ABSTRACT
Using a randomized controlled trial, we tested the efficacy of a fall prevention intervention to reduce falls among adults in a community-based health promotion program. Adults aged 65 and older within two counties were recruited (control n = 257; intervention n = 286). After 12 months, there was a significant decrease in the number of falls in both groups (odds ratio = 0.45, p < .04), but the time by group membership interaction was not significant (χ(2) = 0.15, p < .69). Multivariate analysis did not find significant differences between the control and intervention groups for physical function as measured by a balance test or a sitting/standing test. Further research is needed on effective methods to deliver multifaceted fall interventions to older adults who are already being served by community health promotion programs.
Subject(s)
Accidental Falls/prevention & control , Health Promotion/organization & administration , Residence Characteristics , Age Factors , Aged , Aged, 80 and over , Exercise , Female , Geriatric Assessment/methods , Humans , Male , Sex Factors , Socioeconomic FactorsABSTRACT
OBJECTIVE: To evaluate the effectiveness of an older adult falls-prevention program and describe compliance with the program. METHODS: The No More Falls! program was evaluated by comparing outcomes of program participants and nonparticipants from the same health care system and by comparing outcomes in pre- and postintervention periods. RESULTS: Program participants were 20% less likely to fall than nonparticipants. Falls during the year after program participation decreased 53%, compared with a 21% decline among nonparticipants. Compliance was positively associated with program effectiveness. CONCLUSION: These findings suggest that the No More Falls! program was successful in reducing falls among older adults.
