TY - JOUR
T1 - Feasibility study of student-led fall prevention care management
T2 - Reducing fall risks in assisted living facilities
AU - Kiyoshi-Teo, Hiroko
AU - McKinley-Yoder, Claire
AU - Ochoa-Cosler, Olivia
AU - Lemon, Erin
AU - Stoyles, Sydnee
AU - Tadesse, Ruth
AU - McGuire, Julie
AU - Lee, David S.H.
N1 - Publisher Copyright:
© 2021 Taylor & Francis Group, LLC.
PY - 2023
Y1 - 2023
N2 - Falls are common in Assisted Living Facilities (ALFs). We evaluated the feasibility, acceptability, and preliminary impact of student-led Fall Prevention Care Management (FPCM) on reducing fall risks in ALFs. Residents who were age ≥65, had a fall in the previous year Or considered high fall risk at the facility, and who had a MoCA cognition score>15 were enrolled. The FPCM interventions were semi-structured to facilitate students’ learning while addressing participants’ unique fall risks. Twenty-five older adults in the U.S. completed the study (recruitment rate: 55%; retention rate: 64%). Participants rated the study as 87.16 (100 = excellent), and likelihood to recommend the study to others was 80.85 (100 = most likely). Participants were 84% female, mean age 88.6 years old. Fall risks such as fear of falling decreased from 16.05 to 15.12 (p =.022), fall prevention behaviors increased from 2.94 to 3.07 (p =.048), and the level of confidence to prevent falls increased from 63.38 to 78.35 (p =.015). Students commonly provided education and coaching on fall prevention strategies, and addressed emotional and behavioral aspects of fall prevention. With improvement with recruitment and retention, student-led FPCM intervention is a promising approach for fall prevention in ALF.
AB - Falls are common in Assisted Living Facilities (ALFs). We evaluated the feasibility, acceptability, and preliminary impact of student-led Fall Prevention Care Management (FPCM) on reducing fall risks in ALFs. Residents who were age ≥65, had a fall in the previous year Or considered high fall risk at the facility, and who had a MoCA cognition score>15 were enrolled. The FPCM interventions were semi-structured to facilitate students’ learning while addressing participants’ unique fall risks. Twenty-five older adults in the U.S. completed the study (recruitment rate: 55%; retention rate: 64%). Participants rated the study as 87.16 (100 = excellent), and likelihood to recommend the study to others was 80.85 (100 = most likely). Participants were 84% female, mean age 88.6 years old. Fall risks such as fear of falling decreased from 16.05 to 15.12 (p =.022), fall prevention behaviors increased from 2.94 to 3.07 (p =.048), and the level of confidence to prevent falls increased from 63.38 to 78.35 (p =.015). Students commonly provided education and coaching on fall prevention strategies, and addressed emotional and behavioral aspects of fall prevention. With improvement with recruitment and retention, student-led FPCM intervention is a promising approach for fall prevention in ALF.
KW - Fall prevention
KW - assisted living
KW - care management
KW - students
UR - http://www.scopus.com/inward/record.url?scp=85114027059&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85114027059&partnerID=8YFLogxK
U2 - 10.1080/02701960.2021.1969387
DO - 10.1080/02701960.2021.1969387
M3 - Article
C2 - 34465276
AN - SCOPUS:85114027059
SN - 0270-1960
VL - 44
SP - 59
EP - 74
JO - Gerontology and Geriatrics Education
JF - Gerontology and Geriatrics Education
IS - 1
ER -