Effectiveness of a home hazard modification program for reducing falls in urban community-dwelling older adults: A randomized controlled trial

Aim To evaluate the potential improvement of fall prevention awareness and home modification behaviors and to decrease indoor falls by applying a home hazard modification program (HHMP) in community‐dwelling older adults followed up to 1 year in this randomized controlled trial. Methods The present...

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Veröffentlicht in:Japan journal of nursing science : JJNS 2015-07, Vol.12 (3), p.184-197
Hauptverfasser: Kamei, Tomoko, Kajii, Fumiko, Yamamoto, Yuko, Irie, Yukako, Kozakai, Rumi, Sugimoto, Tomoko, Chigira, Ayako, Niino, Naoakira
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container_issue 3
container_start_page 184
container_title Japan journal of nursing science : JJNS
container_volume 12
creator Kamei, Tomoko
Kajii, Fumiko
Yamamoto, Yuko
Irie, Yukako
Kozakai, Rumi
Sugimoto, Tomoko
Chigira, Ayako
Niino, Naoakira
description Aim To evaluate the potential improvement of fall prevention awareness and home modification behaviors and to decrease indoor falls by applying a home hazard modification program (HHMP) in community‐dwelling older adults followed up to 1 year in this randomized controlled trial. Methods The present authors randomly assigned 130 older adults living in the Tokyo metropolitan region to either the HHMP intervention group (n = 67) or the control group (n = 63). Both groups received four, 2 h fall prevention multifactorial programs including education regarding fall risk factors, food and nutrition, foot self‐care, and exercise sessions. However, only the HHMP group received education and practice regarding home safety by using a model mock‐up of a typical Japanese home. Results The mean age of the HHMP group was 75.7 years and the control group 75.8. The HHMP group showed a 10.9% reduction in overall falls, and falls indoors showed an 11.7% reduction at 52 weeks. Those aged 75 years and over showed a significant reduction in both overall falls and indoor falls at 12 weeks. Fall prevention awareness and home modifications were significantly improved in the HHMP group. Conclusion HHMP has the potential to improve fall prevention awareness and home modification behaviors, and specifically decreased overall and indoor falls in 12 weeks in those aged 75 years and older in community‐dwelling older adults.
doi_str_mv 10.1111/jjns.12059
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Methods The present authors randomly assigned 130 older adults living in the Tokyo metropolitan region to either the HHMP intervention group (n = 67) or the control group (n = 63). Both groups received four, 2 h fall prevention multifactorial programs including education regarding fall risk factors, food and nutrition, foot self‐care, and exercise sessions. However, only the HHMP group received education and practice regarding home safety by using a model mock‐up of a typical Japanese home. Results The mean age of the HHMP group was 75.7 years and the control group 75.8. The HHMP group showed a 10.9% reduction in overall falls, and falls indoors showed an 11.7% reduction at 52 weeks. Those aged 75 years and over showed a significant reduction in both overall falls and indoor falls at 12 weeks. Fall prevention awareness and home modifications were significantly improved in the HHMP group. Conclusion HHMP has the potential to improve fall prevention awareness and home modification behaviors, and specifically decreased overall and indoor falls in 12 weeks in those aged 75 years and older in community‐dwelling older adults.</description><identifier>ISSN: 1742-7932</identifier><identifier>EISSN: 1742-7924</identifier><identifier>DOI: 10.1111/jjns.12059</identifier><identifier>PMID: 25212766</identifier><language>eng</language><publisher>Japan: Blackwell Publishing Ltd</publisher><subject>accidental falls ; Accidental Falls - prevention &amp; control ; Aged ; Aged, 80 and over ; Case-Control Studies ; Clinical trials ; Evidence-based nursing ; Falls ; Female ; home hazards ; Humans ; Male ; Nursing ; Older people ; Prevention ; program evaluation ; randomized controlled trial ; Safety Management - standards ; Tokyo ; Urban Population</subject><ispartof>Japan journal of nursing science : JJNS, 2015-07, Vol.12 (3), p.184-197</ispartof><rights>2014 The Authors. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects accidental falls
Accidental Falls - prevention & control
Aged
Aged, 80 and over
Case-Control Studies
Clinical trials
Evidence-based nursing
Falls
Female
home hazards
Humans
Male
Nursing
Older people
Prevention
program evaluation
randomized controlled trial
Safety Management - standards
Tokyo
Urban Population
title Effectiveness of a home hazard modification program for reducing falls in urban community-dwelling older adults: A randomized controlled trial
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