{"title":"使用 RE-AIM 框架对预防跌倒干预措施进行过程评估。","authors":"Emily Somerville, Yan Yan, Susan Stark","doi":"10.1177/15394492231182398","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Home hazard removal programs are effective in reducing falls among older adults, but delivery in the United States is limited.</p><p><strong>Objectives: </strong>We completed a process evaluation of the Home Hazard Removal Program (HARP), an intervention delivered by occupational therapists.</p><p><strong>Methods: </strong>Using the RE-AIM framework (reach, effectiveness, adoption, implementation, maintenance), we examined outcomes using descriptive statistics and frequency distribution. We examined differences between covariates using Pearson correlation coefficients and two-sample <i>t</i> tests.</p><p><strong>Results: </strong>79.1% of eligible older adults participated (reach); they experienced a 38% reduction in fall rates (effectiveness). Ninety percent of recommended strategies were completed (adoption), 99% of intervention elements were delivered (implementation), and 91% of strategies were still used at 12 months (maintenance). Participants received an average of 258.6 minutes of occupational therapy. An average of US$765.83 was spent per participant to deliver the intervention.</p><p><strong>Conclusions: </strong>HARP has good reach, effectiveness, adherence, implementation, and maintenance and is a low-cost intervention.</p>","PeriodicalId":47195,"journal":{"name":"Otjr-Occupation Participation and Health","volume":" ","pages":"278-286"},"PeriodicalIF":1.5000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Process Evaluation of a Fall Prevention Intervention Using the RE-AIM Framework.\",\"authors\":\"Emily Somerville, Yan Yan, Susan Stark\",\"doi\":\"10.1177/15394492231182398\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Home hazard removal programs are effective in reducing falls among older adults, but delivery in the United States is limited.</p><p><strong>Objectives: </strong>We completed a process evaluation of the Home Hazard Removal Program (HARP), an intervention delivered by occupational therapists.</p><p><strong>Methods: </strong>Using the RE-AIM framework (reach, effectiveness, adoption, implementation, maintenance), we examined outcomes using descriptive statistics and frequency distribution. We examined differences between covariates using Pearson correlation coefficients and two-sample <i>t</i> tests.</p><p><strong>Results: </strong>79.1% of eligible older adults participated (reach); they experienced a 38% reduction in fall rates (effectiveness). Ninety percent of recommended strategies were completed (adoption), 99% of intervention elements were delivered (implementation), and 91% of strategies were still used at 12 months (maintenance). Participants received an average of 258.6 minutes of occupational therapy. An average of US$765.83 was spent per participant to deliver the intervention.</p><p><strong>Conclusions: </strong>HARP has good reach, effectiveness, adherence, implementation, and maintenance and is a low-cost intervention.</p>\",\"PeriodicalId\":47195,\"journal\":{\"name\":\"Otjr-Occupation Participation and Health\",\"volume\":\" \",\"pages\":\"278-286\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2024-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Otjr-Occupation Participation and Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/15394492231182398\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/7/4 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Otjr-Occupation Participation and Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/15394492231182398","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/7/4 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"REHABILITATION","Score":null,"Total":0}
A Process Evaluation of a Fall Prevention Intervention Using the RE-AIM Framework.
Background: Home hazard removal programs are effective in reducing falls among older adults, but delivery in the United States is limited.
Objectives: We completed a process evaluation of the Home Hazard Removal Program (HARP), an intervention delivered by occupational therapists.
Methods: Using the RE-AIM framework (reach, effectiveness, adoption, implementation, maintenance), we examined outcomes using descriptive statistics and frequency distribution. We examined differences between covariates using Pearson correlation coefficients and two-sample t tests.
Results: 79.1% of eligible older adults participated (reach); they experienced a 38% reduction in fall rates (effectiveness). Ninety percent of recommended strategies were completed (adoption), 99% of intervention elements were delivered (implementation), and 91% of strategies were still used at 12 months (maintenance). Participants received an average of 258.6 minutes of occupational therapy. An average of US$765.83 was spent per participant to deliver the intervention.
Conclusions: HARP has good reach, effectiveness, adherence, implementation, and maintenance and is a low-cost intervention.
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.
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