259031 Effects of an Evidence-Based Falls-Risk Reduction Program on Physical Activity and Falls Efficacy among Oldest-Old Adults

Wednesday, October 31, 2012 : 10:30 AM - 10:42 AM

Jinmyoung Cho, PhD , Center for Applied Health Research/School of Rural Public Health, Scott & White Healthcare/Texas A&M Health Science Center, CollegeStation, TX
Matthew Lee Smith, PhD, MPH, CHES , Department of Health Promotion and Behavior, The University of Georgia, College of Public Health, Athens, GA
SangNam Ahn, PhD, MPSA , Division of Health Systems Management and Policy, The University of Memphis School of Public Health, Memphis, TN
Keon-Yeop Kim, MD, PhD , Department of Preventive Medicine and Public Health, School of Medicine, KyungPook National University, Daegu, South Korea
Marcia G. Ory, PhD, MPH , Social & Behavioral Health, Texas A&M HSC School of Rural Public Health, College Station, TX
Background. As the oldest-old American population (i.e., aged 85+ years) continues to grow, additional efforts are needed to address falls among this high-risk age group. While fall prevention programs are widely disseminated, less is known about the effectiveness of such interventions among the oldest-old. This study examines changes in physical activity and falls efficacy among oldest-old participants enrolled in A Matter of Balance/Volunteer Lay Leader model (AMOB/VLL), a falls-risk reduction program. Methods. We included 260 participants aged 85 years and older enrolled in the Texas AMOB/VLL between September 2007 and April 2009. Changes in Falls Efficacy Scale scores and weekly physical activity levels were examined from baseline to post-intervention. Repeated measures ANCOVA were employed to assess program effects on falls efficacy. Results . Falls Efficacy Scale scores increased from baseline to post-intervention (β=1.98, p<0.001). On average, Falls Efficacy Scale scores were higher among those who increased their physical activity (improvement group) relative to those who did not improve (no-improvement group) (β=1.32, p<0.05). Furthermore, increases in Falls Efficacy Scale scores among the physical activity improvement group from baseline to post-intervention were significantly higher than increases among the no-improvement group (β=1.43, p<0.05). Conclusion. Findings from this study support the effectiveness of evidence-based programs for reducing falls efficacy in oldest-old participants. Examining the effectiveness of AMOB/VLL for oldest-old participants can enable public health professionals to meet the health demands of an aging society. Translational research about dissemination and implementation of evidence-based programs is recommended to enhance intervention strategies for the oldest-old population.

Learning Areas:
Chronic disease management and prevention
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. Describe the benefits A Matter of Balance/Volunteer Lay Leader model (AMOB/VLL) in terms of physical activity and falls efficacy among oldest-old participants. 2. Identify the combined effectiveness of physical and psychological improvement resulting from enrollment in AMOB/VLL. 3. Discuss policy implications of enhancing physical activity among the oldest-old population.

Keywords: Evidence Based Practice, Aging

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have done research on successful and healthy aging from my graduate studies and currently as a postdoctoral researcher
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.