Citation

Thiamwong L, Huang HJ, Ng BP, Yan X, Sole ML, Stout JR, Talbert S. Clin. Gerontol. 2019; ePub(ePub): ePub.

Affiliation

College of Nursing, University of Central Florida, Orlando, Florida, USA.

Copyright

(Copyright © 2019, Informa - Taylor and Francis Group)

DOI

10.1080/07317115.2019.1692120

PMID

31713464

Abstract

Objectives: 1) examine the preliminary effectiveness of the Physio-feEdback and Exercise pRogram (PEER) for shifting maladaptive to adaptive fall risk appraisal and reducing fall risk, 2) determine the participants' feedback and acceptability of the program.Methods: Forty-one older adults were assigned to either PEER intervention or attention control group. The 8-week PEER intervention consists of a visual physio-feedback, cognitive reframing, and combined group and home-based exercise led by a trained peer coach. The attention control group read fall prevention brochures and continued their normal activities. BTrackS Balance Test (BBT), short version of Fall Efficacy Scale International (short FES-I) and CDC fall risk checklist were measured from pre- to post-intervention. The feedback and acceptability were conducted at the program conclusion.Results: About 11% of participants in the PEER group had positive shifting but none in the attention control group. Up to 32% of the participants in attention control had negative shifting compared to 5.3% in the PEER group. PEER group reported significant decreases in fall risk and high acceptability of the program.Conclusions: PEER intervention facilitates a shift from maladaptive to adaptive fall risk appraisal and reduces fall risk.Clinical Implications: Preventive interventions promoting alignment between perceive and physiological fall risk may contribute to reducing falls and increasing exercise adherence.

Language: en

Keywords

Behavioral intervention; community; exercise; fall; feedback; home; older adult; peer coaching; risk; technology