Translating a Functional Exercise Program for Fall Prevention among Diverse Older Adults in Urban, Medically Underserved Areas: A Feasibility Study

IF 0.3 Q4 REHABILITATION PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS Pub Date : 2022-10-06 DOI:10.1080/02703181.2022.2129906

Yi-Ling Hu, Marian Keglovits, E. Somerville, Makenna Snyder, S. Stark

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Abstract

Abstract Aims The aim of this study was to test the feasibility of a fall prevention exercise program, Diverse Older Adults Doing the Lifestyle-integrated Functional Exercise program (DO LiFE). DO LiFE was developed for a diverse aging population and to improve low adherence to structured exercise. Methods Older adults with high fall risk and who resided in medically underserved (MU) U.S. zip codes were assigned to DO-LiFE or the control group. Feasibility outcomes of reach, adherence, fidelity, and acceptance were collected. Results DO LiFE established high reach/adherence, could be delivered with fidelity, and had high acceptance. Additional barriers were identified for a revision of DO LiFE before proceeding to a larger study. Conclusion Results of this study show that DO LiFE demonstrates good feasibility and lay the foundation for larger-scale studies. Although some unexpected issues may require a revision of DO-LiFE, this evidence-based program is feasible for in-need, diverse aging populations in real-world settings.

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将功能锻炼计划转化为城市医疗服务不足地区不同老年人的跌倒预防：可行性研究

摘要目的本研究的目的是测试跌倒预防运动计划——多样化老年人进行生活方式综合功能锻炼计划（DO LiFE）的可行性。DO LiFE是为不同的老龄化人群开发的，旨在改善对结构化运动的低依从性。方法将居住在医疗服务不足（MU）美国邮政编码地区的跌倒风险较高的老年人分配到DO LiFE或对照组。收集可达性、依从性、忠诚度和接受度的可行性结果。结果DO-LiFE建立了高覆盖率/粘附性，可以高保真地递送，并且具有很高的可接受性。在进行更大规模的研究之前，确定了DO LiFE修订的额外障碍。结论本研究结果表明，DO-LiFE具有良好的可行性，为更大规模的研究奠定了基础。尽管一些意想不到的问题可能需要修改DO LiFE，但这一基于证据的计划对于现实世界中需要帮助的不同老龄化人群是可行的。

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来源期刊

PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS REHABILITATION-

CiteScore

1.30

自引率

0.00%

发文量

期刊介绍： This comprehensive journal is recognized for its useful balance of research and clinical practice articles. For more than twenty five years Physical & Occupational Therapy in Geriatrics has functioned as a forum for allied health professionals as well as others with a focus on rehabilitation of the geriatric client to share information, clinical experience, research, and therapeutic practice. Each issue focuses on current practice and emerging issues in the care of the older client, including rehabilitation and long-term care in institutional and community settings, and innovative programming; the entire range of problems experienced by the elderly; and the current skills needed for working with older clients.