A study by Sarah Szanton, Lindy Clemson, Minhui Liu, Laura Gitlin, Melissa Hladek, Sarah LaFave, David Roth, Katherine Marx, Cynthia Felix, Safiyyah Okoye, Xuan Zhang, Svetlana Bautista, and Marianne Granbom in the Journal of Applied Gerontology discusses the impacts of the LIVE-LiFE intervention, a multifaceted approach including medication review, vision checkups, and occupational therapist-led-exercises for older adults at risk for falls. Study results indicated a reduction in all fall-related predictor categories and higher reported feelings of safety at home.
- Objectives: To evaluate whether a fall prevention intervention reduces fall risk in older adults who have previously fallen.
- Design: Randomized controlled pilot trial.
- Setting: Participants' homes.
- Intervention: LIVE-LiFE, adapted from Lifestyle-Intervention Functional Exercise (LiFE) integrates strength and balance training into daily habits in eight visits over 12 weeks. The adaptations to LiFE were to also provide (a) US$500 in home safety changes, (b) vision contrast screening and referral, and (c) medication recommendations. Control condition consisted of fall prevention materials and individualized fall risk summary.
- Measurement: Timed Up and Go (TUG) and Tandem stand. Falls efficacy, feasibility, and acceptability of the intervention.
- Results: Sample (N = 37) was 65% female, 65% White, and average 77 years. Compared with the control group, each outcome improved in the intervention. The LIVE-LiFE intervention had a large effect (1.1) for tandem stand, moderate (0.5) in falls efficacy, and small (0.1) in the TUG.
- Conclusion: Simultaneously addressing preventable fall risk factors is feasible.