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Published on: February 13, 2020
Falls reduction in long-term care facilities: a preliminary report of a new internet-based behavioral technique
Irwin J Mansdorf1, Ravil Sharma, Melanie Perez
1Park Avenue Medical Associates, White Plains, NY, USA. imansdorf@gmail.com
Objective:
To investigate an Internet-based psychological intervention targeting behavioral factors related to falls among residents of long-term care communities.
Design:
Retrospective A-B design with 90-day look-back.
Setting:
Long-term care communities in New York State (N=4, 3 SNF, 1 ALF).
Participants:
Nursing home residents (N=26).
Intervention:
Internet-based programmed learning system using cognitive- and behavioral-based techniques.
Measurements:
Direct measures of documented falls in the medical record, perceived risk and burden scales, Falls Efficacy Scale-International (FES-I), Attitudes to Falls-Related Interventions Scale (AFRIS).
Results:
Reductions in documented falls by 52% along with substantial reductions in staff ratings of risk and burden.
Conclusion:
Behavioral treatment of risk factors related to falls within a structured delivery using Internet-based intervention may be an effective and efficient mechanism for treating fall risk in long-term care settings.
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