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A Training Program Using an Agility Ladder for Community-Dwelling Older Adults
Published on: March 7, 2020
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Fall Risk Reduction Program Paired with a Transportation Program in an Underserved, Urban Minority Community: A
Thelma J Mielenz1, Laura Durbin1, Fern Hertzberg2
1Mailman School of Public Health, Columbia University, 722 West 168th Street, New York, NY 10032, USA.
Journal of Aging Research
|July 30, 2019
Summary
This study combined a fall prevention program (AMOB/VLL) with transportation services (COASTS) for urban seniors. Participants reported improved mobility and confidence, with suggestions for curriculum refinement.
Area of Science:
- Gerontology
- Public Health
- Community Health
Background:
- Falls are a significant risk for older adults, particularly in underserved urban communities.
- Existing fall prevention programs may require adaptation for specific demographic and environmental contexts.
- Integrated approaches combining health education with practical support services can enhance program accessibility and effectiveness.
Purpose of the Study:
- To evaluate the combined impact of the A Matter of Balance/Volunteer Lay Leaders (AMOB/VLL) fall prevention curriculum and Coordinated Older-Adult Senior Transportation Services (COASTS).
- To assess participant and facilitator perceptions of the integrated program's effectiveness and cultural relevance in an urban, underserved community.
- To identify recommendations for optimizing the AMOB/VLL and COASTS programs for diverse older adult populations.
Main Methods:
- A mixed-methods approach involving focus groups with older adult participants, COASTS mobility facilitators, and AMOB/VLL master trainers.
- Thematic analysis of qualitative data to identify key themes related to curriculum content, cultural relevance, and perceived outcomes.
- Evaluation of the integration of an evidence-based fall prevention curriculum with a community-based transportation service.
Main Results:
- Older adult participants and COASTS facilitators reported positive experiences, noting improvements in mobility and confidence.
- AMOB/VLL master trainers provided critical feedback, suggesting content simplification and increased focus on balance and physical activity.
- Both participants and facilitators found the combined AMOB/VLL and COASTS program rewarding, indicating potential for enhanced participant mobility.
Conclusions:
- The integration of AMOB/VLL and COASTS shows promise for improving fall prevention outcomes and mobility in urban, underserved older adults.
- Tailoring curriculum content and delivery methods to specific populations, as suggested by master trainers, is crucial for maximizing program benefits.
- Further modifications are recommended to enhance the cultural relevance and effectiveness of combined fall prevention and transportation programs for diverse urban communities.
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