Effectiveness of Education and Individualized Counseling in Reducing Environmental Hazards in the Homes of Community‐Dwelling Older Women

Wyman, Jean F.; Croghan, Catherine F.; Nachreiner, Nancy M.; Gross, Cynthia R.; Stock, Holly Hatch; Talley, Kristine Mc; Monigold, Melinda

doi:10.1111/j.1532-5415.2007.01315.x

Cited by 43 publications

(28 citation statements)

References 37 publications

(72 reference statements)

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“…The methods used in this study have been described elsewhere. 40,41 Only data on the participants randomized to the fall prevention program are included in this analysis because that group received exercise adoption instruction. Participants were recruited through letters mailed to a population-based sample of female Medicare enrollees.…”

Section: Design and Samplementioning

confidence: 99%

Predictors of Long-term Exercise Adherence in a Community-Based Sample of Older Women

Findorff

Wyman

Gross

2009

Journal of Women's Health

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Background: Few studies have examined long-term exercise adherence in older women. The purpose of this study was to assess predictors of adherence to an intervention involving walking and balance exercises. Methods: This was a randomized controlled trial with 2-year follow-up. Sedentary women (n ¼ 137) aged !70 randomized to the exercise intervention were evaluated in their homes. The exercise prescription included walking 30 minutes per day 5 days per week and completing 11 balance exercises twice per week. The main outcome measure was exercise adherence of the intervention group only. Results: The average number of minutes walked per week was 95.2 (SD 68.8); 17% walked the recommended 150 minutes or greater. The average number of times the balance exercises were done was 1.5 (SD 1.6) per week. Results of regression analysis for walking adherence showed clinical variables accounted for the greatest variance (17%) of all the blocks, and cognitive variables were second highest (12%). The final model explained 19% of the variance in predicting adherence to walking. Results of regression analysis for adherence to balance exercises showed health-related quality of life (HRQOL) variables accounted for the greatest variance (14%), followed by cognitive variables (12%). The final model explained 24% of the variance in predicting adherence to balance exercises. Conclusions: Adherence to exercise was below recommended goals, although this study demonstrated that sedentary women can adopt and continue regular exercise long term. Predictors of adherence varied with different forms of exercise. Individually tailored exercise interventions may be most amenable to older women.

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Section: Design and Samplementioning

confidence: 99%

Predictors of Long-term Exercise Adherence in a Community-Based Sample of Older Women

Findorff

Wyman

Gross

2009

Journal of Women's Health

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“…Participants were excluded if they had an artificial leg or leg brace; were involved in regular exercise for 3 or more days per week; had unstable health problems prohibiting safe, independent exercise; were terminally ill; or had poor corrected near visual acuity ≥ 20/70. There were 4,112 women assessed for eligibility, 41% did not respond to recruitment efforts, 29% were ineligible, 23% refused participation, and 7% enrolled in the study (Wyman et al, 2007). …”

Section: Methodsmentioning

confidence: 99%

Change in Balance Confidence and Its Associations With Increasing Disability in Older Community-Dwelling Women at Risk for Falling

et al. 2014

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Objectives To describe change in balance confidence, and to identify associated factors and disabling consequences. Method Secondary analysis of 2 years of data collected from 272 older women enrolled in a randomized clinical trial of fall prevention. Balance confidence and disability measures were assessed at baseline, after the 12 week intervention, and at 1 and 2 years follow-up. Associated factors were measured at baseline. Results Balance confidence varied at baseline and decreased 5% over 2 years, but no variables predicted this decline. Baseline balance confidence was associated with poor physical function and mental health. Decreasing balance confidence was associated with increasing impairments in balance and hip flexion strength, increasing functional limitations in mobility and chair rises, reduced physical activity levels, increased activity restrictions, and decreasing social networks. Discussion Decreasing balance confidence plays an important role in disablement. More research is needed to identify predictors of decreasing balance confidence.

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“…Environmental hazards could be a cause of falls (Lord et al, 2007). In reducing environmental hazards, falls prevention programs may need to provide and install safety devices particularly in the homes (Wyman et al, 2007). Studies have shown that when older patients at increased risk of falls are discharged from the hospital, a facilitated environmental home assessment should be considered (AGS, BGS, AAOS, 2001;Tinetti, 2003).…”

Section: Clinical Trials and Multifactorial Interventionmentioning

confidence: 99%

Rehabilitation in Osteoporosis

Dionyssiotis¹

2012

Osteoporosis

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Effectiveness of Education and Individualized Counseling in Reducing Environmental Hazards in the Homes of Community‐Dwelling Older Women

Abstract: Education and counseling have only modest effects in helping older women make recommended home modifications. To be most effective in reducing environmental hazards, fall prevention programs may need to provide and install safety devices.

Cited by 43 publications

References 37 publications

Predictors of Long-term Exercise Adherence in a Community-Based Sample of Older Women

Predictors of Long-term Exercise Adherence in a Community-Based Sample of Older Women

Change in Balance Confidence and Its Associations With Increasing Disability in Older Community-Dwelling Women at Risk for Falling

Rehabilitation in Osteoporosis

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