Abstract
Introduction: There are multiple contributors to falls in older adults. Both health-related (poor balance, polypharmacy, and poor vision), and home-related (home hazards). However, most fall risk interventions only address one or two. The successful Lifestyle Intervention Functional Exercise (LiFE) program could likely be developed into a multicomponent intervention.
Objectives: The objectives were to expand the LIFE program into a multicomponent program (LIVE-LIFE) addressing health-related and home-related fall risks, test feasibility and acceptability, and explore the intervention’s effect on measures of balance, strength and falls efficacy.
Methods: We did an open-label pilot (n=3) followed by a single-blinded randomized pilot trial. Community-living older adults, 70+ years, with a history of falls, were randomized to the intervention (n=25) or the control group (n=12). The intervention was led by an occupational therapist and included strength and balance training into daily habits over 12 weeks and US$500 in home safety changes, vision screening and, and medication screening. Data were collected at baseline and at 12 and 32 weeks, on the TUG, the 4-stage balance test, incidence of falls, fall efficacy, the number of home hazards, and medications. Program adherence and satisfaction were assessed as well.
Results: The intervention had a large effect (1.1) for tandem stand, moderate (0.5) in falls efficacy, and small (0.1) in the TUG. Participant satisfaction and experiences will be presented in the presentation.
Conclusion: The results support moving forward with an efficacy trial and we will discuss clinical implications for occupational therapists working at reducing falls in older adults.
Objectives: The objectives were to expand the LIFE program into a multicomponent program (LIVE-LIFE) addressing health-related and home-related fall risks, test feasibility and acceptability, and explore the intervention’s effect on measures of balance, strength and falls efficacy.
Methods: We did an open-label pilot (n=3) followed by a single-blinded randomized pilot trial. Community-living older adults, 70+ years, with a history of falls, were randomized to the intervention (n=25) or the control group (n=12). The intervention was led by an occupational therapist and included strength and balance training into daily habits over 12 weeks and US$500 in home safety changes, vision screening and, and medication screening. Data were collected at baseline and at 12 and 32 weeks, on the TUG, the 4-stage balance test, incidence of falls, fall efficacy, the number of home hazards, and medications. Program adherence and satisfaction were assessed as well.
Results: The intervention had a large effect (1.1) for tandem stand, moderate (0.5) in falls efficacy, and small (0.1) in the TUG. Participant satisfaction and experiences will be presented in the presentation.
Conclusion: The results support moving forward with an efficacy trial and we will discuss clinical implications for occupational therapists working at reducing falls in older adults.
| Original language | English |
|---|---|
| Publication status | Published - 2022 Aug |
| Event | The World Federation of Occupational Therapy 2022 Congress - Paris, France Duration: 2022 Aug 28 → 2022 Aug 31 |
Conference
| Conference | The World Federation of Occupational Therapy 2022 Congress |
|---|---|
| Country/Territory | France |
| City | Paris |
| Period | 2022/08/28 → 2022/08/31 |
Subject classification (UKÄ)
- Occupational Therapy