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The Stroll Safe Randomized Controlled Trial: Program Effects on Falls Self-Efficacy.

Tracy Chippendale1, Lijing Wei2, Alex Dahlen2

  • 1Department of Occupational Therapy, Steinhardt School of Culture, Education, and Human Development, New York University, New York, NY, USA.

Journal of the American Medical Directors Association
|January 30, 2025
PubMed
Summary
This summary is machine-generated.

The Stroll Safe program effectively boosts older adults' confidence in preventing outdoor falls. This intervention significantly improved self-efficacy scores related to navigating outdoor fall risks, as measured by the Outdoor Falls Self-Efficacy Questionnaire.

Keywords:
Community mobilityfalls preventionrandomized controlled trial

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Area of Science:

  • Gerontology
  • Public Health
  • Rehabilitation Science

Background:

  • Outdoor falls pose significant risks to community-dwelling older adults' health and function.
  • Existing fall prevention programs often lack specific strategies for outdoor fall risks.
  • The Stroll Safe program was developed to address this gap in outdoor fall prevention.

Purpose of the Study:

  • To evaluate the impact of the Stroll Safe program on outdoor falls self-efficacy in older adults.
  • To build upon prior research examining knowledge and safe strategy use within the Stroll Safe program.

Main Methods:

  • A cluster randomized controlled trial was conducted in 8 naturally occurring retirement communities.
  • Participants included 93 community-dwelling older adults with a history of outdoor falls or fear of falling outside.
  • Linear mixed-effects models were used to analyze changes in outdoor falls self-efficacy scores.

Main Results:

  • The Stroll Safe intervention group demonstrated significantly higher scores on the Outdoor Falls Self-Efficacy Questionnaire (OFSQ) post-intervention.
  • These improvements in OFSQ scores were sustained at the 6-week follow-up.
  • Four out of five individual items within the OFSQ also showed significant improvement.

Conclusions:

  • The Stroll Safe program is effective in enhancing outdoor falls self-efficacy among older adults.
  • These findings complement previous research demonstrating the program's benefits for knowledge and strategy use.
  • The program offers a valuable tool for improving older adults' confidence in managing outdoor fall risks.