Fall Prevention in Community Settings: Results from Implementing Tai Chi: Moving for Better Balance in Three States

Ory, Marcia G.; Smith, Matthew Lee; Parker, Erin; Jiang, Luohua; Chen, Shuai; Wilson, Ashley D.; Stevens, Judy A.; Ehrenreich, Hannelore; Lee, Robin

doi:10.3389/fpubh.2014.00258

Cited by 26 publications

(27 citation statements)

References 23 publications

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“…A significant issue related to older adult participation in EBHP programs is that men are often underrepresented [ 4 , 8 , 19 – 21 ]. Given that males also suffer higher rates of most illnesses than females and have higher healthcare costs than females from the age of 60 to approximately the age of 90, efforts are needed to ensure that older men participate in EBHP programs [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Recruiting and Engaging Older Men in Evidence-Based Health Promotion Programs: Perspectives on Barriers and Strategies

Anderson

Seff

Batra

et al. 2016

Journal of Aging Research

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Evidence-based health promotion programs are effective at reducing health risks and healthcare costs among older adults, but few men participate in the programs. This mixed methods study aimed to gain insight into the barriers to recruiting and engaging older men in evidence-based health promotion programs offered by the Healthy Aging Regional Collaborative of South Florida (HARC). Fourteen program coordinators participated in a focus group to identify barriers and strategies to improve male participation, and 49 instructors participated in a survey to triangulate the findings. Themes among barriers to male participation included women outnumbering men in the implementation sites and programs, conflict between male gender roles and the programs, and preference for other activities. Themes among strategies included public support of programs by male community leaders, program advertisements featuring males, and adapting program content. Survey results supported themes identified in the focus group. Nearly 78% of the survey respondents agreed that the perception of exercise programs as feminine was a barrier and over 90% of the survey respondents believed program advertisements featuring men would increase male participation. Findings indicate that health promotion programs and recruiting strategies need to be tailored to the unique needs and preferences of older men to improve participation.

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Section: Introductionmentioning

confidence: 99%

Recruiting and Engaging Older Men in Evidence-Based Health Promotion Programs: Perspectives on Barriers and Strategies

Anderson

Seff

Batra

et al. 2016

Journal of Aging Research

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“…Despite the well-known and published benefits of various evidence-based programs, middle-aged and older men are still less likely to engage and complete these programs compared to middle-aged and older women ( Anderson, Seff, Batra, Bhatt, & Palmer, 2016 ; Batra, Page, Melchior, Seff, Vieira, & Palmer, 2013 ; Ory et al, 2015 ). Potential explanations include men not perceiving they need the programs ( Batra et al, 2013 ) and the programs not appealing to men or to the senior male culture ( Anderson et al, 2016 ).…”

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confidence: 99%

Engaging the Underrepresented Sex: Male Participation in Chronic Disease Self-Management Education (CDSME) Programs

et al. 2018

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Females are more likely than males to participate in evidence-based health promotion and disease prevention programs targeted for middle-aged and older adults. Despite the availability and benefits of Stanford’s Chronic Disease Self-Management Education (CDSME) programs, male participation remains low. This study identifies personal characteristics of males who attended CDSME program workshops and identifies factors associated with successful intervention completion. Data were analyzed from 45,375 male CDSME program participants nationwide. Logistic regression was performed to examine factors associated with workshop attendance. Males who were aged 65–79 (OR = 1.27, p < .001), Hispanic (OR = 1.22, p < .001), African American (OR = 1.13, p < .001), Asian/Pacific Islander (OR = 1.26, p < .001), Native Hawaiian (OR = 3.14, p < .001), and residing in nonmetro areas (OR = 1.26, p < .001) were more likely to complete the intervention. Participants with 3+ chronic conditions were less likely to complete the intervention (OR = 0.87, p < .001). Compared to health-care organization participants, participants who attended workshops at senior centers (OR = 1.38, p < .001), community/multipurpose facilities (OR = 1.21, p < .001), and faith-based organizations (OR = 1.37, p < .001) were more likely to complete the intervention. Men who participated in workshops with more men were more likely to complete the intervention (OR = 2.14, p < .001). Once enrolled, a large proportion of males obtained an adequate intervention dose. Findings highlight potential strategies to retain men in CDSME programs, which include diversifying workshop locations, incorporating Session Zero before CDSME workshops, and using alternative delivery modalities (e.g., online).

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“…Research by Jang et al (2015) suggests that evidence-based fall prevention programs taught to culturally and linguistically diverse (CALD) groups of participants may not be a “one-size-fits-all”. Generalizability is a commonly cited limitation within fall prevention programming literature due to studies having: 1) no control/comparison group or study blind (Aizen, Lutsyk, Wainer, & Carmeli, 2015; Alvarez et al, 2015; Healy et al, 2008; Li & Harmer, 2014; Wurzer, Waters, Hale, & de la Barra, 2014) 2) high attrition and/or low sample sizes (Cho et al, 2015; Healy et al, 2008; Howland et al, 1998; Ory et al, 2015; Sosnoff et al, 2015; Wurzer et al, 2014), and 3) self-reported outcomes data and use of unstandardized/non-validated outcomes measures (Ory et al, 2015; Tennestedt et al, 1998; Wurzer et al, 2014). It is important to note that Howland et al (1998) concluded their Boston based fall prevention program for English speaking participants “may not be generalizable within Massachusetts or the country”.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the Effectiveness of the Translated “A Matter of Balance” Fall Prevention Program Materials for Non-English-Speaking Participants

Wolfe

Arabian

Breeze³

et al. 2018

Journal of Trauma Nursing

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A Matter of Balance (MOB) is an evidence-based fall prevention program shown to reduce fear of falling (FOF) in English speaking participants. The effectiveness of translated (Chinese and Spanish) MOB materials in reducing FOF is unknown. The objective of this study was to evaluate whether MOB was associated with reduced FOF in Chinese- and Spanish-speaking participants, and included an English-speaking comparison group. Participants were recruited from MOB classes in Massachusetts and Illinois. Investigators used the Falls Efficacy Scale-International (FES-I) and a demographic questionnaire to survey the participants at the first class (baseline), last class, and 6 months after the MOB course. Of the 90 participants who enrolled, 77 (85.6%) completed the course (Chinese [n=37]; Spanish [n=19], English [n=21]), and 54 (60%) completed the 6-month survey (Chinese [n=33], English [n=21]). Chinese FES-I scores significantly increased (FOF worsened) at the end of the course (+7.1, p=0.009) and 6 month survey scores were also significantly above baseline (+6.7, p=0.0088). FES-I scores decreased (FOF declined) in both the Spanish (−6.6, p=0.016) and English groups (−2.7, p=0.14) at last class, and English 6 month FES-I scores were slightly lower than baseline (−0.4, p=0.8). Participation in the MOB program did not reduce FOF in the Chinese population but MOB did show promise in reducing FOF in both the Spanish and English groups. Future studies are warranted to explore the cultural, social, and education-related factors that may influence effectiveness of the MOB program.

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Fall Prevention in Community Settings: Results from Implementing Tai Chi: Moving for Better Balance in Three States

Cited by 26 publications

References 23 publications

Recruiting and Engaging Older Men in Evidence-Based Health Promotion Programs: Perspectives on Barriers and Strategies

Recruiting and Engaging Older Men in Evidence-Based Health Promotion Programs: Perspectives on Barriers and Strategies

Engaging the Underrepresented Sex: Male Participation in Chronic Disease Self-Management Education (CDSME) Programs

Evaluating the Effectiveness of the Translated “A Matter of Balance” Fall Prevention Program Materials for Non-English-Speaking Participants

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