评估基于证据的防摔计划的有效性:对参与者风险水平和计划一致性的研究
1Center for Optimal Aging, Marymount University, Arlington, VA, United States.
Frontiers in public health
|February 28, 2025
概括
在防摔计划中,老年人的风险水平往往不同于计划的目标. 这项研究发现,中低风险项目招收的高风险成年人比预期的多,突出了需要更好地调整.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 伤害预防 预防伤害
背景情况:
- 跌倒是老年人受伤和死亡的主要原因.
- 基于证据的防摔计划 (EBFPPs) 存在,但其参与者风险对齐不清楚.
- 根据跌倒风险对EBFPP进行分类有助于了解计划的适用性.
研究的目的:
- 为参与者创建一个跌倒风险分类指数.
- 将参与者的跌倒风险水平与EBFPP目标配置文件进行比较.
- 评估EBFPP中注册和推的跌倒风险水平之间的一致性.
主要方法:
- 利用了来自健康衰老计划综合数据库的数据.
- 从参与前的调查中开发了一个跌倒风险指数.
- 通过使用NCOA指导,将参与者降低风险水平与EBFPP风险概况进行比较.
主要成果:
- 超过105,000名老年人参加了八个EBFPP (2016-2022年).
- 一个跌倒风险指数确定了29%的高风险,41%的中等风险和30%的低风险参与者.
- 针对中度至低风险的计划注册的高风险成年人比例高于预期.
结论:
- 所有EBFPP都招募了所有风险级别的参与者.
- 大多数程序都显示出与跌倒风险连续体的一些对齐.
- 需要进一步的研究来解决风险级别分类和计划适应方面的差异.
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