Falls Among Pennsylvania Elderly Reduced by State Program
PITTSBURGH, March 13, 2014
– A low-cost program reduced falls in the elderly by 17 percent statewide, illustrating the value and effectiveness of using existing aging services, such as senior centers, in preventing falls, a University of Pittsburgh Graduate School of Public Health
“A challenge for public health officials is to decrease the risk of falls without encouraging reduced physical activity. Our research shows that the Healthy Steps for Older Adults program is a successful tool to help reduce falls.”
Healthy Steps for Older Adults, run by the Pennsylvania Department of Aging
, offers risk screening for falls and educational information regarding fall prevention, for adults 50 years and older. Participants who are identified as high risk for falls are referred to primary care providers and encouraged to complete home safety assessments, which identify modification — including banisters and grab bars — to reduce hazards in their homes that might put them at greater risk for falls.
The program is designed to be administered by volunteers at senior centers to keep costs low. Between 2010 and 2011, the state reimbursed the centers $70 per person for delivering the program, allocating $1.2 million to the program as a whole.
Dr. Albert and his co-authors recruited 814 older adults at senior centers statewide to complete the program, and compared them to 1,019 counterparts who did not. The average age of study participants was 75.4 years.
Of those who completed the program and were informed they were at high risk for falls, 21.5 percent followed up with physicians. More than three-quarters of program participants at high risk conducted home safety assessments, and a third went on to reduce home hazards.
“Though further analyses will be necessary to understand specifically how these actions translated into a 17 percent reduction in falls, it appears that referrals for physician care and home safety assessments, along with informing older adults of their high-risk status and heightening their sensitivity to situations involving a risk of falling, may lead to reductions in falls,” said Dr. Albert.
Additional researchers on this study are Anne B. Newman, M.D., M.P.H
., Robert Boudreau, Ph.D., and Tanushree Prasad, M.A., all of the Pitt Public Health Department of Epidemiology
; Jennifer King, B.A., of the Pitt Public Health Department of Community and Behavioral Health; and Chyongchiou J. Lin, Ph.D., of the Pitt School of Medicine
This study was supported by CDC cooperative agreement DP002657 and grant U48 DP001918, and NIH grant P30 AG024827.