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 |
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container_title | Japan journal of nursing science : JJNS |
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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 |
format | Article |
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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.</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 & 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. Japan Journal of Nursing Science © 2014 Japan Academy of Nursing Science</rights><rights>2014 The Authors. Japan Journal of Nursing Science © 2014 Japan Academy of Nursing Science.</rights><rights>Copyright © 2015 Japan Academy of Nursing Science</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6799-de13ec9ffceedac404b716c05c0eca3ce07e7f2405a683f7c46a55c05f1bfbbd3</citedby><cites>FETCH-LOGICAL-c6799-de13ec9ffceedac404b716c05c0eca3ce07e7f2405a683f7c46a55c05f1bfbbd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjjns.12059$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjjns.12059$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27907,27908,45557,45558</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25212766$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kamei, Tomoko</creatorcontrib><creatorcontrib>Kajii, Fumiko</creatorcontrib><creatorcontrib>Yamamoto, Yuko</creatorcontrib><creatorcontrib>Irie, Yukako</creatorcontrib><creatorcontrib>Kozakai, Rumi</creatorcontrib><creatorcontrib>Sugimoto, Tomoko</creatorcontrib><creatorcontrib>Chigira, Ayako</creatorcontrib><creatorcontrib>Niino, Naoakira</creatorcontrib><title>Effectiveness of a home hazard modification program for reducing falls in urban community-dwelling older adults: A randomized controlled trial</title><title>Japan journal of nursing science : JJNS</title><addtitle>Japan Journal of Nursing Science</addtitle><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.</description><subject>accidental falls</subject><subject>Accidental Falls - prevention & control</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Case-Control Studies</subject><subject>Clinical trials</subject><subject>Evidence-based nursing</subject><subject>Falls</subject><subject>Female</subject><subject>home hazards</subject><subject>Humans</subject><subject>Male</subject><subject>Nursing</subject><subject>Older people</subject><subject>Prevention</subject><subject>program evaluation</subject><subject>randomized controlled trial</subject><subject>Safety Management - standards</subject><subject>Tokyo</subject><subject>Urban Population</subject><issn>1742-7932</issn><issn>1742-7924</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcFuFDEMhiMEomXhwgOgSFwQ0pRkkkl2uFVVW6iqIkFRj1EmcdosmaQkM5T2IXhmsmy7Bw7giy358y_bP0IvKdmjNd6tVrHs0ZZ0_SO0SyVvG9m3_PG2Zu0OelbKihBG2ZI9RTtt19JWCrGLfh06B2byPyBCKTg5rPFVGgFf6TudLR6T9c4bPfkU8XVOl1mP2KWMM9jZ-HiJnQ6hYB_xnAcdsUnjOEc_3Tb2BkJYEylYyFjbOUzlPd7HWUebRn8HttJxyimEWk7Z6_AcPal6BV7c5wX6enR4fvChOf10_PFg_7QxQvZ9Y4EyML1zBsBqwwkfJBWGdIaA0cwAkSBdy0mnxZI5abjQXW12jg5uGCxboDcb3XrS9xnKpEZfTN1XR0hzUVQuZf0P4eL_qOiZpL2oaYFe_4Wu0pxjPUTVf3Pe8Z53lXq7oUxOpWRw6jr7UedbRYlaG6rWhqo_hlb41b3kPIxgt-iDgxWgG-DGB7j9h5Q6OTn78iDabGZ8meDndkbnb0pIJjt1cXasGD-SF-z8sxLsNwkevWE</recordid><startdate>201507</startdate><enddate>201507</enddate><creator>Kamei, Tomoko</creator><creator>Kajii, Fumiko</creator><creator>Yamamoto, Yuko</creator><creator>Irie, Yukako</creator><creator>Kozakai, Rumi</creator><creator>Sugimoto, Tomoko</creator><creator>Chigira, Ayako</creator><creator>Niino, Naoakira</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>201507</creationdate><title>Effectiveness of a home hazard modification program for reducing falls in urban community-dwelling older adults: A randomized controlled trial</title><author>Kamei, Tomoko ; Kajii, Fumiko ; Yamamoto, Yuko ; Irie, Yukako ; Kozakai, Rumi ; Sugimoto, Tomoko ; Chigira, Ayako ; Niino, Naoakira</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6799-de13ec9ffceedac404b716c05c0eca3ce07e7f2405a683f7c46a55c05f1bfbbd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>accidental falls</topic><topic>Accidental Falls - prevention & control</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Case-Control Studies</topic><topic>Clinical trials</topic><topic>Evidence-based nursing</topic><topic>Falls</topic><topic>Female</topic><topic>home hazards</topic><topic>Humans</topic><topic>Male</topic><topic>Nursing</topic><topic>Older people</topic><topic>Prevention</topic><topic>program evaluation</topic><topic>randomized controlled trial</topic><topic>Safety Management - standards</topic><topic>Tokyo</topic><topic>Urban Population</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kamei, Tomoko</creatorcontrib><creatorcontrib>Kajii, Fumiko</creatorcontrib><creatorcontrib>Yamamoto, Yuko</creatorcontrib><creatorcontrib>Irie, Yukako</creatorcontrib><creatorcontrib>Kozakai, Rumi</creatorcontrib><creatorcontrib>Sugimoto, Tomoko</creatorcontrib><creatorcontrib>Chigira, Ayako</creatorcontrib><creatorcontrib>Niino, Naoakira</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Japan journal of nursing science : JJNS</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kamei, Tomoko</au><au>Kajii, Fumiko</au><au>Yamamoto, Yuko</au><au>Irie, Yukako</au><au>Kozakai, Rumi</au><au>Sugimoto, Tomoko</au><au>Chigira, Ayako</au><au>Niino, Naoakira</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of a home hazard modification program for reducing falls in urban community-dwelling older adults: A randomized controlled trial</atitle><jtitle>Japan journal of nursing science : JJNS</jtitle><addtitle>Japan Journal of Nursing Science</addtitle><date>2015-07</date><risdate>2015</risdate><volume>12</volume><issue>3</issue><spage>184</spage><epage>197</epage><pages>184-197</pages><issn>1742-7932</issn><eissn>1742-7924</eissn><abstract>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.</abstract><cop>Japan</cop><pub>Blackwell Publishing Ltd</pub><pmid>25212766</pmid><doi>10.1111/jjns.12059</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record> |
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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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