Older people's preferences regarding programme formats for managing concerns about falls

Tanja A C Dorresteijn, G A Rixt Zijlstra, Yvonne J J Van Eijs, Johannes W S Vlaeyen, Gertrudis I J M Kempen, Tanja A C Dorresteijn, G A Rixt Zijlstra, Yvonne J J Van Eijs, Johannes W S Vlaeyen, Gertrudis I J M Kempen

Abstract

Objective: to explore the preferences of community-dwelling older persons regarding different programme formats for managing concerns about falls.

Subjects and design: cross-sectional study of 5,755 community-dwelling people aged ≥ 70 years in the Netherlands.

Methods: a questionnaire assessed people's willingness to participate per programme format (n=6), i.e. a programme at home, via telephone, via home visits and telephone consultations, via television or via Internet.

Results: of the 2,498 responders, 62.7% indicated no interest in any of the formats. The willingness to participate per programme format varied between 21.5 (at home) and 9.4% (via Internet). Among people interested in at least one of the formats (n=931), higher levels of fall-related concerns were associated with increased preference for a programme with home visits. Poor perceived health and age ≥ 80 years were associated with less preference for a group programme. Higher educated people were more in favour of a programme via Internet compared with their lower educated counterparts.

Conclusion: the majority of community-dwelling older people are not likely to participate in any of the six proposed programme formats for managing concerns about falls. However, when diverse formats of effective programmes will be made available, uptake and adherence may be increased since programme preferences are associated to specific population characteristics.

References

    1. Scheffer AC, Schuurmans MJ, van Dijk N, van der Hooft T, de Rooij SE. Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons. Age Ageing. 2008;37:19–24.
    1. Tinetti ME, Powell L. Fear of falling and low self-efficacy: a cause of dependence in elderly persons. J Gerontol. 1993;48:35–8.
    1. Deshpande N, Metter EJ, Lauretani F, Bandinelli S, Guralnik J, Ferrucci L. Activity restriction induced by fear of falling and objective and subjective measures of physical function: a prospective cohort study. J Am Geriatr Soc. 2008;56:615–20.
    1. Delbaere K, Crombez G, Vanderstraeten G, Willems T, Cambier D. Fear-related avoidance of activities, falls and physical frailty. A prospective community-based cohort study. Age Ageing. 2004;33:368–73.
    1. Delbaere K, Close JCT, Brodaty H, Sachdev P, Lord SR. Determinants of disparities between perceived and physiological risk of falling among elderly people: cohort study. Br Med J. 2010;341:c4165. .
    1. Friedman SM, Munoz B, West SK, Rubin GS, Fried LP. Falls and fear of falling: Which comes first? A longitudinal prediction model suggests strategies for primary and secondary prevention. J Am Geriatr Soc. 2002;50:1329–35.
    1. Cumming RG, Salkeld G, Thomas M, Szonyi G. Prospective study of the impact of fear of falling on activities of daily living, SF-36 scores, and nursing home admission. J Gerontol A Biol Sci Med Sci. 2000;55:M299–305.
    1. Arfken CL, Lach HW, Birge SJ, Miller JP. The prevalence and correlates of fear of falling in elderly persons living in the community. Am J Public Health. 1994;84:565–70.
    1. Bula CJ, Monod S, Hoskovec C, Rochat S. Interventions aiming at balance confidence improvement in older adults: an updated review. Gerontology. 2011;57:276–86.
    1. Brouwer BJ, Walker C, Rydahl SJ, Culham EG. Reducing fear of falling in seniors through education and activity programs: a randomized trial. J Am Geriatr Soc. 2003;51:829–34.
    1. Clemson L, Cumming RG, Kendig H, Swann M, Heard R, Taylor K. The effectiveness of a community-based program for reducing the incidence of falls in the elderly: a randomized trial. J Am Geriatr Soc. 2004;52:1487–94.
    1. Sattin RW, Easley KA, Wolf SL, Chen Y, Kutner MH. Reduction in fear of falling through intense tai chi exercise training in older, transitionally frail adults. J Am Geriatr Soc. 2005;53:1168–78.
    1. Zhang JG, Ishikawa-Takata K, Yamazaki H, Morita T, Ohta T. The effects of Tai Chi Chuan on physiological function and fear of falling in the less robust elderly: an intervention study for preventing falls. Arch Gerontol Geriatr. 2006;42:107–16.
    1. Zijlstra GA, van Haastregt JC, Ambergen T, et al. Effects of a multicomponent cognitive behavioral group intervention on fear of falling and activity avoidance in community-dwelling older adults: results of a randomized controlled trial. J Am Geriatr Soc. 2009;57:2020–8.
    1. Arai T, Obuchi S, Inaba Y, et al. The effects of short-term exercise intervention on falls self-efficacy and the relationship between changes in physical function and falls self-efficacy in Japanese older people: a randomized controlled trial. Am J Phys Med Rehabil. 2007;86:133–41.
    1. Liu H, Rainey J, Zabel R, Quiben MU, Kehayov A, Boswell JK. Comparison of two exercise programs using the Falls Efficacy Scale, Berg Balance Scale and ankle dorsiflexor strength in older adults. Phys Occup Ther Geriatr. 2007;26:23–42.
    1. Tennstedt S, Howland J, Lachman M, Peterson E, Kasten L, Jette A. A randomized, controlled trial of a group intervention to reduce fear of falling and associated activity restriction in older adults. J Gerontol B Psychol Sci Soc Sci. 1998;53:P384–92.
    1. Yardley L, Kirby S, Ben-Shlomo Y, Gilbert R, Whitehead S, Todd C. How likely are older people to take up different falls prevention activities? Prev Med. 2008;47:554–8.
    1. CBS. 2009. Standaard Onderwijsindeling 2006 Editie 2009/'10. [Standard classification of education 2006. Edition 2009/’ 10] Voorburg/Heerlen: Centraal Bureau voor de Statistiek.
    1. Stewart AL, Hays RD, Ware JE. The Mos Short-Form General Health Survey—reliability and validity in a patient population. Med Care. 1988;26:724–32.
    1. Zijlstra GAR. Managing Concerns About Falls Fear of Falling and Avoidance of Activity in Older People. Maastricht: Maastricht University; 2007.
    1. Boyd R, Stevens JA. Falls and fear of falling: burden, beliefs and behaviours. Age Ageing. 2009;38:423–8.
    1. Calhoun R, Meischke H, Hammerback K, et al. Older adults’ perceptions of clinical fall prevention programs: a qualitative study. J Aging Res. 2011 . Epub ahead of print.
    1. Webb TL, Sheeran P. Does changing behavioral intentions engender behavior change? A meta-analysis of the experimental evidence. Psychol Bull. 2006;132:249–68.
    1. Crawford Shearer NB, Fleury JD, Belyea M. An innovative approach to recruiting homebound older adults. Res Gerontol Nurs. 2010;3:11–8.
    1. Stevens M, de Jong J, Lemmink KA. The Groningen Active Living Model, an example of successful recruitment of sedentary and underactive older adults. Prev Med. 2008;47:398–401.

Source: PubMed

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