Mark Janice A, Henry Ankita, Moreland Briana, Dobash Dawson, Bergen Gwen
Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Injury Prevention (CDC), Atlanta, GA, USA.
American Association of Colleges of Nursing (AACN), Washington, DC, USA.
J Appl Gerontol. 2025 May;44(5):726-736. doi: 10.1177/07334648241289933. Epub 2024 Oct 22.
Reducing fall risk requires older adults (age 65+) to adopt effective prevention strategies. This study has three aims: 1) understand Stage of Change (SOC) for three fall prevention strategies; 2) determine strategies older adults' use; and 3) understand which characteristics relate to readiness to take action. A survey of 1063 older adults assessed fall risk, SOC, and use of fall prevention strategies. Data analysis included descriptive statistics and regression analysis. The most common SOC for older adults by strategy was for overall fall prevention (61%), for medication management (45%), and and for strength/balance (29% each). Believing falls are preventable was most strongly related to being in a stage (e.g., ) for overall fall prevention (Risk Ratio: 1.4, 95% CI: 1.1, 1.7). Health promotion can focus on increasing knowledge of evidence-based fall prevention strategies to encourage older adults to take action.
降低跌倒风险要求老年人（65岁及以上）采取有效的预防策略。本研究有三个目标：1）了解三种跌倒预防策略的行为改变阶段（SOC）；2）确定老年人使用的策略；3）了解哪些特征与采取行动的准备程度相关。对1063名老年人进行的一项调查评估了跌倒风险、行为改变阶段和跌倒预防策略的使用情况。数据分析包括描述性统计和回归分析。按策略划分，老年人最常见的行为改变阶段是总体跌倒预防（61%）、药物管理（45%）以及力量/平衡（各29%）。认为跌倒是可预防的这一信念与总体跌倒预防处于行动阶段（如）的关联最为紧密（风险比：1.4，95%置信区间：1.1，1.7）。健康促进可以侧重于增加对循证跌倒预防策略的了解，以鼓励老年人采取行动。
