TY  - JOUR
PY  - 2023//
TI  - A process evaluation of a fall prevention intervention using the RE-AIM framework
JO  - OTJR: occupation, participation and health
A1  - Somerville, Emily
A1  - Yan, Yan
A1  - Stark, Susan
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: Home hazard removal programs are effective in reducing falls among older adults, but delivery in the United States is limited. <br><br>OBJECTIVES: We completed a process evaluation of the Home Hazard Removal Program (HARP), an intervention delivered by occupational therapists. <br><br>METHODS: Using the RE-AIM framework (reach, effectiveness, adoption, implementation, maintenance), we examined outcomes using descriptive statistics and frequency distribution. We examined differences between covariates using Pearson correlation coefficients and two-sample t tests. <br><br>RESULTS: 79.1% of eligible older adults participated (reach); they experienced a 38% reduction in fall rates (effectiveness). Ninety percent of recommended strategies were completed (adoption), 99% of intervention elements were delivered (implementation), and 91% of strategies were still used at 12 months (maintenance). Participants received an average of 258.6 minutes of occupational therapy. An average of US$765.83 was spent per participant to deliver the intervention. <br><br>CONCLUSIONS: HARP has good reach, effectiveness, adherence, implementation, and maintenance and is a low-cost intervention.<p />  <p>Language: en</p>
LA  - en
SN  - 1539-4492
UR  - http://dx.doi.org/10.1177/15394492231182398
ID  - ref1
ER  -