Factors Associated with Participation of Community-Dwelling Older Adults in a Home-Based Falls Prevention Program

Abstract

This observational study was conducted to determine which factors are associated with frequent participation in a home-based exercise program. The effects of frequent participation on health-related outcomes over time are investigated, as well. Community-dwelling adults aged ≥65 years participated in a twelve-week home-based exercise program. The program consisted of an instruction book with exercises that were performed individually at home. Frequent participation was classified as performing exercises of the instruction book daily or a few days a week during the study period. A logistic regression analysis was performed to determine the association between factors (i.e., demographic and health-related characteristics) and frequent participation. Furthermore, to investigate the effects of frequent participation on health-related outcomes, generalized linear and logistic regression models were built. A total of 238 participants (mean age 81.1 years (SD ± 6.7), 71% female) were included in the study. Frequent participation during the study period was indicated by fifty-two percent of participants. Analyses showed that a higher degree of pain (OR: 1.02, 95% CI: 1.–1.04) was associated with frequent participation. In addition, the effect of frequent participation over time was a significant improvement in current health perceptions (B: 4.46, SE: 1.99).

Fall awareness behaviour and its associated factors among community dwelling older adults

“…This result suggests that falls prevention practices were less common among older adults with reduced functional mobility. With deterioration of physical function, mobility and self-management ability due to reduced muscle strength and increased fear of falling, older adults were less likely to engage in falls prevention practices [43,44]. Furthermore, older adults who are dependent have difficulty in performing a task or activity in addition to fear of falls during movements [45,46].…”

Personal preferences of participation in fall prevention programmes: a descriptive study

“…In this way, we aimed to reach as many older adults in the city of Breda as possible. Older adults that met the inclusion criteria but were not living alone or were not vulnerable participated in a separate part of the study, described in a previous publication [34]. A more detailed description of the recruitment of participants is described in earlier publications detailing the senior step programme and investigating the implementation of the senior step programme [28,34].…”

“…Older adults that met the inclusion criteria but were not living alone or were not vulnerable participated in a separate part of the study, described in a previous publication [34]. A more detailed description of the recruitment of participants is described in earlier publications detailing the senior step programme and investigating the implementation of the senior step programme [28,34]. Once participants applied for the study, an informed consent form was sent by mail, accompanied by questions to assess fall risk.…”

“…Infrequent or nonparticipation was classified as performing exercises one day a week, less than one day a week, or not at all. These classifications are described in an earlier publication of the study [34]. Furthermore experiences with and perceptions of the programme were assessed by multiple choice questions, in accordance with the guideline for medical scientific research in older adults [39].…”

Fall Awareness Behaviour And Its Associated Factors Among Malaysian Community Dwelling Older Adults

“…This result suggests that falls prevention practices were less common among older adults with reduced functional mobility. With deterioration of physical function, mobility and self-management ability due to reduced muscle strength and increased fear of falling, older adults were less likely to engage in falls prevention practices (43,44). Furthermore, older adults who are dependent have di culty in performing a task or activity in addition to fear of falls during movements (45,46).…”