ประสิทธิผลของโปรแกรมเตรียมความพร้อมในการป้องกันภาวะหกล้มต่อความรู้และการเตรียมความพร้อมของผู้ดูแล และการทรงตัวของผู้สูงอายุที่อาศัยในชุมชน

Ananya Chutimarat; Busakorn Konkam

doi:10.33165/rmj.48.02.e271785

Authors

Ananya Chutimarat Department of Social Medicine, Maharaj Nakhon Si Thammarat Hospital, Nakhon Si Thammarat, Thailand https://orcid.org/0009-0008-7102-2967
Busakorn Konkam Ban Plai Tha Health Promotion Hospital, Nakhon Si Thammarat, Thailand

DOI:

https://doi.org/10.33165/rmj.48.02.e271785

Keywords:

Older adults, Caregivers, Falling, Fall prevention preparation program

Abstract

Background: Falls among the elderly are a major concern in aging societies, impacting the physical, mental, social, and economic well-being of older adults and their families. Fall prevention is crucial and requires family involvement.

Objectives: To assess the effectiveness of the fall prevention preparation program on caregivers' knowledge and preparedness, as well as on the balance of older adults.

Methods: Quasi-experimental research was conducted among 64 pairs of caregivers and older adults aged 60 and above who were at risk of falls. Participants were divided into an intervention group (32 pairs) and a control group (32 pairs) using purposive sampling. Data collection included personal information questionnaires, caregivers’ knowledge and fall prevention preparedness questionnaires, and elderly balance assessment using the Five Times Sit to Stand Test. Data were analyzed using descriptive statistics and t test.

Results: Caregivers in the intervention group showed significant improvements in knowledge and fall prevention preparedness scores postprogram (P < .001) and had higher scores compared to the control group (P < .001) . The balance of older adults also significantly improved after the program (P < .001).

Conclusions: The fall prevention preparation program effectively enhanced caregivers' knowledge, leading to better fall prevention preparedness and improved balance in older adults.

References

National Statistical Office, Ministry of Digital Economy and Society Thailand. The 2024 Survey of the Older Persons in Thailand. National Statistical Office; 2024. Accessed 26 January 2025. https://www.nso.go.th/nsoweb/nso/survey_detail/iM?set_lang=en

Colón-Emeric CS, McDermott CL, Lee DS, Berry SD. Risk assessment and prevention of falls in older community-dwelling adults: a review. JAMA. 2024;331(16):1397-1406. doi:10.1001/jama.2024.1416

Department of Disease Control, Ministry of Public Health. Concern for Elderly Falls During the Rainy Season. 14 June 2021. Accessed 26 January 2025. https://ddc.moph.go.th/odpc7/news.php?news=26077&deptcode=odpc7

Vaishya R, Vaish A. Falls in older adults are serious. Indian J Orthop. 2020;54(1):69-74. doi:10.1007/s43465-019-00037-x

Jia H, Lubetkin EI, DeMichele K, Stark DS, Zack MM, Thompson WW. Prevalence, risk factors, and burden of disease for falls and balance or walking problems among older adults in the US. Prev Med. 2019;126:105737. doi:10.1016/j.ypmed.2019.05.025

Hopewell S, Adedire O, Copsey BJ, et al. Multifactorial and multiple component interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2018;7(7):CD012221. doi:10.1002/14651858.CD012221.pub2

Wayo W, Jitramontree N, Wirojratana V. The effect of multifactorial fall prevention program on fall prevention behavior among community-dwelling older adults. J Nurs Health Care. 2017;35(2):25-33.

Dautzenberg L, Beglinger S, Tsokani S, et al. Interventions for preventing falls and fall-related fractures in community-dwelling older adults: a systematic review and network meta-analysis. J Am Geriatr Soc. 2021;69(10):2973-2984. doi:10.1111/jgs.17375

Montero-Odasso M, van der Velde N, Martin FC, et al. World guidelines for falls prevention and management for older adults: a global initiative. Age Ageing. 2022;51(9):afac205. doi:10.1093/ageing/afac205

Attavinijtrakarn T, Imarb C. The effectiveness of preparation and fall prevention programs in the elderly. Reg 4-5 Med J. 2019;38(4):288-298.

Pongaumpai P, Hoontrakul S, Roojanavech S. The effects of family empowerment program on fall prevention capabilities of the elderly. RTN Med J. 2018;45(2):311-327.

Salalux P, Tiparat W. The effects of enhancing health literacy program on health literacy and fall prevention behaviors among caregivers of older adults at risk in Trang municipality. Journal of Nursing and Education. 2022;15(2):1-13.

Tiparat W, Rodniam J, Suwanweala P. The effects of an enhancing health literacy program with family participation on health literacy of caregivers, fall prevention behaviors, and balance of older adults at risk for fall. Pnu Sci J. 2022;14(3):72-91.

Ong MF, Soh KL, Saimon R, Wai MW, Mortell M, Soh KG. Fall prevention education to reduce fall risk among community-dwelling older persons: a systematic review. J Nurs Manag. 2021;29(8):2674-2688. doi:10.1111/jonm.13434

Jang I, Park S, Kim YS. The effects of fall health belief and knowledge of fall on the prevention of fall in the elderly: mediating and moderating effects of fall fear. Journal of Muscle and Joint Health. 2019;26(2):63-71. doi:10.5953/JMJH.2019.26.2.63

Punlomso S, Srimuang P, Tudpor K. Fall prevention by Otago exercise program based on health belief model in community-dwelling older persons. IJPOT. 2020;14(1):245-252. doi:10.37506/ijpot.v14i1.3478

Thomas E, Battaglia G, Patti A, et al. Physical activity programs for balance and fall prevention in elderly: a systematic review. Medicine (Baltimore). 2019;98(27):e16218. doi:10.1097/MD.0000000000016218

Yeun YR. Effectiveness of resistance exercise using elastic bands on flexibility and balance among the elderly people living in the community: a systematic review and meta-analysis. J Phys Ther Sci. 2017;29(9):1695-1699. doi:10.1589/jpts.29.1695

Petchalalai C, Udompanich S. Effect of elastic band exercise program on physical performance in Thai elderly. KKU J Public Health Res. 2019;12(2):53-61.

Vafaeenasab MR, Meybodi KN, Fallah HR, Morowatisharifabad MA, Namayandeh SM, Bigomi A. The effect of lower limb resistance exercise with elastic band on balance, walking speed, and muscle strength in elderly women. Elderly Health Journal. 2019;5(1):58-64. doi:10.18502/ehj.v5i1.1201

Karaket S, Potisat S, Chaisombut D. Positive effects of group exercises using a resistance band on trunk balance of elderly Thais in rural communities. ASEAN J Rehabil Med. 2022;32(1):11-20.

Hanphitakphong P, Watthanasuwakul M, Poomsalood S. Effects of exercise using a modified elastic band with a coconut shell on muscle strength and balance in community-dwelling older adults. J Phys Ther Sci. 2024;36(5):308-312. doi:10.1589/jpts.36.308

Kwak CJ, Kim YL, Lee SM. Effects of elastic-band resistance exercise on balance, mobility and gait function, flexibility and fall efficacy in elderly people. J Phys Ther Sci. 2016;28(11):3189-3196. doi:10.1589/jpts.28.3189

Poomsalood S, Pakulanon S. Effects of elastic exercise program on balance in the elderly. Paper presented at: 9th KU KPS National Conference; 6-7 December 2012, Kasetsart University Kamphaeng Saen Campus; 2012:2385-2393. Accessed 26 January 2025. https://www.esd.kps.ku.ac.th/kuk-gallery/article_9/pdf/p_sci_sport01.pdf