The Stroll Safe Randomized Controlled Trial: Program Effects on Falls Self-Efficacy

IF 3.8 2区医学 Q2 GERIATRICS & GERONTOLOGY Journal of the American Medical Directors Association Pub Date : 2025-04-01 Epub Date: 2025-02-06 DOI:10.1016/j.jamda.2024.105478

Tracy Chippendale PhD, OTR/L , Lijing Wei BS , Alex Dahlen PhD

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Abstract

Objective

Outdoor falls can negatively impact the health and functional abilities of community-dwelling older adults. Although there are existing evidence-based programs for falls prevention, none specifically target outdoor falls. To fill this gap in research and practice, the Stroll Safe program was developed. Prior studies have examined outcomes for Stroll Safe related to knowledge of outdoor fall risks and safe strategy use. The purpose of this study was to examine outcomes related to outdoor falls self-efficacy.

Design

In this cluster randomized controlled trial, we examined the effects of the Stroll Safe program on outdoor falls self-efficacy as per scores on the Outdoor Falls Self-Efficacy Questionnaire (OFSQ).

Setting and Participants

The study was conducted in 8 naturally occurring retirement communities. Participants (N = 93) were community-dwelling older adults with a history of outdoor falls and/or who were fearful of falling outside.

Methods

Linear mixed-effects models were used for the analyses.

Results

The intervention group had a significantly higher OFSQ score post-intervention (P < .001), which persisted at the 6-week follow-up (P < .001). Four of the 5 items in the OFSQ showed the same behavior.

Conclusions and Implications

Results reveal that the Stroll Safe program is effective in increasing outdoor falls self-efficacy building on previously established program benefits.

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漫步安全随机对照试验：项目对跌倒自我效能的影响。

目的：户外跌倒会对社区老年人的健康和功能能力产生负面影响。虽然有现有的基于证据的跌倒预防项目，但没有一个专门针对户外跌倒。为了填补研究和实践中的这一空白，开发了Stroll Safe程序。先前的研究已经检查了与户外跌倒风险和安全策略使用相关的漫步安全知识的结果。本研究旨在探讨户外跌倒自我效能的相关结果。设计：在本群随机对照试验中，我们通过户外跌倒自我效能问卷（OFSQ）的得分来检验漫步安全计划对户外跌倒自我效能的影响。环境和参与者：研究在8个自然发生的退休社区进行。参与者（N = 93）是有户外跌倒史和/或害怕户外跌倒的社区老年人。方法：采用线性混合效应模型进行分析。结果：干预组干预后的OFSQ评分显著高于对照组（P < 0.001），且在随访6周时仍显著高于对照组（P < 0.001）。在OFSQ的5个项目中，有4个项目表现出相同的行为。结论和意义：结果表明，漫步安全计划在先前建立的计划收益的基础上，有效地提高了户外跌倒自我效能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American Medical Directors Association 医学-老年医学

CiteScore

11.10

自引率

6.60%

发文量

472

审稿时长

44 days

期刊介绍： JAMDA, the official journal of AMDA - The Society for Post-Acute and Long-Term Care Medicine, is a leading peer-reviewed publication that offers practical information and research geared towards healthcare professionals in the post-acute and long-term care fields. It is also a valuable resource for policy-makers, organizational leaders, educators, and advocates. The journal provides essential information for various healthcare professionals such as medical directors, attending physicians, nurses, consultant pharmacists, geriatric psychiatrists, nurse practitioners, physician assistants, physical and occupational therapists, social workers, and others involved in providing, overseeing, and promoting quality