Programmatic influences on outcomes of an evidence-based fall prevention program for older adults: A translational assessment

Matthew Lee Smith, Angela K. Hochhalter, Yichen Cheng, Suojin Wang, Marcia G. Ory

Research output: Contribution to journalArticlepeer-review

Abstract

Investigating the implementation and dissemination of evidence-based health-promotion programs to reach large numbers of diverse older adults is needed. The purpose of this study is to examine relationships between class size and session attendance and assess differences in intervention outcomes based on these community-based fall prevention program characteristics. Pre-post data were analyzed from 2,056 falls prevention program participants. PROC MIXED for repeated measures and ordinary least squares regressions were employed. Approximately 32% of participants enrolled in recommended class sizes (eight to 12 participants) and 76.4% of enrolled seniors attended more than five of eight sessions. Enrolling in smaller class sizes was associated with higher class attendance (X 2 = 43.43, p < 0.001). Recommended class sizes and those with 13-20 participants reported significant improvements in falls efficacy and physical activity. Perfect attendance was associated with improvements in falls efficacy (t = 2.52, p < 0.05) and activity limitation (t = -2.66, p < 0.01). Findings can inform fall prevention program developers and lay leader deliverers about ideal class sizes relative to maximum intervention benefits and cost efficiency.

Original languageEnglish (US)
Pages (from-to)384-393
Number of pages10
JournalTranslational Behavioral Medicine
Volume1
Issue number3
DOIs
StatePublished - Sep 2011

Keywords

  • Dissemination
  • Falls prevention
  • Intervention intensity
  • Translational research

ASJC Scopus subject areas

  • Applied Psychology
  • Behavioral Neuroscience

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