Preventing falls among older fallers: study protocol for a two-phase pilot study of the multicomponent LIVE LiFE program

  title={Preventing falls among older fallers: study protocol for a two-phase pilot study of the multicomponent LIVE LiFE program},
  author={Marianne Granbom and Lindy M Clemson and Laken C. Roberts and Melissa D. Hladek and Safiyyah M. Okoye and Minhui Liu and Cynthia Felix and David L. Roth and Laura N. Gitlin and Sarah L. Szanton},
BackgroundFalls reflect sentinel events in older adults, with significant negative consequences. Although fall risk factors have been identified as intrinsic (e.g., muscle weakness, balance problems) and extrinsic (e.g., home hazards), most prevention programs target only intrinsic factors. We present the rationale and design of a home-based multicomponent fall prevention program—the LIVE LiFE program—for community-living older adults. The program adapts and expands the successful Lifestyle… 

Pilot Outcomes of a Multicomponent Fall Risk Program Integrated Into Daily Lives of Community-Dwelling Older Adults

  • S. SzantonL. Clemson M. Granbom
  • Medicine, Psychology
    Journal of applied gerontology : the official journal of the Southern Gerontological Society
  • 2020
Simultaneously addressing preventable fall risk factors is feasible and a fall prevention intervention reduces fall risk in older adults who have previously fallen.

Effects of a Multicomponent Program on Fall Incidence, Fear of Falling, and Quality of Life among Older Adult Nursing Home Residents

The results of this study indicated that the multicomponent fall prevention program was effective in improving the quality of life, fall rate, and fear of falling among older residents in nursing homes.

The Lifestyle-integrated Functional Exercise (LiFE) program and its modifications: a narrative review

Lifestyle-integrated exercise is a promising approach to increase adherence levels of older adults compared to structured exercise programs as it saves time and effort and supports older adults in

Introducing an Evidence-Based Protocol to Reduce and Prevent Fall Events among Elderly Hospice Patients

The finding of this study indicated a significantly positive effect of a nurse-led multifactorial intervention on fall prevention of hospice patients cared for at home or at skilled nursing facilities.

Risk of Falling and Associated Factors in Older Adults with a Previous History of Falls

Age, using ambulatory assistive devices, polymedication, hospital admission following a fall and depression were significantly associated with risk of falling, and community-based fall prevention programs should be implemented.

Stakeholder perspectives of fall prevention for older Australians with vision impairment: “it’s just a matter of adapting them accordingly”

Results support the delivery of fall prevention programs to older adults with vision impairment through existing services, as long as professionals are provided with adequate service delivery guidelines, referral pathways, and fall prevention specific education and professional development opportunities.

Factors associated with reporting of the Prevention of Falls Network Europe (ProFaNE) core outcome set domains in randomized trials on falls in older people: a citation analysis and correlational study

It is found that RCTs funded by at least one non-industry source, examining exercise or multi-component/factorial interventions, reported the highest percentages of ProFaNE core outcome set domains.

Instrumented 5-Time Sit-To-Stand Test: Parameters Predicting Serious Falls beyond the Duration of the Test

An instrumented 5xSTS test provides additional information that better discriminates among older adults those at risk of multiple or serious falls than the conventional stopwatch-based assessment.

Workout in der Küche – Sturzprävention mit dem LiFE-Konzept

Altere Menschen sturzen vor allem aufgrund von nachlassender Gleichgewichtsfahigkeit und reduzierter Muskelkraft. Das Programm „Lifestyle integrated Functional Exercise“ (LiFE) setzt an diesen


Enterprise resource planning systems are considered as a key to gain competitive advantage and excellence. The purpose of this study is to find out the effect of enterprise resource planning systems



LiFE Pilot Study: A randomised trial of balance and strength training embedded in daily life activity to reduce falls in older adults.

LiFE was effective in reducing recurrent falls in this at-risk sample of community-residing people and secondary physical and health status outcomes improved minimally and inconsistently.

Integration of balance and strength training into daily life activity to reduce rate of falls in older people (the LiFE study): randomised parallel trial

The LiFE programme provides an alternative to traditional exercise to consider for fall prevention and functional based exercise should be a focus for interventions to protect older, high risk people from falling and to improve and maintain functional capacity.

Advancing Community-Based Falls Prevention Programs for Older Adults—The Work of the Administration for Community Living/Administration on Aging

Support from ACL/AoA has significantly increased the availability of evidence-based falls prevention programs in funded communities, as well as enhanced the network’s sustainable delivery infrastructure to promote continued access to these critical programs beyond the scope of grant funding.

Older people's views of falls-prevention interventions in six European countries.

Older people reject the idea that they are at risk of falling, so the uptake of strength and balance training programs may be promoted more effectively by maximizing and emphasizing their multiple positive benefits for health and well-being.

Interventions to Prevent Falls in Older Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force

This article focused on the 3 most commonly studied intervention types: multifactorial (customized interventions based on initial comprehensive individualized falls risk assessment), exercise, and vitamin D supplementation, which had mixed results.

Interventions for preventing falls in older people living in the community.

These interventions were more effective in people at higher risk of falling, including those with severe visual impairment, and home safety interventions appear to be more effective when delivered by an occupational therapist.

Risk Factors for Falls in Community-dwelling Older People: A Systematic Review and Meta-analysis

This meta-analysis provides comprehensive evidence-based assessment of risk factors for falls in older people, confirming their multifactorial etiology and finding some nonspecific indicators of high baseline risk were also strong predictors of the risk of falling.

Falls and Fall Injuries Among Adults Aged ≥65 Years - United States, 2014.

To estimate the numbers, percentages, and rates of falls and fall injuries among older adults by selected characteristics and state, CDC analyzed data from the 2014 Behavioral Risk Factor Surveillance System (BRFSS) survey.

Feasibility and Effectiveness of Intervention Programmes Integrating Functional Exercise into Daily Life of Older Adults: A Systematic Review

The approach of integrating functional exercise into daily life represents a promising alternative or complement to structured exercise programmes, however, more RCTs are needed to evaluate this concept in different target populations and the potential for inducing behavioural change.