scholarly journals Does Fall Arrest Strategy Training Added to a Fall Prevention Programme Improve Balance, Strength, and Agility in Older Women? A Pilot Study

2017 ◽  
Vol 69 (4) ◽  
pp. 323-332 ◽  
Author(s):  
Cathy M. Arnold ◽  
JoAnn Walker-Johnston ◽  
Joel L. Lanovaz ◽  
Lauren J. Lattimer
Keyword(s):  
Pilot Study ◽  
Older Women ◽  
Fall Prevention ◽  
Strategy Training ◽  
Prevention Programme ◽  
Fall Arrest ◽  
Fall Prevention Programme

scholarly journals Recipient and instructor perspectives of an adapted exercise-based fall prevention programme for adults aged 50+ years with vision impairment: a qualitative study nested within a randomised controlled trial

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e038386
Author(s):  
Lisa Dillon ◽  
Lindy Clemson ◽  
Helen Nguyen ◽  
Kirsten Bonrud Jakobsen ◽  
Jodi Martin ◽  
...  
Keyword(s):  
Older Adults ◽  
Randomised Controlled Trial ◽  
Qualitative Study ◽  
Fall Prevention ◽  
Controlled Trial ◽  
Community Dwelling ◽  
Vision Impairment ◽  
Prevention Programme ◽  
Randomised Controlled ◽  
Fall Prevention Programme

ObjectiveOlder adults with vision impairment currently have no access to tailored fall prevention programmes. Therefore, the purpose of this study, nested within an ongoing randomised controlled trial (RCT), is to document the adaptation of an existing fall prevention programme and investigate the perspectives of instructors involved in delivery and the older adults with vision impairment receiving the programme (recipients).DesignWe documented programme adaptations and training requirements, and conducted semistructured, individual interviews with both the instructors and the recipients of the programme from 2017 to 2019. The content of each interview was analysed using behaviour change theory through deductive qualitative analysis.SettingNew South Wales and Australian Capital Territory, Australia.ParticipantsThe 11 trained instructors interviewed were employees of a vision rehabilitation organisation and had delivered at least one programme session as part of the RCT. The 154 recipients interviewed were community-dwelling adults aged ≥50 years with vision impairment and no diagnosis of dementia, and had completed their participation in the programme as part of the intervention group of the RCT.ResultsSix key themes were identified relating to recipient (delivery aptitude, social norms, habit formation) and instructor (individualised adaptation, complimentary to scope of practice, challenges to delivery) perspectives. With initial training, instructors required minimal ongoing support to deliver the programme and made dynamic adaptations to suit the individual circumstances of each recipient, but cited challenges delivering the number of programme activities required. Recipient perspectives varied; however, most appreciated the delivery of the programme by instructors who understood the impact of vision impairment.Conclusions and implicationsThis novel qualitative study demonstrates that the adapted programme, delivered by instructors, who already have expertise delivering individualised programmes to older people with vision impairment, may fill the gap for a fall prevention programme in this population.Trial registration numberACTRN12616001186448.

scholarly journals Multicentre, randomised controlled trial of PDSAFE, a physiotherapist-delivered fall prevention programme for people with Parkinson’s

2019 ◽  
Vol 90 (7) ◽  
pp. 774-782 ◽  
Author(s):  
Kim Chivers Seymour ◽  
Ruth Pickering ◽  
Lynn Rochester ◽  
Helen C Roberts ◽  
Claire Ballinger ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Fall Prevention ◽  
Controlled Trial ◽  
Intervention Group ◽  
Prevention Programme ◽  
Control Group ◽  
Chair Stand ◽  
Subgroup Analyses ◽  
Randomised Controlled ◽  
Fall Prevention Programme

ObjectiveTo estimate the effect of a physiotherapist-delivered fall prevention programme for people with Parkinson’s (PwP).MethodsPeople at risk of falls with confirmed Parkinson’s were recruited to this multicentre, pragmatic, investigator blind, individually randomised controlled trial with prespecified subgroup analyses. 474 PwP (Hoehn and Yahr 1–4) were randomised: 238 allocated to a physiotherapy programme and 236 to control. All participants had routine care; the control group received a DVD about Parkinson’s and single advice session at trial completion. The intervention group (PDSAFE) had an individually tailored, progressive home-based fall avoidance strategy training programme with balance and strengthening exercises. The primary outcome was risk of repeat falling, collected by self-report monthly diaries, 0–6 months after randomisation. Secondary outcomes included Mini-BESTest for balance, chair stand test, falls efficacy, freezing of gait, health-related quality of life (EuroQol EQ-5D), Geriatric Depression Scale, Physical Activity Scale for the Elderly and Parkinson’s Disease Questionnaire, fractures and rate of near falling.ResultsAverage age is 72 years and 266 (56%) were men. By 6 months, 116 (55%) of the control group and 125 (61.5%) of the intervention group reported repeat falls (controlled OR 1.21, 95% CI 0.74 to 1.98, p=0.447). Secondary subgroup analyses suggested a different response to the intervention between moderate and severe disease severity groups. Balance, falls efficacy and chair stand time improved with near falls reduced in the intervention arm.ConclusionPDSAFE did not reduce falling in this pragmatic trial of PwP. Other functional tasks improved and reduced fall rates were apparent among those with moderate disease.Trial registration numberISRCTN48152791.

scholarly journals A multifactorial fall prevention programme in the community-dwelling aged: predictors of adherence

2007 ◽  
Vol 17 (5) ◽  
pp. 464-470 ◽  
Author(s):  
N. M. Sjosten ◽  
M. Salonoja ◽  
M. Piirtola ◽  
T. J. Vahlberg ◽  
R. Isoaho ◽  
...  
Keyword(s):  
Fall Prevention ◽  
Community Dwelling ◽  
Prevention Programme ◽  
Predictors Of Adherence ◽  
Fall Prevention Programme

Evaluation of a comprehensive slip, trip and fall prevention programme for hospital employees

Ergonomics ◽  
2008 ◽  
Vol 51 (12) ◽  
pp. 1906-1925 ◽  
Author(s):  
Jennifer L. Bell ◽  
James W. Collins ◽  
Laurie Wolf ◽  
Raoul Grönqvist ◽  
Sharon Chiou ◽  
...  
Keyword(s):  
Fall Prevention ◽  
Prevention Programme ◽  
Hospital Employees ◽  
Fall Prevention Programme

A primary care based fall prevention programme

1999 ◽  
Vol 15 (2) ◽  
pp. 121-133 ◽  
Author(s):  
Alison Allen ◽  
Janet M. Simpson
Keyword(s):  
Primary Care ◽  
Fall Prevention ◽  
Prevention Programme ◽  
Fall Prevention Programme

scholarly journals Process factors explaining the ineffectiveness of a multidisciplinary fall prevention programme: A process evaluation

2008 ◽  
Vol 8 (1) ◽  
Author(s):  
Michel HC Bleijlevens ◽  
Marike RC Hendriks ◽  
Jolanda CM van Haastregt ◽  
Erik van Rossum ◽  
Gertrudis IJM Kempen ◽  
...  
Keyword(s):  
Process Evaluation ◽  
Fall Prevention ◽  
Prevention Programme ◽  
Process Factors ◽  
Fall Prevention Programme

A multifactorial fall prevention programme in home-dwelling elderly people: A randomized-controlled trial

Public Health ◽  
2007 ◽  
Vol 121 (4) ◽  
pp. 308-318 ◽  
Author(s):  
N.M. Sjösten ◽  
M. Salonoja ◽  
M. Piirtola ◽  
T. Vahlberg ◽  
R. Isoaho ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Elderly People ◽  
Fall Prevention ◽  
Controlled Trial ◽  
Prevention Programme ◽  
Randomized Controlled ◽  
Fall Prevention Programme
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