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Implementing an Evidence-Based Fall Prevention Intervention in Community Senior Centers

Bibliographic Data

ID11030067
AuthorsFuzhong Li (0000-0001-6644-4702, Fuzhong Li is with Oregon Research Institute, Eugene. Peter Harmer is with the Department of Exercise Science, Willamette University, Salem, OR. Kathleen Fitzgerald is with Oregon Medical Group, Eugene.), Peter Harmer (0000-0001-9794-1920, Fuzhong Li is with Oregon Research Institute, Eugene. Peter Harmer is with the Department of Exercise Science, Willamette University, Salem, OR. Kathleen Fitzgerald is with Oregon Medical Group, Eugene.), Kathleen Fitzgerald (Fuzhong Li is with Oregon Research Institute, Eugene. Peter Harmer is with the Department of Exercise Science, Willamette University, Salem, OR. Kathleen Fitzgerald is with Oregon Medical Group, Eugene.)
Year2016
Volume106
Issue11
Pages2026-2031
Publication date2016-11-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2016.303386
PMID27631751
OpenAlexW2520252161
LanguageEN
Citations received2
References cited29

Objectives. To evaluate the impact of implementing an evidence-based fall prevention intervention in community senior centers. Methods. We used a single-group design to evaluate the Tai Ji Quan: Moving for Better Balance (TJQMBB) program’s adoption, population reach, implementation, effectiveness, and maintenance among 36 senior centers in 4 Oregon counties between 2012 and 2016. The primary outcome measure, as part of the effectiveness evaluation, was number of falls as ascertained by self-report. Trained TJQMBB instructors delivered the program to community-dwelling older adults for 48 weeks, with a 6-month postintervention follow-up. Results. TJQMBB was adopted by 89% of the senior centers approached and reached 90% of the target population. The program resulted in a 49% reduction in the total number of falls and improved physical performance. Participation was well maintained after the program’s completion. The average cost-effectiveness ratio for the 48-week program implementation was $917 per fall prevented and $676 per fall prevented for multiple falls. Conclusions. TJQMBB is an effective public health program that can be broadly implemented in community senior centers for primary prevention of falls among community-dwelling older adults

Balance (ability) · Environmental health · Fall prevention · Injury prevention · Intervention (counseling) · Occupational safety and health · Physical therapy · Poison control · Population · Program evaluation · Public health · Suicide prevention · Balance, Gait, and Falls Prevention · Health disparities and outcomes · Medicine · Nursing · Physical Activity and Health · Gerontology

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Citations per year0.22
Citation span2017 - 2019 (3)
Highly citedNo

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