预防跌倒的定制运动电子策略 (eSTEPS)

实验性的：eSTEPS 临床决策支持

使用临床决策支持来协助与运动相关的跌倒预防护理计划将与常规护理进行比较。

行为的：eSTEPS CDS

布莱根妇女医院的初级保健诊所将随机接受 eSTEPS CDS 或常规护理。 德克萨斯大学医学分部 (UTMB) 将成为复制站点，所有参与的初级保健实践都将接收 eSTEPS CDS。

无干预：日常护理

关于与运动相关的跌倒预防计划的常规初级保健做法

To Determine the Effect of the eSTEPS Intervention on the Rate of Falls

To determine the effect of the eSTEPS intervention on all falls per 100 patient years

To Determine the Effect of the eSTEPS Intervention on Falls Self-efficacy (Fear of Falling)

Falls self-efficacy (fear of falling) will be measured using the Modified Falls Efficacy Scale (mFES). This scale assesses confidence with completing a list of activities without falling and contains 14 items each measured on a scale of 0 to 10. 0 means "not confident at all", 5 means "fairly confident", and 10 means "completely confident." he total score is the average of all of the item scores and ranges from zero to ten. A higher score reflects more confidence and less fear of falling. Participants are classified as either fearful (MFES score < 8) or not fearful (MFES greater than or equal to 8). The total score range is 0 to 10.

To Determine the Effect of the eSTEPS Intervention on Self-efficacy for Exercise

Self-efficacy for exercise will be measured using the Self-Efficacy for Exercise (SEE) Scale. This scale consists of nine situations that may affect participation in exercise and ask participants to describe their current level of confidence that they could exercise 3 times a week for 20 minutes each time. 0 means "not confident", 5 means "fairly confident", and 10 means "very confident." The total score for the SEE scale is calculated by taking the numerical ratings for each statement and dividing by number of responses. The score indicates the strength of self-efficacy for exercise expectations. The higher the average score, the greater the participant's self-efficacy for exercise. The total score range is 0 to 10.

To Explore the Effect of the eSTEPS Intervention on Death

To explore the effect of the esteps intervention on the rate of death (mortality) in the intervention versus control groups

To Determine the Effect of the eSTEPS Intervention the Rate of Fall-related Injuries

To determine the effect of the eSTEPS intervention on the rate of fall injuries calculated as fall-related injuries per 100 person years