KwdFr :
- Activités de la vie quotidienne, Auto-efficacité, Autosoins, Chutes accidentelles (), Douleur (épidémiologie), Exercice physique, Facteurs socioéconomiques, Femelle, Humains, Incidence, Mobilité réduite, Mâle, Pennsylvanie, Prévention primaire (organisation et administration), Sujet âgé, Sujet âgé de 80 ans ou plus, Vieillissement, Éducation du patient comme sujet (organisation et administration), Équilibre postural.
MESH :
- organisation et administration : Prévention primaire, Éducation du patient comme sujet.
- épidémiologie : Douleur.
- Activités de la vie quotidienne, Auto-efficacité, Autosoins, Chutes accidentelles, Exercice physique, Facteurs socioéconomiques, Femelle, Humains, Incidence, Mobilité réduite, Mâle, Pennsylvanie, Sujet âgé, Sujet âgé de 80 ans ou plus, Vieillissement, Équilibre postural.

English descriptors

KwdEn :
- Accidental Falls (prevention & control), Activities of Daily Living, Aged, Aged, 80 and over, Aging, Exercise, Female, Humans, Incidence, Male, Mobility Limitation, Pain (epidemiology), Patient Education as Topic (organization & administration), Pennsylvania, Postural Balance, Primary Prevention (organization & administration), Self Care, Self Efficacy, Socioeconomic Factors.
MESH :
- geographic : Pennsylvania.
- epidemiology : Pain.
- organization & administration : Patient Education as Topic, Primary Prevention.
- prevention & control : Accidental Falls.
- Activities of Daily Living, Aged, Aged, 80 and over, Aging, Exercise, Female, Humans, Incidence, Male, Mobility Limitation, Postural Balance, Self Care, Self Efficacy, Socioeconomic Factors.

Abstract

Objectives. We examined a population-wide program, Pennsylvania’s Healthy Steps for Older Adults (HSOA), designed to reduce the incidence of falls among older adults. Older adults completing HSOA are screened and educated regarding fall risk, and those identified as being at high risk are referred to primary care providers and home safety resources.

Methods. From 2010 to 2011, older adults who completed HSOA at various senior center sites (n = 814) and a comparison group of older adults from the same sites who did not complete the program (n = 1019) were recruited and followed monthly. Although participants were not randomly allocated to study conditions, the 2 groups did not differ in fall risk at baseline or attrition. We used a telephone interactive voice response system to ascertain the number of falls that occurred each month.

Results. In multivariate models, adjusted fall incidence rate ratios (IRRs) were lower in the HSOA group than in the comparison group for both total (IRR = 0.83; 95% confidence interval [CI] = 0.72, 0.96) and activity-adjusted (IRR = 0.81; 95% CI = 0.70, 0.93) months of follow-up.

Conclusions. Use of existing aging services in primary prevention of falls is feasible, resulting in a 17% reduction in our sample in the rate of falls over the follow-up period.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3987590

DOI: 10.2105/AJPH.2013.301829
PubMed: 24625164
PubMed Central: 3987590

Affiliations:

Le document en format XML

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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Aging</term>
<term>Exercise</term>
<term>Female</term>
<term>Humans</term>
<term>Incidence</term>
<term>Male</term>
<term>Mobility Limitation</term>
<term>Pain (epidemiology)</term>
<term>Patient Education as Topic (organization & administration)</term>
<term>Pennsylvania</term>
<term>Postural Balance</term>
<term>Primary Prevention (organization & administration)</term>
<term>Self Care</term>
<term>Self Efficacy</term>
<term>Socioeconomic Factors</term>
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<term>Auto-efficacité</term>
<term>Autosoins</term>
<term>Chutes accidentelles ()</term>
<term>Douleur (épidémiologie)</term>
<term>Exercice physique</term>
<term>Facteurs socioéconomiques</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Mobilité réduite</term>
<term>Mâle</term>
<term>Pennsylvanie</term>
<term>Prévention primaire (organisation et administration)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Vieillissement</term>
<term>Éducation du patient comme sujet (organisation et administration)</term>
<term>Équilibre postural</term>
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<keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Prévention primaire</term>
<term>Éducation du patient comme sujet</term>
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<term>Autosoins</term>
<term>Chutes accidentelles</term>
<term>Exercice physique</term>
<term>Facteurs socioéconomiques</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
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<front><div type="abstract" xml:lang="en"><p><italic>Objectives.</italic>
 We examined a population-wide program, Pennsylvania’s Healthy Steps for Older Adults (HSOA), designed to reduce the incidence of falls among older adults. Older adults completing HSOA are screened and educated regarding fall risk, and those identified as being at high risk are referred to primary care providers and home safety resources.</p>
<p><italic>Methods.</italic>
 From 2010 to 2011, older adults who completed HSOA at various senior center sites (n = 814) and a comparison group of older adults from the same sites who did not complete the program (n = 1019) were recruited and followed monthly. Although participants were not randomly allocated to study conditions, the 2 groups did not differ in fall risk at baseline or attrition. We used a telephone interactive voice response system to ascertain the number of falls that occurred each month.</p>
<p><italic>Results.</italic>
 In multivariate models, adjusted fall incidence rate ratios (IRRs) were lower in the HSOA group than in the comparison group for both total (IRR = 0.83; 95% confidence interval [CI] = 0.72, 0.96) and activity-adjusted (IRR = 0.81; 95% CI = 0.70, 0.93) months of follow-up.</p>
<p><italic>Conclusions.</italic>
 Use of existing aging services in primary prevention of falls is feasible, resulting in a 17% reduction in our sample in the rate of falls over the follow-up period.</p>
</div>
</front>
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<tree><noCountry><name sortKey="Albert, Steven M" sort="Albert, Steven M" uniqKey="Albert S" first="Steven M." last="Albert">Steven M. Albert</name>
<name sortKey="Boudreau, Robert" sort="Boudreau, Robert" uniqKey="Boudreau R" first="Robert" last="Boudreau">Robert Boudreau</name>
<name sortKey="King, Jennifer" sort="King, Jennifer" uniqKey="King J" first="Jennifer" last="King">Jennifer King</name>
<name sortKey="Lin, Chyongchiou J" sort="Lin, Chyongchiou J" uniqKey="Lin C" first="Chyongchiou J." last="Lin">Chyongchiou J. Lin</name>
<name sortKey="Newman, Anne B" sort="Newman, Anne B" uniqKey="Newman A" first="Anne B." last="Newman">Anne B. Newman</name>
<name sortKey="Prasad, Tanushree" sort="Prasad, Tanushree" uniqKey="Prasad T" first="Tanushree" last="Prasad">Tanushree Prasad</name>
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Primary Prevention of Falls: Effectiveness of a Statewide Program

Primary Prevention of Falls: Effectiveness of a Statewide Program

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

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