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Translating using RE-AIM of a falls behavior change program among an assisted living population
Thelma J Mielenz1, Haomiao Jia, Erin Seefeld
1Departments of Epidemiology (Dr Mielenz and Ms Alvarez) and Biostatistics (Dr Jia), Mailman School of Public Health, and Department of Medicine (Dr Dam), Formerly of College of Physicians and Surgeons (Drs Seefeld, Schulingkamp, and Smith), Columbia University, New York; and Atria Senior Living Group (Ms Rogers), Louisville, KY.
Abstract:
A Matter of Balance/Volunteer Lay Leader model is an evidence-based program to change behavior to adopt falls prevention strategies. The purpose was to translate this program to assisted living communities. A single-arm intervention study was designed to assess for falls-related and physical performance measures. Forty-one residents, with a mean age of 87 years, were eligible for participation. The Falls Management Scale (P = .02) and the Physical Component Summary Score (P = .01) significantly improved from baseline to 8 weeks. Gait speed (P = .059) was borderline significant from baseline to 6 months. We showed evidence for successful translation within the assisted living communities sampled.
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