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Translational Behavioral Medicine
Published in: Translational Behavioral Medicine 2/2017

01-06-2017 | Original Research

Predictors of and health- and fall-related program outcomes resulting from complete and adequate doses of a fall risk reduction program

Authors: Thelma J. Mielenz, Laura L. Durbin, Fern Hertzberg, Diana Nobile-Hernandez, Haomiao Jia

Published in: Translational Behavioral Medicine | Issue 2/2017

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Abstract

Falls are dangerous and costly for older adults. The A Matter of Balance/Volunteer Lay Leader (AMOB/VLL) program is an evidence-based fall risk reduction program that could help reduce this burden. This study introduced a door-through-door transportation program to improve program delivery (N = 126). Characteristics predicting completion of all eight AMOB/VLL sessions were identified using logistic regression. Individual growth models were employed to determine the immediate, intermediate, and long-term goal outcomes resulting from receiving an adequate dose of the program (five to eight sessions). Self-restriction of activities due to fear of falling (OR 5.04, 95 % CI 1.86–13.69) and a lower frequency of moderate and vigorous physical activity (OR 1.14, 95 % CI 1.04–1.27) were significantly predictive of receiving a complete dose. Three outcome goals were significant, including (1) immediate—improved self-efficacy of managing medications and treatments, (2) intermediate—reduced activity limitations, and (3) intermediate—reduced physical disability. Self-restriction of activities due to a fear of falling and physical activity levels may be simple and effective screening questions to prevent AMOB/VLL attrition. In our study, those who did receive the program improved on a specific type of self-efficacy and on self-reported physical functioning.
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Metadata
Title
Predictors of and health- and fall-related program outcomes resulting from complete and adequate doses of a fall risk reduction program
Authors
Thelma J. Mielenz
Laura L. Durbin
Fern Hertzberg
Diana Nobile-Hernandez
Haomiao Jia
Publication date
01-06-2017
Publisher
Springer US
Published in
Translational Behavioral Medicine / Issue 2/2017
Print ISSN: 1869-6716
Electronic ISSN: 1613-9860
DOI
https://doi.org/10.1007/s13142-016-0444-2

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