A feasibility study of a home-based lifestyle-integrated physical exercise training and home modification for community-living older people (Part 2): the FIT-at-Home fall prevention program

Müller, Christian; Lautenschläger, Sindy; Dörge, Christine; Voigt-Radloff, Sebastian

doi:10.1080/09638288.2019.1700564

Cited by 11 publications

(9 citation statements)

References 49 publications

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“…Multiple component interventions that include exercise programs are most effective in reducing falls and fall risk compared to programs that do not include an exercise component. 20 , 21 …”

Section: Discussionmentioning

confidence: 99%

Evaluation of a Fall Prevention Program to Reduce Fall Risk and Fear of Falling Among Community-Dwelling Older Adults and Adults with Disabilities

Hawkins,

Goldhammer,

McClave

et al. 2024

CIA

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Purpose The overarching goal of the program evaluation was to determine the reach and impact of the District-funded Safe At Home (SAH) modification program in reducing falls, fall injuries, and fear of falls among community-dwelling older adults and adults with disabilities. The SAH program has served over 6000 adults since 2016, the majority of whom are women (79%) and over age 60 (92%). Materials and Methods Letters were mailed in September 2022 to clients (n=492) who had home modifications completed between October 2021-March 2022 inviting them to participate in a brief phone survey about program satisfaction, falls, fall location, and severity. The validated Fall Efficacy Scale (FES) was administered pre (at first visit), post (at last visit), and during the phone survey (within 6 months to 1 year of program completion) to assess fear of falling. The response rate was 55% (n=241). Results Older adults (n=219) and adults with disabilities (n=22) reported high program satisfaction. Most clients, 79%, did not report a fall since the completion of the home modifications. The majority of falls reported, 76%, occurred inside the home. The average evaluation FES score was 32.5 (SD=22.6, range 10–100), indicating relatively low fear of falling. Higher FES scores were associated with a greater likelihood of reporting a fall ( r =0.44, p < 0.001, n=51) and older age ( r = 0.17, p < 0.01). FES scores were not related to gender. Evaluation FES scores were significantly lower than the pre-FES scores, indicating a reduction in fear of falling and positive impact of the home modifications (T(107) = 5.14, p < 0.001). Conclusion The client-centered SAH program demonstrates significant reductions in falls, fear of falling, and high satisfaction among clients. Recommendations include program expansion to offer other evidence-based components to reduce falls and support safe aging in place.

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“…Multiple component interventions that include exercise programs are most effective in reducing falls and fall risk compared to programs that do not include an exercise component. 20 , 21 …”

Section: Discussionmentioning

confidence: 99%

Evaluation of a Fall Prevention Program to Reduce Fall Risk and Fear of Falling Among Community-Dwelling Older Adults and Adults with Disabilities

Hawkins,

Goldhammer,

McClave

et al. 2024

CIA

View full text Add to dashboard Cite

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“…Unsupervised exercise programs can help overcome transport and high-cost barriers ( Schutzer and Graves, 2004 ) and can be independently integrated into everyday life ( Müller et al, 2021 ); preliminary evidence suggests digitally delivered exercise programs (e- and m-training programs) may provide beneficial impact on physical fitness in the elderly ( Jungreitmayr et al, 2021 ; Netz et al, 2021 ). In this context, and focusing on healthy retired women, Jungreitmayr et al examined whether an improvement of physical fitness and associated subdomains (i.e., muscular strength, balance, and flexibility) could be achieved following 14 weeks of an app-based, unsupervised exercise intervention, in which the exercise frequency and duration of sessions were self-selected.…”

Section: Usability and Effectiveness Of App-based Exercise Training I...mentioning

confidence: 99%

Editorial: ICT-based training intervention for healthy aging: ITIHA

Ammar

Trabelsi²,

Glenn³

2022

Front. Physiol.

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“…Although supervised exercise is often considered the superior method to deliver physical exercise ( Storer et al, 2014 ; Fennell et al, 2016 ), it is not inherently better than unsupervised programs, as those have their own advantages. Unsupervised exercise programs can overcome practical barriers ( Schutzer and Graves, 2004 ) such as transport and cost ( Yardley et al, 2006 ; Davis et al, 2010 ; Kim et al, 2012 ) and can be integrated independently into everyday life ( Geraedts et al, 2013 ; Müller et al, 2021 ). Additionally, there is preliminary evidence suggesting that unsupervised programs delivered using digital technologies (e.g., virtual reality, smartphone, or tablet apps) may have an impact on physical fitness in people of older age.…”

Section: Introductionmentioning

confidence: 99%

Effects of an App-Based Physical Exercise Program on Selected Parameters of Physical Fitness of Females in Retirement: A Randomized Controlled Trial

Jungreitmayr

Kranzinger²,

Venek³

et al. 2022

Front. Physiol.

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Modern technologies enable new options in the delivery of physical exercise programs. Specially designed app-based programs can be used to help older people in particular to integrate physical exercise into their daily lives. This study examines the influence of an app-based physical exercise program on selected parameters of physical fitness, such as muscular strength, balance, and flexibility. The women (n = 110) were on average 65.3 (± 1.5) years old and, compared to age-specific norm values, healthy. The 14-week intervention consisted of an app-based, unsupervised physical exercise program, in which the exercise frequency and duration of sessions were self-selected. The physical exercise program consisted of simple, functional exercises such as arm circles, squats, lateral raises. The participants were provided with an elastic resistance band and an exercise ball allowing them to increase exercise intensity if needed. Participants were randomly assigned to intervention group (IG) and control group (CG). 71% of the IG used the physical exercise program at least 1.2 times per week, whereas 25% of the IG showed usage rates above four times per week. Significant effects were found in the domains of muscular strength and flexibility. While IG could maintain their performance in isometric muscular strength tests and increased their flexibility, CG faced a decrease in those parameters. Thus, this app-based physical exercise program had positively influenced muscular strength and flexibility in women over 60 years of age.

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A feasibility study of a home-based lifestyle-integrated physical exercise training and home modification for community-living older people (Part 2): the FIT-at-Home fall prevention program

Cited by 11 publications

References 49 publications

Evaluation of a Fall Prevention Program to Reduce Fall Risk and Fear of Falling Among Community-Dwelling Older Adults and Adults with Disabilities

Evaluation of a Fall Prevention Program to Reduce Fall Risk and Fear of Falling Among Community-Dwelling Older Adults and Adults with Disabilities

Editorial: ICT-based training intervention for healthy aging: ITIHA

Effects of an App-Based Physical Exercise Program on Selected Parameters of Physical Fitness of Females in Retirement: A Randomized Controlled Trial

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