散步安全随机对照试验:程序对布的效果
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
概括
步行安全计划有效地提高了老年人的信心,防止在户外摔倒. 这项干预显著提高了与导航户外落风险相关的自我效能分数,通过户外落自我效能问卷进行测量.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 康复科学 康复科学 康复科学
背景情况:
- 户外落对居住在社区中的老年人的健康和功能构成重大风险.
- 现有的防摔计划往往缺乏针对户外跌倒风险的具体策略.
- 步行安全计划是为了解决户外防摔缺口而开发的.
研究的目的:
- 评估"走路安全"计划对老年人户外落自我效能的影响.
- 基于先前的研究,在"走路安全"计划中检查知识和安全策略的使用.
主要方法:
- 在8个自然存在的退休社区进行了集群随机对照试验.
- 参与者包括93名居住在社区的老年人,他们有室外摔倒史或害怕在外面摔倒.
- 线性混合效应模型被用来分析户外落自效率得分的变化.
主要成果:
- 步行安全干预组在干预后的户外布自效率问卷 (OFSQ) 上显示得分明显更高.
- 在6周的随访期间,OFSQ得分的改善持续了6周.
- 在OFSQ的五个项目中,四个项目也显示出显著的改善.
结论:
- 漫步安全计划有效地提高了老年人户外落的自我效能.
- 这些发现补充了之前的研究,证明了该计划对知识和战略使用的好处.
- 该计划提供了一种有价值的工具,可以提高老年人对管理户外跌倒风险的信心.
相关概念视频
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Simple randomization
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