The Stroll Safe Randomized Controlled Trial: Program Effects on Falls Self-Efficacy

IF 4.2 2区医学 Q2 GERIATRICS & GERONTOLOGY

Journal of the American Medical Directors Association Pub Date : 2025-02-06 DOI:10.1016/j.jamda.2024.105478

Tracy Chippendale PhD, OTR/L , Lijing Wei BS , Alex Dahlen PhD

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引用次数: 0

Abstract

Objective

Outdoor falls can negatively impact the health and functional abilities of community-dwelling older adults. Although there are existing evidence-based programs for falls prevention, none specifically target outdoor falls. To fill this gap in research and practice, the Stroll Safe program was developed. Prior studies have examined outcomes for Stroll Safe related to knowledge of outdoor fall risks and safe strategy use. The purpose of this study was to examine outcomes related to outdoor falls self-efficacy.

Design

In this cluster randomized controlled trial, we examined the effects of the Stroll Safe program on outdoor falls self-efficacy as per scores on the Outdoor Falls Self-Efficacy Questionnaire (OFSQ).

Setting and Participants

The study was conducted in 8 naturally occurring retirement communities. Participants (N = 93) were community-dwelling older adults with a history of outdoor falls and/or who were fearful of falling outside.

Methods

Linear mixed-effects models were used for the analyses.

Results

The intervention group had a significantly higher OFSQ score post-intervention (P < .001), which persisted at the 6-week follow-up (P < .001). Four of the 5 items in the OFSQ showed the same behavior.

Conclusions and Implications

Results reveal that the Stroll Safe program is effective in increasing outdoor falls self-efficacy building on previously established program benefits.

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来源期刊

Journal of the American Medical Directors Association 医学-老年医学

CiteScore

11.10

自引率

6.60%

发文量

472

审稿时长

44 days

期刊介绍： JAMDA, the official journal of AMDA - The Society for Post-Acute and Long-Term Care Medicine, is a leading peer-reviewed publication that offers practical information and research geared towards healthcare professionals in the post-acute and long-term care fields. It is also a valuable resource for policy-makers, organizational leaders, educators, and advocates. The journal provides essential information for various healthcare professionals such as medical directors, attending physicians, nurses, consultant pharmacists, geriatric psychiatrists, nurse practitioners, physician assistants, physical and occupational therapists, social workers, and others involved in providing, overseeing, and promoting quality