Behavioral Intervention to Prevent Falls in Older Adults

预防老年人跌倒的行为干预

• 批准号: 6884835
• 负责人: VICTORIA P PANZER
• 金额: $ 41.6万
• 依托单位: BROOKSIDE RESEARCH & DEVELOPMENT COMPANY
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-01 至 2007-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6884835
• 关键词: DVD /CD ROM; accidental falls; behavior modification; behavior therapy; behavioral /social science research tag; case history; clinical research; computer assisted instruction; computer program /software; computer system design /evaluation; home health care; human old age (65+); human subject; human therapy evaluation; injury prevention; interactive multimedia; interview; psychological aspect of aging

DESCRIPTION (provided by applicant): Falls are the leading cause of injury deaths, severe nonfatal injuries, and hospital admissions in older adults. In 1994 the cost of seniors' fall injuries was 20.2 billion, these costs are significant to individuals and to society. Multi-factorial fall prevention interventions are recommended for those who fall; however, such services, where available, often fail to change underlying behaviors. Our Pilot study demonstrated that an interactive multimedia experience can enhance an individuals' ability to detect fall-risks and encourage fall prevention. Subjects in the Intervention group perceived significantly more risks in novel situations one month later and made twice as many new fall-prevention efforts as the Control group in that month. The Multimedia Behavioral Intervention (MBI) may increase motivation, involvement and compliance in fall prevention programs. The Intervention consists of an interactive DVD including common fall-provoking situations, and instructional software or menus for standardized administration. Anchored Instruction methodology focuses attention on the risks inherent in each situation. In this Phase II effort our primary focus will be to test and refine MBI methodology through a program of exploratory and clinical studies. In addition, software and multimedia development activities will produce a DVD with a wide range of situations appropriate for individuals across the country in a variety of living settings. Exploratory studies with the prototype Intervention will evaluate the effect of individualization (90 subjects) and regimen (60 subjects, massed vs. distributed practice). Preliminary clinical studies including 240 subjects in home health care, Independent and Assisted Living settings, will be conducted in situ. These studies will establish clinical parameters for application of MBI and establish long-term behavioral outcomes. The Behavioral Intervention to Prevent Falls in Older Adults is an innovative technique that may be utilized as a stand-alone behavioral intervention, as well as an adjunct to other Fall-Prevention approaches. This technology will provide an important new means to address the neglected cognitive and behavioral aspects of Fall- Prevention. Millions of seniors in diverse community or medical settings will benefit from enhanced fall-risk awareness and prevention programs could emerge in many under-served communities nationwide.

描述（由申请人提供）：跌倒是老年人受伤死亡、严重非致命性伤害和住院的主要原因。1994年，老年人摔伤的费用为202亿美元，这些费用对个人和社会都是重大的。建议对跌倒者采取多因素预防跌倒干预措施；然而，这样的服务（在可用的情况下）通常无法更改底层行为。我们的试点研究表明，交互式多媒体体验可以提高个人发现跌倒风险和鼓励预防跌倒的能力。干预组的受试者在一个月后在新情况下明显感受到更多的风险，并且在该月采取了两倍于对照组的新的跌倒预防措施。多媒体行为干预（MBI）可以增加动机，参与和依从性在预防跌倒计划。干预包括一个交互式DVD，包括常见的跌倒情况，以及标准化管理的教学软件或菜单。锚定教学法将注意力集中在每种情况下固有的风险上。在这个第二阶段的努力中，我们的主要重点将是通过一个探索性和临床研究项目来测试和完善MBI方法。此外，软件和多媒体开发活动将制作一张DVD，其中有适合全国各地各种生活环境中的个人的各种情况。采用原型干预的探索性研究将评估个体化（90名受试者）和方案（60名受试者，大规模与分布式实践）的效果。初步临床研究将在现场进行，其中包括240名家庭保健、独立生活和辅助生活环境中的受试者。这些研究将为MBI的应用建立临床参数，并建立长期的行为结果。预防老年人跌倒的行为干预是一项创新技术，可以作为一种独立的行为干预，也可以作为其他预防跌倒方法的辅助手段。这项技术将提供一个重要的新手段，以解决被忽视的认知和行为方面的预防跌倒。不同社区或医疗机构的数百万老年人将受益于增强的跌倒风险意识和预防计划，这些计划可能在全国许多服务不足的社区出现。