College of Public Health, The University of Georgia, 330 River Road, 315 Ramsey Center, Athens, GA 30602 USA ; School of Rural Public Health, Texas A&M Health Science Center, College Station, TX USA.
Transl Behav Med. 2012 Jun;2(2):188-98. doi: 10.1007/s13142-012-0133-8.
The objective of this study is to identify sociodemographics of older adults enrolled in a nationally disseminated evidence-based fall risk reduction program, describe different delivery sites, and examine personal and site characteristics associated with intervention adherence. Data were analyzed from 6,922 older adults enrolled in A Matter of Balance/Volunteer Lay Leader (AMOB/VLL) model between 2006 and 2009. Intervention dosage was measured by workshop attendance. Logistic regression analyses examined factors associated with attendance levels. Intervention dosage differed by sociodemographic and delivery site characteristics. Patterns of intervention dose significantly differed between Hispanic and non-Hispanic White participants. Those with less education and living in rural areas were more likely to receive adequate program doses. Although senior services agencies offered the most programs, intervention adherence was more likely in nonaging service sites. Findings may help program administrators better understand and minimize attrition issues within their AMOB/VLL workshops.
本研究旨在确定参与全国推广的基于证据的防跌倒风险降低项目的老年人的社会人口统计学特征,描述不同的实施地点,并研究与干预依从性相关的个人和地点特征。本研究的数据来自 2006 年至 2009 年期间参与平衡问题/志愿领导(AMOB/VLL)模式的 6922 名老年人。通过参加研讨会来衡量干预剂量。逻辑回归分析考察了与出勤率相关的因素。干预剂量因社会人口统计学和实施地点特征而异。西班牙裔和非西班牙裔白人参与者的干预剂量模式存在显著差异。受教育程度较低和居住在农村地区的人更有可能接受足够的项目剂量。尽管老年人服务机构提供了最多的项目,但在非老龄化服务场所,干预依从性更高。研究结果可能有助于项目管理人员更好地理解和最小化其 AMOB/VLL 研讨班中的人员流失问题。