Effects of Fall Prevention Program with Multifactorial Intervention on Fall Prevention Behavior and Balance among Community - Dwelling Older Adults in Trang Province
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Abstract: This quasi-experimental research, two-group pre-test post-test time comparison design aimed to study the effect of fall prevention program with multifactorial intervention on fall prevention behaviors among community-dwelling older adults in Trang province. Research participants were 60 older adults residing in Huay Yod district, Trang province selected into 2 groups equally 30 people for each group. The intervention group received fall prevention program with multifactorial interventions which consisted of knowledge on fall prevention, balance exercises to prevent falls, home environment evaluation to prevent falls at home, and medication review for 12 weeks. Data were collected using questionnaires, including questions on health belief model, fall prevention behavior, and the balance test (Berg balance and Time up and go test). Data were analyzed by paired sample t-test, independent sample t-test, Wilcoxon signed rank test, Mann-Whitney U test and Repeated Measures ANOVA. Results showed that after program completion, intervention group had statistically significant higher score of health belief model and fall prevention behavior compared to before program (p<.05) and higher than control group (p<.05). Although balance score between intervention group comparing to control group was not statistically different, intervention group had statistically significant better score of balance test (p<.05). In conclusion, the fall prevention program with multifactorial intervention is effective on fall prevention behaviors among communitydwelling older adults.
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References
Foundation of Thai Gerontology Research and Development institute (TGRI). Situation of the older person 2021. Nakhon Pathom: Amarin printing and publishing public Co., Ltd; 2021. (In Thai)
Foundation of Thai Gerontology Research and Development institute (TGRI). Situation of the older person 2019. Nakhon Pathom: Printery Co., Ltd; 2019. (In Thai)
World Health Organization. [Internet]. Geneva: World Health Organization; 2018. Falls; 2018 [cited 2020 June 25]; [about 4 screens]. Available from: https://www.who.int/news-room/factsheets/detail/falls
Katakot P, editors. Research plans in prevention and control of disease and health hazard 2019-2021. [Internet]. Nonthaburi: Division of Innovation and Research (DIR.); 2019 [cited 2020 June 25]. Available from: http://irem.ddc.moph.go.th/uploads/book/5c779c5c14610.pdf
Sichang N, Kawee L. [Internet]. Nonthaburi: Division of non-communicable diseases; 2016. Falls prediction and forecast in elderly (Age over 60 years old) in Thailand, 2017-2021; 2016 [cited 2020 October 19]; [p. 1-8]. Available from: http://www.thaincd.com/2016/mission/documentsdetail.php?id=12095&tid=&gid=1-027
Division of non-communicable diseases. [Internet]. Nonthaburi: Number of falls cases in elderly and mortality rate from falls ICD 10 (W00 – W19), 2018; 2019 [cited 2020 October 19]; [about 6 p.]. Available from: http://www.thaincd.com/2016/mission/documents-detail.php?id=13658&tid=39&gid=1-027
Rodseeda P. Fall prevention among the elderly living in a community: The nursing role in home health care. TRC Nurs J. 2018;11(2):15-25. (In Thai)
Institute Of Geriatric Medicine. Clinical practice guideline for prevention and evaluation of falls in elderly. Nonthaburi: Sinthavee printing Co., Ltd; 2019. (In Thai)
Lecktip C, Woratanarat T, Bhubhanil, S Lapmanee, S. Risk factors for falls in elderly. J Med Health Sci. 2019; 26(1): 85-103. (In Thai)
Boongird C. Falling in the older adults: prevention and management in family medicine. Boongird C, editor. Bangkok; Sahamit Pattana printing (1992) Co., Ltd; 2018. (In Thai)
The World Health Organization regional office for Europe (WHO/Europe). [Internet]. Copenhagen: WHO/Europe; 2012. Policies and priority interventions for healthy ageing; 2012 [cited 2021 May 13]; [p. 1-11]. Available from: https://www.euro.who.int/__data/assets/pdf_file/0006/161637/WHD-Policies-and-Priority-Interventionsfor-Healthy-Ageing.pdf
Lee SH, Yu S. Effectiveness of multifactorial interventions in preventing falls among older adults in the community: A systematic review and metaanalysis. Int J Nurs Stud. 2020; 106: 103564.
Doungchan N, Sinprasert P, Meebunmark Y, Wanchi, A, Homjandee J. Explore existing fall prevention programs for older adults in Thailand. JONAE. 2022; 15(4): 1-16. (In Thai)
Wayo W, Jitramontree N, Wirojratana V. The effect of multifactorial fall prevention program on fall prevention behavior among community-dwelling older adults. Journal of Nursing and Health Care. 2017; 35(2): 25-33. (In Thai)
Champion VL, Skinner CS. Health behavior and health education: Theory, research, and practice. 4th ed. Glanz K, Rimer BK, Viswanath K, editor. San Francisco (USA): Jossey-Bass; 2008.
Viravan T. Effect of combination exercise on balance in elderly, Bungkum district, Bangkok. J Public Health. 2012; 42(2): 44-53. (In Thai)
Piboon K, Pongsaegphun P, Inchai P, Pithaksilp M. Effectiveness of multifactorial program for prevention falls among community-dwelling older adults. Faculty of Public Health. Burapha University; 2017. (In Thai)
Jalayondeja C. Falls screening by Timed Up and Go (TUG). J Med Tech Phy Ther 2014; 26(1): 5-16. (In Thai)
Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate Data Analysis. 8th ed. United Kingdom: Cengage Learning, EMEA; 2019.
Kim HY. Statistical notes for clinical researchers: A one-way repeated measures ANOVA for data with repeated observations. Restor Dent Endod. 2015;40(1): 91-5.
Saenwa S, Wattanaburanon A, Maharachpong N. Effect of fall prevention program based on health belief and social support on fall prevention behaviors among the elderly in Konchan district Chonburi province. rdhsj. 2022; 15(2): 214-27. (In Thai)
Kanthanaphat N, Suwan P, Soawaphan J, Kwawong K, Wuttisartkul Y, Tipmom W. Perceived of fall, fall prevention behavior and frequency rate of falls among elderly after using the practice guideline for preventing fall base on 10P’s multifactorial in a community-dwelling elderly in Udon Thani Province. udhhosmj. 2021; 29(1): 111-26. (In Thai)
Punlomso S. Effects of health belief model with exercising program on fall prevention among the elderly in Khok Klang Subdistrict, Nonsaad District, Udonthani Province [Dissertation]. Mahasarakham: Mahasarakham University; 2019. (In Thai)
Tedniyom T, Maharachpong N, Kijpreedarbirisuthu B, Sakulkim S. Effects of the self-efficacy enhancement program on fall prevention among the elderly in Autong district, Suphanburi province. J DMS. 2019; 44(4): 90-5. (In Thai)
Kongpetch C. Exercise for the elderly. TJN. 2019; 68(4): 64-71. (In Thai)
Puipanichsiri P, Sungkarat S, Boripuntakul S, Jinajin S, Nantachai G, Ruangrukrien B. Effects of falls prevention exercise program on gait and falls risk in community-dwelling older adults. J DMS. 2021;46(4): 74-80. (In Thai)