PDF(Pubmed)
Abstract：
OBJECTIVE: The COVID-19 pandemic limited access to community fall prevention programs, thus establishing the need for virtual interventions. Herein, we describe the feasibility, effectiveness, and acceptability of a virtual, multicomponent fall prevention program (MOVing FREEly).
METHODS: A team of clinical falls prevention experts developed a six-week multicomponent fall prevention exercise and education class for older community-dwelling adults at risk of falling. Feasibility was measured through class attendance; effectiveness was measured through changes in performance measures, self-report of falling risk, and concern about falling; acceptability was assessed through questionnaires completed immediately upon program completion and at a three-month follow up.
RESULTS: A total of 32 patients participated in the MOVing FREEly program. Attendance for education and exercise classes on average was greater than 80% with little attrition. Patient reported reduced concern of falling, improvement in the falls efficacy scale-international (FES-I) short form, and had statistically significant improvement in 30 s sit-to-stand and single-leg balance tests. The program was well received by participants, saving them significant time and costs of travel.
CONCLUSIONS: A virtual, multicomponent fall prevention program is feasible and acceptable and effective as reducing falling risk. Future studies can explore the ability of this program to reduce falling incident and injury.
METHODS: A team of clinical falls prevention experts developed a six-week multicomponent fall prevention exercise and education class for older community-dwelling adults at risk of falling. Feasibility was measured through class attendance; effectiveness was measured through changes in performance measures, self-report of falling risk, and concern about falling; acceptability was assessed through questionnaires completed immediately upon program completion and at a three-month follow up.
RESULTS: A total of 32 patients participated in the MOVing FREEly program. Attendance for education and exercise classes on average was greater than 80% with little attrition. Patient reported reduced concern of falling, improvement in the falls efficacy scale-international (FES-I) short form, and had statistically significant improvement in 30 s sit-to-stand and single-leg balance tests. The program was well received by participants, saving them significant time and costs of travel.
CONCLUSIONS: A virtual, multicomponent fall prevention program is feasible and acceptable and effective as reducing falling risk. Future studies can explore the ability of this program to reduce falling incident and injury.
摘要：
目标：COVID-19大流行限制了社区跌倒预防计划，从而确立了对虚拟干预的需求。在这里，我们描述了可行性，有效性,和虚拟的可接受性，多组分跌倒预防计划（自由行动）。
方法：一组临床跌倒预防专家为有跌倒风险的老年社区居民开发了一个为期6周的多组分跌倒预防运动和教育课程。可行性是通过上课考勤来衡量的；有效性是通过绩效指标的变化来衡量的，自我报告下降的风险，和对下降的担忧；通过在项目完成后立即完成问卷和三个月的随访来评估可接受性。
结果：共有32名患者参加了MOVingFREEly计划。教育和运动课程的平均出勤率超过80％，而减员很少。患者报告对跌倒的担忧减少，下降疗效量表-国际(FES-I)简短形式的改进，并且在30s坐立和单腿平衡测试中具有统计学上的显着改善。该计划受到参与者的欢迎，为他们节省了大量的旅行时间和费用。
结论：虚拟，多组分跌倒预防方案在降低跌倒风险方面是可行的、可接受的和有效的。未来的研究可以探索该程序减少跌倒事件和伤害的能力。
方法：一组临床跌倒预防专家为有跌倒风险的老年社区居民开发了一个为期6周的多组分跌倒预防运动和教育课程。可行性是通过上课考勤来衡量的；有效性是通过绩效指标的变化来衡量的，自我报告下降的风险，和对下降的担忧；通过在项目完成后立即完成问卷和三个月的随访来评估可接受性。
结果：共有32名患者参加了MOVingFREEly计划。教育和运动课程的平均出勤率超过80％，而减员很少。患者报告对跌倒的担忧减少，下降疗效量表-国际(FES-I)简短形式的改进，并且在30s坐立和单腿平衡测试中具有统计学上的显着改善。该计划受到参与者的欢迎，为他们节省了大量的旅行时间和费用。
结论：虚拟，多组分跌倒预防方案在降低跌倒风险方面是可行的、可接受的和有效的。未来的研究可以探索该程序减少跌倒事件和伤害的能力。
