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Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty

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Community fall prevention programs: comparing three InSTEP models by levels of intensity.

B Josea Kramer¹, Beth Creekmur, Michael N Mitchell

¹Geriatric Research Education Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, CA.

Journal of Aging and Physical Activity

|August 16, 2013

Summary

The Increasing Stability Through Evaluation and Practice (InSTEP) program effectively reduced falls in older adults. The medium-intensity InSTEP model showed significant improvements in self-reported falls and overall fall risk reduction.

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Published on: August 30, 2016

Area of Science:

Gerontology
Public Health
Rehabilitation Science

Background:

Falls are a significant threat to the health and independence of community-dwelling older adults.
Existing fall prevention programs often lack comprehensive, adaptable models.
The Fall Prevention Center of Excellence sought to develop and evaluate innovative fall prevention strategies.

Purpose of the Study:

To design and assess the effectiveness of three progressive-intensity fall prevention program models, known as Increasing Stability Through Evaluation and Practice (InSTEP).
To reduce fall risk factors and actual fall rates in community-dwelling older adults.
To compare the efficacy of different intensity levels within the InSTEP program.

Main Methods:

A within-subjects design with 200 participants was employed, measuring outcomes at baseline, postintervention, and at 3 and 9 months.
The InSTEP program models integrated physical activity, medical risk management, and home safety components over 12 weeks.
Fall rates and risk factors were assessed using performance tests, self-reported function, and fall diaries.

Main Results:

Participants demonstrated an overall reduction in falls and improved self-perceived gait and balance.
Significant improvements in dynamic gait function were observed across participants.
The medium-intensity InSTEP model significantly reduced self-reported falls (p = .003) compared to other models.

Conclusions:

The InSTEP program is a feasible and effective model for reducing fall risk in older adults living in the community.
The medium-intensity InSTEP program shows particular promise for reducing self-reported falls.
Comprehensive, multi-component interventions are crucial for addressing fall prevention in aging populations.