Pilot Outcomes of a Multicomponent Fall Risk Program Integrated Into Daily Lives of Community-Dwelling Older Adults
Sarah L Szanton, Lindy Clemson, Minhui Liu, Laura N Gitlin, Melissa D Hladek, Sarah E LaFave, David L Roth, Katherine A Marx, Cynthia Felix, Safiyyah M Okoye, Xuan Zhang, Svetlana Bautista, Marianne Granbom, Sarah L Szanton, Lindy Clemson, Minhui Liu, Laura N Gitlin, Melissa D Hladek, Sarah E LaFave, David L Roth, Katherine A Marx, Cynthia Felix, Safiyyah M Okoye, Xuan Zhang, Svetlana Bautista, Marianne Granbom
Abstract
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.
Trial registration: ClinicalTrials.gov NCT03351413.
Keywords: accidental falls; community-dwelling; home hazards; lifestyle-integrated exercise; medication review.
Conflict of interest statement
Declaration of Conflicting Interests
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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Source: PubMed