A Fall Prevention Feasibility Trial for People With HIV and Alcohol Use.

IF 1.5 4区医学 Q3 REHABILITATION

Otjr-Occupation Participation and Health Pub Date : 2025-01-01 Epub Date: 2024-03-30 DOI:10.1177/15394492241238956

Simone V Gill, Danny Shin, Theresa W Kim, Kara M Magane, Timothy Hereen, Michael Winter, Christine Helfrich, Richard Saitz

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Abstract

Alcohol contributes to higher fall risk in people living with HIV (PLWH), yet fall prevention trials for PWH with alcohol use are lacking. To assess the feasibility of conducting a randomized controlled trial of a 10-week online fall prevention intervention tailored for PLWH with alcohol use. The intervention consisted of weekly virtual group discussions, individual phone check-ins, and home exercises. Of those eligible, 53.5% (23/43) enrolled (12 to the intervention and 11 to control). Mean age was 58 years; 82.6% had a past 6-month fall; 65.2% had alcohol use disorder; and 95.7% completed postintervention assessments. The intervention was highly rated (Client Satisfaction Questionnaire-8 score M = 30.4, SD = 1.6) with a wide range of group and individual phone session attendance. Preliminary analyses suggest the intervention may reduce the odds of falling and alcohol use frequency. Findings support the feasibility of a larger randomized trial. ClinicalTrials.gov Identifier: NCT04804579.

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针对艾滋病病毒感染者和酗酒者的预防跌倒可行性试验。

酒精会导致艾滋病病毒感染者（PLWH）更高的跌倒风险，但目前还缺乏针对酗酒的艾滋病病毒感染者的跌倒预防试验。目的是评估针对酗酒的艾滋病感染者开展为期 10 周的在线跌倒预防干预随机对照试验的可行性。干预措施包括每周一次的虚拟小组讨论、个人电话检查和家庭练习。符合条件者中，53.5%（23/43）的人参加了干预试验（12 人参加干预试验，11 人参加对照试验）。平均年龄为 58 岁；82.6% 的人在过去 6 个月中跌倒过；65.2% 的人患有酒精使用障碍；95.7% 的人完成了干预后评估。干预措施获得了很高的评价（客户满意度问卷-8得分中位数=30.4，标准差=1.6），小组和个人电话会议的出席率范围很广。初步分析表明，干预措施可降低跌倒几率和酗酒频率。研究结果支持进行更大规模随机试验的可行性。ClinicalTrials.gov Identifier：NCT04804579。

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来源期刊

Otjr-Occupation Participation and Health REHABILITATION-

CiteScore

2.60

自引率

7.10%

发文量

期刊介绍： The aim of OTJR: Occupation, Participation and Health is to advance knowledge and science in occupational therapy and related fields, nationally and internationally, through the publication of scholarly literature and research. The journal publishes research that advances the understanding of occupation as it relates to participation and health.