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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Disability Prevention Program Improves Life‐Space and Falls Efficacy: A Randomized Controlled Trial
Journal of the American Geriatrics Society (JAGS), v 69(1), pp 85-90
Jan 2021
PMID: 32951215
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
OBJECTIVES
To evaluate the effects of a home‐based disability prevention program on life‐space and falls efficacy among low‐income older adults.
DESIGN
Single‐blind two‐arm randomized controlled trial.
SETTING
Participants' homes.
PARTICIPANTS
Participants were low‐income cognitively intact older adults (≥65 years old) with restricted daily activities. Our analytic sample for life‐space (n = 194) and falls efficacy (n = 233) varied as the life‐space measure was introduced 4 months after the trial began.
INTERVENTION
Up to six 1‐hour home visits with an occupational therapist; up to four 1‐hour home visits with a registered nurse; and up to $1,300 worth of home repairs, modifications, and assistive devices with a handyman, during a course of 4 months.
MEASUREMENTS
Life‐space was measured by the Homebound Mobility Assessment; falls efficacy was measured using the 10‐item Tinetti Falls Efficacy Scale at baseline and 5 months.
RESULTS
Participants were on average 75 years old, predominantly Black (86%) and female (85%–86%). Compared with participants in the control group, participants receiving the intervention were more likely to have improved versus decreased life‐space in areas of bathroom (adjusted odds ratio (OR) = 3.95; 95% confidence interval (CI) = 1.20–12.97), front or back porch, patio, or deck (adjusted OR = 2.67; 95% CI = 1.05–6.79), stairs (adjusted OR = 4.09; 95% CI = 1.34–12.48), leaving the house for any reason other than for health care (adjusted OR = 2.40; 95% CI = 1.01–5.73), and overall life‐space (adjusted OR = 2.15; 95% CI = 1.10–4.19). Participants who received the intervention also had an 11% improvement in falls efficacy in performing daily activities (exponentiated coefficient = 1.12; 95% CI = 1.04–1.21).
CONCLUSION
Life‐space and falls efficacy were improved through a multicomponent, person‐directed, home‐based disability prevention intervention. Findings suggest that this intervention should be translated into different settings to promote independent aging.
Metrics
Details
- Title
- Disability Prevention Program Improves Life‐Space and Falls Efficacy: A Randomized Controlled Trial
- Creators
- Minhui Liu - Central South UniversityQian‐Li Xue - Johns Hopkins University School of MedicineLaura N. Gitlin - Drexel UniversityJennifer L. Wolff - Department of Health Policy & Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USAJack Guralnik - Department of Epidemiology and Public Health University of Maryland School of Medicine; Baltimore, Maryland, USA.Bruce Leff - Johns Hopkins MedicineSarah L. Szanton - Johns Hopkins University
- Publication Details
- Journal of the American Geriatrics Society (JAGS), v 69(1), pp 85-90
- Publisher
- John Wiley & Sons, Inc
- Number of pages
- 6
- Grant note
- National Institutes of Health (R01AG040100)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions
- Web of Science ID
- WOS:000571199800001
- Scopus ID
- 2-s2.0-85091182210
- Other Identifier
- 991019168359304721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Geriatrics & Gerontology
- Gerontology