An impact evaluation of a falls prevention program among older people

An impact evaluation of a falls prevention program among older people
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DOI:
10.1016/s0001-4575(99)00043-3
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发表时间:
2000-05-01
影响因子:
5.9
通讯作者:
Fildes, BN
Fildes, BN
中科院分区:
工程技术1区
文献类型:
--
作者:
Deery, HA;Day, LM;Fildes, BN

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这项评估研究的目的是评估同伴教育课程对老年人与跌倒有关的态度、知识和行为的影响。评估是在澳大利亚维多利亚州贝拉林半岛进行的,采用了非随机化的前测后测设计。收集了107名参加教育会议的人和116名对照的基线、3个月和12个月的随访数据,按年龄范围和性别进行匹配。严格来说,两组在基线上并不相等,干预组对跌倒和预防跌倒有更多的了解。控制基线差异的分析表明,那些参加教育课程的人在12个月的随访中保持了对可以防止跌倒的因素的更多了解。在3个月和12个月的随访中,干预组还在家里和周围做出了更多的改变,以防止跌倒。报告以前有跌倒史并采取过预防跌倒措施的年轻参与者最有可能采取额外的行动。研究结果可以帮助针对这类教育计划,并表明它们的主要好处可能在于为那些自愿参加的人提供动力,以采取最有效的预防措施。(C)2000爱思唯尔科学有限公司。保留所有权利。
The aim of this evaluation study was to assess the impact of peer-presented education sessions on the falls-related attitude, knowledge and behaviour of older people. The evaluation was undertaken on the Bellarine Peninsula in Victoria, Australia, and adopted a non-randomised pre-test post-test design. Baseline, 3 and 12 months follow-up data were collected for 107 individuals who attended the education sessions and 116 controls, matched by age range and sex. The groups were not strictly equivalent at baseline, with the intervention group having a greater knowledge about falls and falls prevention. Analyses which controlled for baseline differences showed that those who attended the education sessions maintained a greater knowledge of factors that can prevent falls at 12 months follow-up. The intervention group also made more changes in and around their home to prevent falls by 3 and 12 months follow-up. Younger participants who reported a previous history of falls and having taken action to prevent falls were most likely to take additional action. The results can help target this type of education program and suggest that their major benefit may lie in providing those who voluntarily attend with the impetus to take the most effective preventative action. (C) 2000 Elsevier Science Ltd. All rights reserved.