Intervention to Prevent Falls: Community-Based Clinics

Dorothy I. Baker, Linda Leo-Summers, Terrence E. Murphy, Barbara Katz, Beth A. Capobianco

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Purpose:The purpose of this study was to document results of State funded fall prevention clinics on rates of self-reported falls and fall-related use of health services. Methods: Older adults participated in community-based fall prevention clinics providing individual assessments, interventions, and referrals to collaborating community providers. A pre–post design compares self-reported 6-month fall history and fall-related use of health care before and after clinic attendance. Results: Participants (N = 751) were predominantly female (82%) averaging 81 years of age reporting vision (75%) and mobility (57%) difficulties. Assessments revealed polypharmacy (54%), moderate- to high-risk mobility issues (39%), and postural hypotension (10%). Self-reported preclinic fall rates were 256/751(34%) and postclinic rates were 81/751 (10.8%), (p =.0001). Reported use of fall-related health services, including hospitalization, was also significantly lower after intervention. Implications: Evidence-based assessments, risk-reducing recommendations, and referrals that include convenient exercise opportunities may reduce falls and utilization of health care services. Estimates regarding health care spending and policy are presented.

Original languageEnglish (US)
Pages (from-to)999-1010
Number of pages12
JournalJournal of Applied Gerontology
Volume38
Issue number7
DOIs
StatePublished - Jul 1 2019

All Science Journal Classification (ASJC) codes

  • Gerontology
  • Geriatrics and Gerontology

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