University of North Carolina, Asheville, USA.
J Appl Gerontol. 2021 Nov;40(11):1447-1454. doi: 10.1177/0733464821997212. Epub 2021 Mar 5.
This study showcases the statewide strategies used to implement and sustain an evidence-based fall prevention program, A Matter of Balance (MOB) in North Carolina between 2014 and 2019. Statewide program implementation and data collection support strategies are detailed. The mostly White (not Hispanic/Latino), female participants were 75 years old on average. Pre- and post-self-reported assessments included demographic, health status, quality of life, and falls-related metrics. Survey responses were scaled and analyzed. Statistically significant improvements ( < .05) across health status measurements, times fallen, and falls resulting in injury were observed. These results offer a model for effective statewide implementation of the MOB program to reduce falls among older adults in community settings with support from a statewide resource center.
本研究展示了北卡罗来纳州在 2014 年至 2019 年期间实施和维持基于证据的跌倒预防计划（A Matter of Balance，MOB）的全州策略。详细介绍了全州计划实施和数据收集支持策略。参与者大多为白人（非西班牙裔/拉丁裔），女性，平均年龄为 75 岁。预评估和自我报告评估包括人口统计学、健康状况、生活质量和与跌倒相关的指标。对调查回复进行了定标和分析。观察到健康状况测量、跌倒次数和导致受伤的跌倒方面的统计显著改善（<0.05）。这些结果为在全州资源中心的支持下，以社区环境中老年人为对象，通过实施 MOB 项目来减少跌倒，提供了一种有效的全州实施模式。
