J Health Care Poor Underserved. 2020;31(4):1648-1655. doi: 10.1353/hpu.2020.0124.
Falls are the leading cause of fatal traumatic injury among people over 65 and the rate continues to increase. We evaluated a recently implemented municipal program providing no-cost baseline and follow-up home assessment and home modifications to reduce fall hazards among low-income elderly or disabled residents.
Program participants received writ ten invitations to return informed consent for phone interviews that included process and outcome evaluation. Data analysis used repeat measures ANOVA and non parametric Wilcoxon signed rank tests.
During its first year, the program served 230 elderly or disabled low-income residents. Among 51 participants interviewed an average of 281 days after home modification, fear of falling was reduced, and annualized rate of falls decreased from an average of 0.92 (SD = 1.6) per person per year to 0.24 (SD = .74) (p<.001).
Home assessments and modest infrastructure improvements significantly reduced falls in a non-research, municipal setting.
跌倒导致 65 岁以上人群致命性创伤的首要原因，且该比例仍在上升。我们评估了最近实施的一项市级项目，该项目为低收入的老年或残疾居民提供免费的基线和随访家庭评估以及家庭改造，以减少跌倒危险。
项目参与者收到了书面邀请，以书面形式同意参加电话访谈，其中包括过程和结果评估。数据分析采用重复测量方差分析和非参数 Wilcoxon 符号秩检验。
该项目在第一年为 230 名低收入的老年或残疾居民提供了服务。在接受采访的 51 名参与者中，平均在家庭改造后 281 天，跌倒恐惧减少，年跌倒率从每人每年平均 0.92（SD = 1.6）降至 0.24（SD =.74）（p <.001）。
在非研究性的市政环境中，家庭评估和适度的基础设施改善显著减少了跌倒。
