Pilot Outcomes of a Multicomponent Fall Risk Program Integrated Into Daily Lives of Community-Dwelling Older Adults

Sarah L. Szanton; Lindy Clemson; Minhui Liu; Laura N. Gitlin; Melissa D. Hladek; Sarah E. LaFave; David L. Roth; Katherine A. Marx; Cynthia Felix; Safiyyah M. Okoye; Xuan Zhang; Svetlana Bautista; Marianne Granbom

doi:10.1177/0733464820912664

Pilot Outcomes of a Multicomponent Fall Risk Program Integrated Into Daily Lives of Community-Dwelling Older Adults

Sarah L. Szanton, Lindy Clemson, Minhui Liu, Laura N. Gitlin, Melissa D. Hladek, Sarah E. LaFave, David L. Roth, Katherine A. Marx, Cynthia Felix, Safiyyah M. Okoye, Xuan Zhang, Svetlana Bautista, Marianne Granbom

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Objectives: To evaluate whether a fall prevention intervention reduces fall risk in older adults who have previously fallen. Design: Randomized controlled pilot trial. Setting: Participants’ homes. Intervention: LIVE-LiFE, adapted from Lifestyle-Intervention Functional Exercise (LiFE) integrates strength and balance training into daily habits in eight visits over 12 weeks. The adaptations to LiFE were to also provide (a) US$500 in home safety changes, (b) vision contrast screening and referral, and (c) medication recommendations. Control condition consisted of fall prevention materials and individualized fall risk summary. Measurement: Timed Up and Go (TUG) and Tandem stand. Falls efficacy, feasibility, and acceptability of the intervention. Results: Sample (N = 37) was 65% female, 65% White, and average 77 years. Compared with the control group, each outcome improved in the intervention. The LIVE-LiFE intervention had a large effect (1.1) for tandem stand, moderate (0.5) in falls efficacy, and small (0.1) in the TUG. Conclusion: Simultaneously addressing preventable fall risk factors is feasible.

Original language	English (US)
Pages (from-to)	320-327
Number of pages	8
Journal	Journal of Applied Gerontology
Volume	40
Issue number	3
DOIs	https://doi.org/10.1177/0733464820912664
State	Published - Mar 2021

Keywords

accidental falls
community-dwelling
home hazards
lifestyle-integrated exercise
medication review

ASJC Scopus subject areas

Gerontology
Geriatrics and Gerontology

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10.1177/0733464820912664

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Szanton, S. L., Clemson, L., Liu, M., Gitlin, L. N., Hladek, M. D., LaFave, S. E., Roth, D. L., Marx, K. A., Felix, C., Okoye, S. M., Zhang, X., Bautista, S., & Granbom, M. (2021). Pilot Outcomes of a Multicomponent Fall Risk Program Integrated Into Daily Lives of Community-Dwelling Older Adults. Journal of Applied Gerontology, 40(3), 320-327. https://doi.org/10.1177/0733464820912664

Szanton, SL, Clemson, L, Liu, M, Gitlin, LN, Hladek, MD, LaFave, SE, Roth, DL , Marx, KA, Felix, C, Okoye, SM, Zhang, X, Bautista, S & Granbom, M 2021, 'Pilot Outcomes of a Multicomponent Fall Risk Program Integrated Into Daily Lives of Community-Dwelling Older Adults', Journal of Applied Gerontology, vol. 40, no. 3, pp. 320-327. https://doi.org/10.1177/0733464820912664

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title = "Pilot Outcomes of a Multicomponent Fall Risk Program Integrated Into Daily Lives of Community-Dwelling Older Adults",

abstract = "Objectives: To evaluate whether a fall prevention intervention reduces fall risk in older adults who have previously fallen. Design: Randomized controlled pilot trial. Setting: Participants{\textquoteright} homes. Intervention: LIVE-LiFE, adapted from Lifestyle-Intervention Functional Exercise (LiFE) integrates strength and balance training into daily habits in eight visits over 12 weeks. The adaptations to LiFE were to also provide (a) US$500 in home safety changes, (b) vision contrast screening and referral, and (c) medication recommendations. Control condition consisted of fall prevention materials and individualized fall risk summary. Measurement: Timed Up and Go (TUG) and Tandem stand. Falls efficacy, feasibility, and acceptability of the intervention. Results: Sample (N = 37) was 65% female, 65% White, and average 77 years. Compared with the control group, each outcome improved in the intervention. The LIVE-LiFE intervention had a large effect (1.1) for tandem stand, moderate (0.5) in falls efficacy, and small (0.1) in the TUG. Conclusion: Simultaneously addressing preventable fall risk factors is feasible.",

keywords = "accidental falls, community-dwelling, home hazards, lifestyle-integrated exercise, medication review",

author = "Szanton, {Sarah L.} and Lindy Clemson and Minhui Liu and Gitlin, {Laura N.} and Hladek, {Melissa D.} and LaFave, {Sarah E.} and Roth, {David L.} and Marx, {Katherine A.} and Cynthia Felix and Okoye, {Safiyyah M.} and Xuan Zhang and Svetlana Bautista and Marianne Granbom",

note = "Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The study is funded by the Centers for Disease Control and Prevention (RF: R49CE002466). The sponsor had no role in conducting the trial, analyzing the data, or writing the paper. The sponsor{\textquoteright}s role was limited to funding the trial. Publisher Copyright: {\textcopyright} The Author(s) 2020.",

year = "2021",

month = mar,

doi = "10.1177/0733464820912664",

language = "English (US)",

volume = "40",

pages = "320--327",

journal = "Journal of Applied Gerontology",

issn = "0733-4648",

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T1 - Pilot Outcomes of a Multicomponent Fall Risk Program Integrated Into Daily Lives of Community-Dwelling Older Adults

AU - Szanton, Sarah L.

AU - Clemson, Lindy

AU - Liu, Minhui

AU - Gitlin, Laura N.

AU - Hladek, Melissa D.

AU - LaFave, Sarah E.

AU - Roth, David L.

AU - Marx, Katherine A.

AU - Felix, Cynthia

AU - Okoye, Safiyyah M.

AU - Zhang, Xuan

AU - Bautista, Svetlana

AU - Granbom, Marianne

N1 - Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The study is funded by the Centers for Disease Control and Prevention (RF: R49CE002466). The sponsor had no role in conducting the trial, analyzing the data, or writing the paper. The sponsor’s role was limited to funding the trial. Publisher Copyright: © The Author(s) 2020.

PY - 2021/3

Y1 - 2021/3

N2 - Objectives: To evaluate whether a fall prevention intervention reduces fall risk in older adults who have previously fallen. Design: Randomized controlled pilot trial. Setting: Participants’ homes. Intervention: LIVE-LiFE, adapted from Lifestyle-Intervention Functional Exercise (LiFE) integrates strength and balance training into daily habits in eight visits over 12 weeks. The adaptations to LiFE were to also provide (a) US$500 in home safety changes, (b) vision contrast screening and referral, and (c) medication recommendations. Control condition consisted of fall prevention materials and individualized fall risk summary. Measurement: Timed Up and Go (TUG) and Tandem stand. Falls efficacy, feasibility, and acceptability of the intervention. Results: Sample (N = 37) was 65% female, 65% White, and average 77 years. Compared with the control group, each outcome improved in the intervention. The LIVE-LiFE intervention had a large effect (1.1) for tandem stand, moderate (0.5) in falls efficacy, and small (0.1) in the TUG. Conclusion: Simultaneously addressing preventable fall risk factors is feasible.

AB - Objectives: To evaluate whether a fall prevention intervention reduces fall risk in older adults who have previously fallen. Design: Randomized controlled pilot trial. Setting: Participants’ homes. Intervention: LIVE-LiFE, adapted from Lifestyle-Intervention Functional Exercise (LiFE) integrates strength and balance training into daily habits in eight visits over 12 weeks. The adaptations to LiFE were to also provide (a) US$500 in home safety changes, (b) vision contrast screening and referral, and (c) medication recommendations. Control condition consisted of fall prevention materials and individualized fall risk summary. Measurement: Timed Up and Go (TUG) and Tandem stand. Falls efficacy, feasibility, and acceptability of the intervention. Results: Sample (N = 37) was 65% female, 65% White, and average 77 years. Compared with the control group, each outcome improved in the intervention. The LIVE-LiFE intervention had a large effect (1.1) for tandem stand, moderate (0.5) in falls efficacy, and small (0.1) in the TUG. Conclusion: Simultaneously addressing preventable fall risk factors is feasible.

KW - accidental falls

KW - community-dwelling

KW - home hazards

KW - lifestyle-integrated exercise

KW - medication review

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ER -

Pilot Outcomes of a Multicomponent Fall Risk Program Integrated Into Daily Lives of Community-Dwelling Older Adults

Abstract

Keywords

ASJC Scopus subject areas

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