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Multiple-Risk-Factor
Reduction Strategy for Falls Prevention in Older Adults
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Background
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Program
Goals:
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The
Atlanta FICSIT trial interventions (Frailty and Injuries: Cooperative Studies
on Intervention Techniques) – In this intervention strategy, the risk factors
for falling of each of the participating older adults were identified on an
individual basis, and the factors then treated.
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Intent:
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Unintentional
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Risk
Factors Addressed:
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Gait,
balance, transfer skills, muscle strength, range of motion
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Place
of occurrence:
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Home
and community
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Age/Age
Range:
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Older
adults
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Resources
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Year
Developed:
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1990
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Collaborative
Organization(s):
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National
Institute on Aging
National
Institute for Nursing Research
Interdisciplinary
consensus group includes nurses, geriatric physicians, and physical
therapists
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Funding
Resource(s):
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funded jointly by National Institute on Aging and the National
Institute for Nursing Research
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Implementation
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Context/Setting:
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Home-based
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Strategies
Used:
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Evaluation,
Education
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Activities
Used:
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Individual assessment of falls risk factors;
Individually tailored program targeting identified risk factors
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Program
Evaluation:
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Matched block design
Randomized control trial
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Source
of Best Practice:
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Volpe,
R., Lewko, J., & Battra, A. (2002). A Compendium of Effective,
Evidence-Based Best Practices in Prevention of Neurotrauma. University of
Toronto Press, Toronto.
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Original
Source:
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Tinetti,
M.E., Baker, D.I., Garrett, P., Gottschalk, M., Koch, M.L. & Horwitz,
F.I. (1993).
Yale FICSIT: Risk factor abatement strategy for fall
prevention. Journal of the American Geriatric Society, 41, 315-320.
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Supplementary
Material:
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N/A
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Local
Example(s):
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N/A
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Contact
Information:
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Dr
Dorothy I Baker
Research
Scientist, Chronic Disease Epidemiology, School of Public Health
Yale
University School of Medicine
Program
in Aging
1N
- 129 York St
New
Haven, CT 06520 USA
Tel:
(203) 769-9800
Fax:
(203) 764-9831
Email:
dorothy.baker@yale.edu
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Outcomes
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Long-term
outcomes/Effectiveness:
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Specified intervention strategies directly contributed to the
decrease in falls associated with lowered health costs
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Short-term
outcomes:
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Significant reduction of falls as compared with control group
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Cost-Effectiveness:
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This
prevention strategy was shown to be associated with lowered health care costs
and both fewer total falls and fewer falls requiring medical care
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Other
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Date
of Review:
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2000
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Classification:
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Best
Practice
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References
Buchner, D.M., Hornbrook,
M.C., Kutner, N.G., Tinetti, M.E., Ory, M.G., Mulrow, C.D., Schechtman, K.B.,
Gerety, M.B., Fiatarone, M.A., & Wolf, S.L. (1993). Development of the
common data base for the FICSIT trials. Journal of the American Geriatric
Society, 41, 297-308.
Rizzo, J.A., Baker,
D.I., McAvay, G., & Tinetti, M.E. (1996). The cost-effectiveness of a
multifactorial targeted prevention program for falls among community elderly
persons. Medical Car, 34, 954-969.
Tinetti,
M.E., Baker, D.I., Garrett, P., Gottschalk, M., Koch, M.L., & Horwitz, F.I.
(1993). Yale FICSIT: Risk factor abatement strategy for fall prevention. Journal
of the American Geriatric Society, 41, 315-320.
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This best practice has been taken from the compendium volumes of best practices in neurotrauma prevention, identified and reviewed by Ontario researchers, with funding from the Ontario Neurotrauma Foundation (ONF). OIPRC has partnered with the ONF to abstract and web-enable this practice. Please direct inquiries about this best practice to richard.volpe@utoronto.ca.
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