Feasibility study by a single-blind randomized controlled trial of self-management of mobility with a gait-speed feedback device by older persons at risk for falling.
Autor: Schoon, Yvonne; Bongers, Kim T. J.; Olde Rikkert, Marcel G. M.
Publication year: 2020
Assistive technology : the official journal of RESNA
issn:1949-3614 1040-0435
doi: 10.1080/10400435.2018.1529004
Abstract:
This single-blind randomized pilot study explored feasibility and safety of a self-management fall prevention program, hypothesizing that older persons can comply with this program, while it does not result in more (injurious) falls, or a decrease in mental wellbeing as an adverse effect of being focused on falls prevention. Eighty-six persons, community-dwelling or home for the aged (mean age 80.3 years [SD: 6.3], 56 women (65.1%)) participated. The intervention group measured their gait speed by using the Mobility Feedback Device (MFD) weekly for 6 months. The control group was monitored for the outcomes without an intervention. Change scores involving health perception and mental wellbeing (Medical Outcomes Study 20-item short form (MOS-20)) were compared between groups. Feasibility was assessed by drop-out rate and compliance to measure gait speed. Safety was assessed by fall incidence during follow-up. MOS-20 decreased significantly in the control group (p = 0.024) but remained stable in the intervention group. Drop-out rate was low (9.3%), and compliance was good. Fall incidence was the same for both groups (p = 0.155). The self-management fall prevention program is feasible and safe in a community-dwelling and home for the aged population, making it worthwhile to further explore self-management fall-prevention studies.
Language: eng
Rights:
Pmid: 30373502
Tags: Humans; Aged; Aged, 80 and over; Female; Male; Single-Blind Method; Pilot Projects; Accidental Falls/*prevention & control; prevention; Independent Living; Feasibility Studies; Homes for the Aged; falls; Self-Management/*methods/psychology; *Self-Help Devices/psychology; community-dwelling older persons; Formative Feedback; home for the aged; telemonitoring; Walking Speed/*physiology
Link: https://pubmed.ncbi.nlm.nih.gov/30373502/
