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Published on: January 29, 2016
Home or away? Choosing a setting for a falls-prevention program for people with multiple sclerosis
Hilary Gunn1, Davide Cattaneo1, Marcia Finlayson1
1School of Health Professionals, Plymouth University, Plymouth, UK (HG, JF); Don C. Gnocchi Foundation, Milan, Italy (DC); School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada (MF); and Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Urbana, IL, USA (JJS).
Choosing the right setting is crucial for falls-prevention programs in multiple sclerosis (MS). A mixed approach combining home and community activities may offer the best balance for effectiveness and sustainability.
Area of Science:
- Rehabilitation Science
- Neurology
- Public Health
Background:
- Setting influences rehabilitation outcomes, participant satisfaction, and adherence.
- Falls are a significant concern for individuals with multiple sclerosis (MS).
Purpose of the Study:
- To examine factors influencing the choice of setting for MS falls-prevention programs.
- To assess the impact of setting on program effectiveness, engagement, cost, and sustainability.
Main Methods:
- Review of evidence on rehabilitation program settings.
- Analysis of factors influencing setting choice for falls-prevention programs in MS.
Main Results:
- Immediate outcomes may be similar across settings, but long-term adherence and outcomes can differ.
- Home-based programs offer context-specific practice; facility-based programs enhance motivation and peer support.
- A mixed-setting approach may optimize both short- and long-term goals.
Conclusions:
- The choice of setting must align with intended program outcomes, considering opportunities and challenges.
- Further research is needed on comparative outcomes, cost-effectiveness, and long-term sustainability of different settings.
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