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基于证据的跌倒预防计划完成者和未完成者的特征及结果差异。

Characteristics of Evidenced-Based Falls Prevention Program Completers and Non-Completers and Difference in Outcomes.

作者信息

Regan Elizabeth W, Cameron Kathleen, Herrera-Venson Angelica, Juarez Gardenia A, Perera Subashan, Vincenzo Jennifer, Brach Jennifer S

机构信息

University of South Carolina, Columbia, SC, USA.

Center for Healthy Aging, Washington, DC, USA.

出版信息

J Aging Health. 2025 Mar 17:8982643251327032. doi: 10.1177/08982643251327032.

Abstract

Evidenced-based community falls prevention programs can reduce falls in older adults. We sought to (1) describe the characteristics of program participants who met completion criteria by receiving the full program dose (completers) versus those who did not (non-completers), and (2) determine the differences in outcomes (falls, fear of falling and physical function) between the two groups. Data from ten programs from 2014-2019 were evaluated. Completers were older and reported more fear of falling and lower perceived health at baseline. A higher proportion of completers had reduced falls, decreased fear of falling, and were more likely to take actions to reduce fall risk. Both groups improved in physical function with no evidence of a difference between groups. While completers gained a greater benefit, both groups demonstrated a fall risk reduction. A larger loss of non-completers to follow-up may have impacted results. Targeting programs for individuals may improve completion rates.

摘要

基于证据的社区跌倒预防项目可以减少老年人跌倒。我们试图:(1)描述通过接受完整项目剂量而达到完成标准的项目参与者(完成者)与未达到标准的参与者(未完成者)的特征;(2)确定两组在结果(跌倒、跌倒恐惧和身体功能)方面的差异。对2014年至2019年十个项目的数据进行了评估。完成者年龄更大,在基线时报告有更多的跌倒恐惧和更低的健康感知。更高比例的完成者跌倒次数减少、跌倒恐惧降低,并且更有可能采取行动降低跌倒风险。两组的身体功能均有所改善,且没有证据表明两组之间存在差异。虽然完成者获得了更大的益处,但两组都显示出跌倒风险降低。未完成者更大比例的失访可能影响了结果。针对个体开展项目可能会提高完成率。

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