Participation in Two Evidence-Based Falls Prevention Programs by Adults Aging With a Long-Term Disability: Case-Control Study of Reach and Effectiveness

You'll have to ask your doctor what is the EXACT PROTOCOL for the fall prevention or fall recovery program that is used in their stroke hospital. They wouldn't have to work on this secondary problem if they succeeded at the primary goal of 100% recovery.  No protocol, that doctor needs to be fired along with the stroke department head and the stroke hospital president. I take no prisoners in trying to get stroke rehabilitation to some semblance of competency. A lot of dead wood in stroke needs to be removed. 

Participation in Two Evidence-Based Falls Prevention Programs by Adults Aging With a Long-Term Disability: Case-Control Study of Reach and Effectiveness

Show all authors

T. J. Eagen, PhD, MPH, S. M. Teshale, PhD, A. P. Herrera-Venson, DrPH, ...

First Published November 15, 2018 Research Article

https://doi.org/10.1177/0898264318808918

Article information

Abstract

Objective: Adults aging with a long-term disability (LTD) are at an increased risk for falls. The Older Americans Act Title III-D and Prevention and Public Health Fund (PPHF) support several organizations to deliver falls prevention evidence-based programs designed to reduce risk factors; however, little is understood about the reach and effectiveness of these fall prevention programs for those with LTD compared to those without LTD. This study compared the reach and effectiveness of two evidence-based falls prevention programs between older adults with and without LTD.
Method: Using a matched case-control design, 105 LTD older adults enrolled in A Matter of Balance (AMOB) or Stepping On were matched to 315 non-LTD older adults on age, sex, race, and education. Results: On average, LTD older adults attended a higher number of class sessions and were significantly more likely to complete the program compared with the matched-sample of non-LTD older adults. LTD older adults were equally likely as non-LTD older adults to report significant reductions in self-reported fear of falling, falls-related activity restriction, and improvement in falls self-efficacy following completion of the programs.  
Discussion: These findings provide preliminary evidence for the effectiveness of these evidence-based falls prevention programs for LTD older adults; however, more research is needed to extend these findings.