A Process Evaluation of a Fall Prevention Intervention Using the RE-AIM Framework
BACKGROUND: Home hazard removal programs are effective in reducing falls among older adults, but delivery in the United States is limited.
OBJECTIVES: We completed a process evaluation of the Home Hazard Removal Program (HARP), an intervention delivered by occupational therapists.
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.
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.
CONCLUSIONS: HARP has good reach, effectiveness, adherence, implementation, and maintenance and is a low-cost intervention.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:44 |
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| Enthalten in: |
OTJR : occupation, participation and health - 44(2024), 2 vom: 31. März, Seite 278-286 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Somerville, Emily [VerfasserIn] |
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| Links: |
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| Themen: |
Environment |
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| Anmerkungen: |
Date Completed 13.03.2024 Date Revised 13.03.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1177/15394492231182398 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM359029353 |
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| 520 | |a BACKGROUND: Home hazard removal programs are effective in reducing falls among older adults, but delivery in the United States is limited | ||
| 520 | |a OBJECTIVES: We completed a process evaluation of the Home Hazard Removal Program (HARP), an intervention delivered by occupational therapists | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a CONCLUSIONS: HARP has good reach, effectiveness, adherence, implementation, and maintenance and is a low-cost intervention | ||
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