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Motivational interviewing for fall prevention (MI-FP) pilot study: Randomized controlled trial.

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Motivational Interviewing for Fall Prevention (MI-FP) showed promising trends but did not significantly reduce falls in older adults. Future research should focus on improving participant retention and intervention completion rates for better outcomes.

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Area of Science:

  • Gerontology
  • Public Health
  • Behavioral Science

Background:

  • The Motivational Interviewing for Fall Prevention (MI-FP) study aimed to increase engagement in fall prevention strategies among older adults.
  • This pilot study reports on the feasibility, intervention fidelity, and preliminary impact of the MI-FP intervention.

Purpose of the Study:

  • To assess the feasibility, intervention fidelity, and preliminary impact of Motivational Interviewing for Fall Prevention (MI-FP) in older adults at high risk for falls.
  • To evaluate changes in fall prevention behaviors, physical function, and fall rates compared to standard care.

Main Methods:

  • A pilot randomized controlled trial was conducted with 200 older primary care patients (≥65 years) at high fall risk.
  • The intervention group received up to eight motivational interviewing (MI) sessions over 6 months; the control group received standard care.
  • Feasibility was measured by retention (≥75%) and satisfaction (≥75%); fidelity was assessed using the MITI 4.2 coding scheme.

Main Results:

  • Overall retention was 75.0%, with 82.8% reporting satisfaction. Intervention group retention was lower (68.3%) than the control group (81.8%, p=0.04).
  • A proficient MI intervention was delivered, but only 57.4% completed ≥6 sessions.
  • No significant differences were found between groups for any outcome measures at 6 or 12 months.

Conclusions:

  • Virtual MI-FP may enhance accessibility for older adults to discuss fall prevention strategies.
  • Future studies are necessary to enhance participant retention and intervention completion rates for MI-FP.
  • Further research is needed to optimize MI-FP for improved fall prevention outcomes in older populations.