Preventing falls with the LIVE-LIFE program: Pilot outcomes of a multicomponent OT-led intervention addressing health-related and home-related fall risks in community-living older adults
Granbom, Marianne LU
; Clemson, Lindy
; Hladek, Melissa D.
; Gitlin, Laura N.
and Szanton, Sarah
(2022)
The World Federation of Occupational Therapy 2022 Congress
- Abstract
- Introduction: There are multiple contributors to falls in older adults. Both health-related (poor balance, polypharmacy, and poor vision), and home-related (home hazards). However, most fall risk interventions only address one or two. The successful Lifestyle Intervention Functional Exercise (LiFE) program could likely be developed into a multicomponent intervention.
Objectives: The objectives were to expand the LIFE program into a multicomponent program (LIVE-LIFE) addressing health-related and home-related fall risks, test feasibility and acceptability, and explore the intervention’s effect on measures of balance, strength and falls efficacy.
Methods: We did an open-label pilot (n=3) followed by a single-blinded... (More) - Introduction: There are multiple contributors to falls in older adults. Both health-related (poor balance, polypharmacy, and poor vision), and home-related (home hazards). However, most fall risk interventions only address one or two. The successful Lifestyle Intervention Functional Exercise (LiFE) program could likely be developed into a multicomponent intervention.
Objectives: The objectives were to expand the LIFE program into a multicomponent program (LIVE-LIFE) addressing health-related and home-related fall risks, test feasibility and acceptability, and explore the intervention’s effect on measures of balance, strength and falls efficacy.
Methods: We did an open-label pilot (n=3) followed by a single-blinded randomized pilot trial. Community-living older adults, 70+ years, with a history of falls, were randomized to the intervention (n=25) or the control group (n=12). The intervention was led by an occupational therapist and included strength and balance training into daily habits over 12 weeks and US$500 in home safety changes, vision screening and, and medication screening. Data were collected at baseline and at 12 and 32 weeks, on the TUG, the 4-stage balance test, incidence of falls, fall efficacy, the number of home hazards, and medications. Program adherence and satisfaction were assessed as well.
Results: The intervention had a large effect (1.1) for tandem stand, moderate (0.5) in falls efficacy, and small (0.1) in the TUG. Participant satisfaction and experiences will be presented in the presentation.
Conclusion: The results support moving forward with an efficacy trial and we will discuss clinical implications for occupational therapists working at reducing falls in older adults. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/441a0e68-fb2d-4688-87b0-80c14a650ec0
- author
- Granbom, Marianne
LU
; Clemson, Lindy
; Hladek, Melissa D.
; Gitlin, Laura N.
and Szanton, Sarah
- organization
- publishing date
- 2022-08
- type
- Contribution to conference
- publication status
- published
- subject
- conference name
- The World Federation of Occupational Therapy 2022 Congress
- conference location
- Paris, France
- conference dates
- 2022-08-28 - 2022-08-31
- language
- English
- LU publication?
- yes
- id
- 441a0e68-fb2d-4688-87b0-80c14a650ec0
- alternative location
- https://www.xcdsystem.com/wfot/program/bzxHrTN/index.cfm?pgid=2300
- date added to LUP
- 2023-03-31 18:23:10
- date last changed
- 2023-04-03 08:07:58
@misc{441a0e68-fb2d-4688-87b0-80c14a650ec0,
abstract = {{Introduction: There are multiple contributors to falls in older adults. Both health-related (poor balance, polypharmacy, and poor vision), and home-related (home hazards). However, most fall risk interventions only address one or two. The successful Lifestyle Intervention Functional Exercise (LiFE) program could likely be developed into a multicomponent intervention. <br/><br/>Objectives: The objectives were to expand the LIFE program into a multicomponent program (LIVE-LIFE) addressing health-related and home-related fall risks, test feasibility and acceptability, and explore the intervention’s effect on measures of balance, strength and falls efficacy.<br/><br/>Methods: We did an open-label pilot (n=3) followed by a single-blinded randomized pilot trial. Community-living older adults, 70+ years, with a history of falls, were randomized to the intervention (n=25) or the control group (n=12). The intervention was led by an occupational therapist and included strength and balance training into daily habits over 12 weeks and US$500 in home safety changes, vision screening and, and medication screening. Data were collected at baseline and at 12 and 32 weeks, on the TUG, the 4-stage balance test, incidence of falls, fall efficacy, the number of home hazards, and medications. Program adherence and satisfaction were assessed as well.<br/><br/>Results: The intervention had a large effect (1.1) for tandem stand, moderate (0.5) in falls efficacy, and small (0.1) in the TUG. Participant satisfaction and experiences will be presented in the presentation.<br/><br/>Conclusion: The results support moving forward with an efficacy trial and we will discuss clinical implications for occupational therapists working at reducing falls in older adults.}},
author = {{Granbom, Marianne and Clemson, Lindy and Hladek, Melissa D. and Gitlin, Laura N. and Szanton, Sarah}},
language = {{eng}},
title = {{Preventing falls with the LIVE-LIFE program: Pilot outcomes of a multicomponent OT-led intervention addressing health-related and home-related fall risks in community-living older adults}},
url = {{https://www.xcdsystem.com/wfot/program/bzxHrTN/index.cfm?pgid=2300}},
year = {{2022}},
}