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Participation in Two Evidence-Based Falls Prevention Programs by Adults Aging With a Long-Term Disability:
Thomas J Eagen1,2, Salom M Teshale1, Angelica P Herrera-Venson2
1University of Washington, Seattle, USA.
Journal of Aging and Health
|November 17, 2018
Summary
Older adults with long-term disabilities (LTD) engaged more with falls prevention programs and achieved similar benefits to those without LTD. These programs effectively reduce fear of falling and improve confidence for all participants.
Area of Science:
- Gerontology
- Public Health
- Rehabilitation Science
Background:
- Older adults with long-term disabilities (LTD) face elevated fall risks.
- Falls prevention programs are supported by the Older Americans Act and PPHF.
- Limited data exists on the reach and effectiveness of these programs for individuals with LTD.
Purpose of the Study:
- To compare the reach and effectiveness of two evidence-based falls prevention programs (A Matter of Balance and Stepping On).
- To assess program outcomes for older adults with LTD versus those without LTD.
Main Methods:
- Matched case-control study design.
- 105 older adults with LTD matched to 315 older adults without LTD.
- Matching criteria included age, sex, race, and education.
Main Results:
- Older adults with LTD attended more sessions and had higher completion rates.
- Both groups reported similar reductions in fear of falling and falls-related activity restriction.
- Falls self-efficacy improved similarly in both LTD and non-LTD older adults.
Conclusions:
- Evidence-based falls prevention programs demonstrate effectiveness for older adults with LTD.
- These programs show comparable reach and outcomes for individuals with and without LTD.
- Further research is recommended to validate and expand these findings.
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