TY - JOUR PY - 2009// TI - Falls reduction in long-term care facilities: a preliminary report of a new internet-based behavioral technique JO - Journal of the American Medical Directors Association A1 - Mansdorf, Irwin J. A1 - Sharma, Ravil A1 - Perez, M. A1 - Lepore, Anne-Marie SP - 630 EP - 633 VL - 10 IS - 9 N2 - OBJECTIVE: To investigate an Internet-based psychological intervention targeting behavioral factors related to falls among residents of long-term care communities. DESIGN: Retrospective A-B design with 90-day look-back. SETTING: Long-term care communities in New York State (N=4, 3 SNF, 1 ALF). PARTICIPANTS: Nursing home residents (N=26). INTERVENTION: Internet-based programmed learning system using cognitive- and behavioral-based techniques. MEASUREMENTS: Direct measures of documented falls in the medical record, perceived risk and burden scales, Falls Efficacy Scale-International (FES-I), Attitudes to Falls-Related Interventions Scale (AFRIS). RESULTS: Reductions in documented falls by 52% along with substantial reductions in staff ratings of risk and burden. CONCLUSION: Behavioral treatment of risk factors related to falls within a structured delivery using Internet-based intervention may be an effective and efficient mechanism for treating fall risk in long-term care settings.

Language: en

LA - en SN - 1525-8610 UR - http://dx.doi.org/10.1016/j.jamda.2009.06.005 ID - ref1 ER -