Participation in Two Evidence-Based Falls Prevention Programs by Adults Aging With a Long-Term Disability: Case-Control Study of Reach and Effectiveness

Objective: Adults aging with a long-term disability (LTD) are at an increased risk for falls. The Older Americans Act Title III-D and Prevention and Public Health Fund (PPHF) support several organizations to deliver falls prevention evidence-based programs designed to reduce risk factors; however, l...

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Bibliographic Details
Published in:Journal of aging and health 2019-12, Vol.31 (10_suppl), p.39S-67S
Main Authors: Eagen, Thomas J., Teshale, Salom M., Herrera-Venson, Angelica P., Ordway, Anne, Caldwell, Joe
Format: Article
Language:English
Subjects:
Accidental Falls - prevention & control
Accidental Falls - statistics & numerical data
Aged
Aged, 80 and over
Aging - physiology
Case-Control Studies
Disability Evaluation
Disabled Persons - rehabilitation
Evidence-Based Medicine - methods
Falls
Female
Health technology assessment
Humans
Injury prevention
Male
Middle Aged
Older people
Prevention programs
Risk Factors
Self Report
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Summary:Objective: Adults aging with a long-term disability (LTD) are at an increased risk for falls. The Older Americans Act Title III-D and Prevention and Public Health Fund (PPHF) support several organizations to deliver falls prevention evidence-based programs designed to reduce risk factors; however, little is understood about the reach and effectiveness of these fall prevention programs for those with LTD compared to those without LTD. This study compared the reach and effectiveness of two evidence-based falls prevention programs between older adults with and without LTD. Method: Using a matched case-control design, 105 LTD older adults enrolled in A Matter of Balance (AMOB) or Stepping On were matched to 315 non-LTD older adults on age, sex, race, and education. Results: On average, LTD older adults attended a higher number of class sessions and were significantly more likely to complete the program compared with the matched-sample of non-LTD older adults. LTD older adults were equally likely as non-LTD older adults to report significant reductions in self-reported fear of falling, falls-related activity restriction, and improvement in falls self-efficacy following completion of the programs. Discussion: These findings provide preliminary evidence for the effectiveness of these evidence-based falls prevention programs for LTD older adults; however, more research is needed to extend these findings.
ISSN:0898-2643
1552-6887
DOI:10.1177/0898264318808918