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Modifying the environment: a community-based injury-reduction program for elderly residents

B Plautz1, D E Beck, C Selmar

  • 1School of Public Health, University of California, Berkeley, USA.

American Journal of Preventive Medicine
|July 1, 1996
PubMed
Summary
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The Community and Home Injury Prevention Program for Seniors (CHIPPS) intervention significantly reduced falls, scalds, and burns in elderly residents through minor home safety modifications. This program proved feasible and effective in preventing senior injuries.

Area of Science:

  • Public Health
  • Gerontology
  • Injury Prevention

Background:

  • Elderly residents face a high risk of unintentional home injuries.
  • The Community and Home Injury Prevention Program for Seniors (CHIPPS) was established to address this issue.

Purpose of the Study:

  • To test the hypothesis that minor home safety modifications reduce falls, scalds, and burns in seniors.
  • To evaluate the feasibility and acceptance of a community-based injury prevention program.

Main Methods:

  • A one-group, pretest-posttest design was employed.
  • Intervention included home safety assessments and modifications (e.g., grab bars, clutter removal).
  • Self-reported falls, scalds, and burns were compared before and after the intervention.

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Main Results:

  • Reported falls decreased by 60% (0.81 to 0.33 falls per person-year).
  • Scalds and burns were reduced to zero post-intervention.
  • The intervention was feasible, costing approximately $93 in materials and 10 person-hours of labor.

Conclusions:

  • Minor home safety modifications are effective in preventing falls, scalds, and burns among senior citizens.
  • The CHIPPS program is a feasible and well-accepted community-based intervention for elderly injury prevention.
  • Further research may be needed to account for potential differential reporting.