A Feasibility Study of Multi-component Fall Prevention for Homebound Older Adults Facilitated by Lay Coaches and Using a Tablet-Based, Gamified Exercise Application

Namkee Choi; Emma Stanmore; Nancy Gell; Julieta Caamano; Kelly Vences

doi:10.1177/0733464821991024

A Feasibility Study of Multi-component Fall Prevention for Homebound Older Adults Facilitated by Lay Coaches and Using a Tablet-Based, Gamified Exercise Application

Namkee Choi, Emma Stanmore, Nancy Gell, Julieta Caamano, Kelly Vences

Nursing & Midwifery

Research output: Contribution to journal › Article › peer-review

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Abstract

Although homebound older adults face high risk for falls, they are unable to utilize community-based fall prevention programs due to their mobility limitations. In this paper, we report a feasibility study of a 4-session, multicomponent fall prevention program for low-income homebound older adults using pre, post, mixed-method design. The manualized program was delivered by lay coaches who were trained and supervised by a physical therapist. The program also used an iPad-based gamified strength and balance exercise app (called KOKU) that was operable without the need to connect to the internet. Participants (n=28) in this study were highly receptive to the program and approved all components: psychoeducation, the KOKU app, home-safety checks, safe ambulation training, and medication review. The study showed that a brief, multi-component fall prevention program for homebound older adults is feasible and acceptable. Further research is needed to evaluate its effectiveness.

Original language	English
Journal	Journal of Applied Gerontology
Early online date	4 Feb 2021
DOIs	https://doi.org/10.1177/0733464821991024 https://doi.org/10.1177/0733464821991024
Publication status	Published - 4 Feb 2021

Keywords

Homebound
older adults
falls
fall prevention
digital health interventions (DHI)
Exercise
Home Safety Check

Access to Document

A Feasibility Study of FP by Lay Coaches for Homebound OA_FINAL ACCEPTED_01_08_2021Accepted author manuscript, 72 KB

DHSCRG: Digital Health and Social Care Research Group
Dowding, D. (Researcher), Hawley-Hague, H. (Researcher), O'Connor, S. (Researcher), Stanmore, E. (Researcher), Kirk, S. (Researcher), Hall, A. (Researcher), Burden, S. (Researcher), Deane, J. (Researcher), Eost-Telling, C. (Researcher), Gasteiger, N. (Researcher), Jeyasingham, D. (Researcher), Christie, J. (Researcher), Rogers, K. (Researcher), Dumville, J. (Researcher), Atkinson, R. (Researcher), Vercell, A. (Researcher) & Ford, C. (Researcher)
Project: Research
HARG: Healthy Ageing Research Group
Todd, C. (Researcher), Stanmore, E. (Researcher), Hall, A. (Researcher), Littlewood, A. (Researcher), Davies, A. (Researcher), Sowerbutts, A. M. (Researcher), Maharani, A. (Researcher), Dowding, D. (Researcher), Jones, D. (Researcher), Boulton, L. (Researcher), Cruickshank, F. (Researcher), Hawley-Hague, H. (Researcher), Brooks, J. (Researcher), Griffiths, J. (Researcher), Spencer, K. (Researcher), Fisher, K. (Researcher), Mcgarrigle, L. (Researcher), Cook, M. (Researcher), Pendleton, N. (Researcher), Stanford, P. (Researcher), Lasrado, R. (Researcher), Ahmed, S. (Researcher), Clinch, S. (Researcher), Burden, S. (Researcher), Gluchowski, A. (Researcher), Ford, C. (PGR student), Al Zadjali, F. (PGR student), Sremanakova, J. (PGR student), Fisher, K. (PGR student), Zougar, M. (PGR student), Almohaisen, N. (PGR student), Yang, Y. (PGR student), Mckenzie, Y. (PGR student), O'Connor, S. (Researcher), Aminu, A. (Researcher), Bosco, A. (Researcher), Parchment, A. (Researcher), Money, A. (Researcher), Mackenzie, A. (Researcher), Karki, B. (PGR student), Poku, B. (Researcher), Eost-Telling, C. (Researcher), French, C. (PGR student), Harris, D. (PGR student), Andah, E. (Researcher), Vardy, E. (Researcher), Hakeem, F. (Researcher), Donald, G. (Researcher), Bilsborough, H. (PGR student), Gangannagaripalli, J. (Researcher), Astbury, J. (Researcher), Garsden, J. (Researcher), Ventre, J. (Researcher), Aguilera Munoz, J. (Researcher), Allsopp, K. (Researcher), Mcgarrigle, L. (Researcher), Mott, L. (PGR student), Huang, L. (Researcher), Tomkow, L. (Researcher), Ahmed, N. (Researcher), Fox, S. (Researcher), Mcdermott, J. (Researcher), Hoodless, S. (Researcher), Dlima, S. (PGR student), Shi, Y. (PGR student) & Tang, Y. (PGR student)
Project: Research

Cite this

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title = "A Feasibility Study of Multi-component Fall Prevention for Homebound Older Adults Facilitated by Lay Coaches and Using a Tablet-Based, Gamified Exercise Application",

abstract = "Although homebound older adults face high risk for falls, they are unable to utilize community-based fall prevention programs due to their mobility limitations. In this paper, we report a feasibility study of a 4-session, multicomponent fall prevention program for low-income homebound older adults using pre, post, mixed-method design. The manualized program was delivered by lay coaches who were trained and supervised by a physical therapist. The program also used an iPad-based gamified strength and balance exercise app (called KOKU) that was operable without the need to connect to the internet. Participants (n=28) in this study were highly receptive to the program and approved all components: psychoeducation, the KOKU app, home-safety checks, safe ambulation training, and medication review. The study showed that a brief, multi-component fall prevention program for homebound older adults is feasible and acceptable. Further research is needed to evaluate its effectiveness. ",

keywords = "Homebound, older adults, falls, fall prevention, digital health interventions (DHI), Exercise, Home Safety Check",

author = "Namkee Choi and Emma Stanmore and Nancy Gell and Julieta Caamano and Kelly Vences",

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language = "English",

journal = "Journal of Applied Gerontology",

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AU - Stanmore, Emma

AU - Gell, Nancy

AU - Caamano, Julieta

AU - Vences, Kelly

PY - 2021/2/4

Y1 - 2021/2/4

N2 - Although homebound older adults face high risk for falls, they are unable to utilize community-based fall prevention programs due to their mobility limitations. In this paper, we report a feasibility study of a 4-session, multicomponent fall prevention program for low-income homebound older adults using pre, post, mixed-method design. The manualized program was delivered by lay coaches who were trained and supervised by a physical therapist. The program also used an iPad-based gamified strength and balance exercise app (called KOKU) that was operable without the need to connect to the internet. Participants (n=28) in this study were highly receptive to the program and approved all components: psychoeducation, the KOKU app, home-safety checks, safe ambulation training, and medication review. The study showed that a brief, multi-component fall prevention program for homebound older adults is feasible and acceptable. Further research is needed to evaluate its effectiveness.

AB - Although homebound older adults face high risk for falls, they are unable to utilize community-based fall prevention programs due to their mobility limitations. In this paper, we report a feasibility study of a 4-session, multicomponent fall prevention program for low-income homebound older adults using pre, post, mixed-method design. The manualized program was delivered by lay coaches who were trained and supervised by a physical therapist. The program also used an iPad-based gamified strength and balance exercise app (called KOKU) that was operable without the need to connect to the internet. Participants (n=28) in this study were highly receptive to the program and approved all components: psychoeducation, the KOKU app, home-safety checks, safe ambulation training, and medication review. The study showed that a brief, multi-component fall prevention program for homebound older adults is feasible and acceptable. Further research is needed to evaluate its effectiveness.

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KW - older adults

KW - falls

KW - fall prevention

KW - digital health interventions (DHI)

KW - Exercise

KW - Home Safety Check

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DO - 10.1177/0733464821991024

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SN - 0733-4648

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A Feasibility Study of Multi-component Fall Prevention for Homebound Older Adults Facilitated by Lay Coaches and Using a Tablet-Based, Gamified Exercise Application

Abstract

Keywords

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Projects

DHSCRG: Digital Health and Social Care Research Group

HARG: Healthy Ageing Research Group

Cite this