Wolfe Elizabeth Suzanne, Arabian Sandra Strack, Breeze Janis L, Bugaev Nikolay
Division of Trauma and Acute Care Surgery, Tufts University School of Medicine, Tufts Medical Center, Boston, Massachusetts (Drs Wolfe and Bugaev and Arabian); and Tufts Clinical and Translational Science Institute, Tufts University, and Institute for Clinical Research and Health Policy Studies, Boston, Massachusetts (Ms Breeze).
J Trauma Nurs. 2018 Sep/Oct;25(5):311-317. doi: 10.1097/JTN.0000000000000394.
A Matter of Balance (MOB) is an evidence-based fall prevention program shown to reduce fear of falling (FOF) in English-speaking participants. The effectiveness of translated (Chinese and Spanish) MOB materials in reducing FOF is unknown. The objective of this study was to evaluate whether MOB was associated with reduced FOF in Chinese- and Spanish-speaking participants and included an English-speaking comparison group. Participants were recruited from MOB classes in Massachusetts and Illinois. Investigators used the Falls Efficacy Scale-International (FES-I) and a demographic questionnaire to survey the participants at the first class (baseline), the last class, and 6 months after the MOB course. Of the 90 participants who enrolled, 77 (85.6%) completed the course (Chinese: n = 37; Spanish: n = 19; and English: n = 21) and 54 (60%) completed the 6-month survey (Chinese: n = 33; English: n = 21). Chinese FES-I scores significantly increased (FOF worsened) at the end of the course (+7.1, p = .009), and 6-month survey scores were also significantly above the baseline score (+6.7, p = .0088). FES-I scores decreased (FOF declined) in both the Spanish (-6.6, p = .016) and English groups (-2.7, p = .14) at the last class, and English 6-month FES-I scores were slightly lower than baseline scores (-0.4, p = .8). Participation in the MOB program did not reduce FOF in the Chinese population, but MOB did show promise in reducing FOF in both the Spanish and English groups. Future studies are warranted to explore the cultural, social, and education-related factors that may influence effectiveness of the MOB program.
“平衡问题”（MOB）是一项基于证据的预防跌倒计划，已证明该计划能减少说英语参与者的跌倒恐惧（FOF）。目前尚不清楚经翻译的（中文和西班牙文）MOB材料在减少跌倒恐惧方面的有效性。本研究的目的是评估MOB计划是否与说中文和西班牙文的参与者跌倒恐惧的减少有关，并纳入一个说英语的对照组。参与者从马萨诸塞州和伊利诺伊州的MOB课程中招募。研究人员使用国际跌倒效能量表（FES-I）和一份人口统计学调查问卷，在第一堂课（基线）、最后一堂课以及MOB课程结束6个月后对参与者进行调查。在报名的90名参与者中，77人（85.6%）完成了课程（中文组：n = 37；西班牙文组：n = 19；英文组：n = 21），54人（60%）完成了6个月后的调查（中文组：n = 33；英文组：n = 21）。中文组的FES-I分数在课程结束时显著增加（跌倒恐惧加剧）（+7.1，p = .009），6个月后的调查分数也显著高于基线分数（+6.7，p = .0088）。在最后一堂课上，西班牙文组（-6.6，p = .016）和英文组（-2.7，p = .14）的FES-I分数均有所下降（跌倒恐惧减轻），英文组6个月后的FES-I分数略低于基线分数（-0.4，p = .8）。参与MOB计划并没有降低中文组参与者的跌倒恐惧，但MOB计划在降低西班牙文组和英文组参与者的跌倒恐惧方面确实显示出了前景。未来有必要开展研究，以探索可能影响MOB计划有效性的文化、社会和教育相关因素。
