预防跌倒健康教育项目对健康和运动专业人员的影响：一项随机对照试验。
Impact of a fall prevention education program for health and exercise professionals: a randomised controlled trial.
机构信息
Institute for Musculoskeletal Health, University of Sydney and Sydney Local Health District, NSW, Australia;
Neuroscience Research Australia, UNSW Sydney, Australia.
出版信息
Public Health Res Pract. 2021 Sep 8;31(3):30342013. doi: 10.17061/phrp30342013.
UNLABELLED
Objectives and importance of study: Exercise prevents falls among community-dwelling older adults. Therefore, it is crucial that health and exercise professionals have the knowledge and skills to prescribe appropriate fall prevention exercise. This study evaluated the effect of a fall prevention education program, compared with a waitlist control group, on health and exercise professionals' fall prevention knowledge and behaviour, and their confidence to prescribe fall prevention exercises for older people.
STUDY TYPE
Randomised controlled trial.
METHODS
Participants were 200 health and exercise professionals recruited in New South Wales (NSW), Australia. The intervention group participated in a 1-day face-to-face education workshop on exercise to prevent falls in older age. The waitlist control group received the education intervention after completion of the 3-month follow-up. Primary outcomes were self-reported fall prevention knowledge, and change in prescribing behaviour for fall prevention exercise. Secondary outcomes were: confidence to prescribe fall prevention exercise; proportion of people aged 60 years and older seen in the past month who were prescribed fall prevention exercise; and proportion of fall prevention exercises prescribed in the past month that were evidence based. Data were analysed using analysis of covariance models for continuously scored outcomes and the differences in proportions between groups (relative risk [RR]).
RESULTS
The intervention significantly improved knowledge (between-group difference [BGD] 0.27 points out of a possible 6; 95% confidence interval [CI] 0.03, 0.51; p = 0.03), perceived clinical behaviour (RR 5.58; 95% CI 3.25, 9.59; p < 0.001), confidence (BGD 1.02/10 points; 95% CI 0.65, 1.39; p < 0.001) and the proportion of evidence-based exercise prescribed, in both the number of exercises (BGD 0.36; 95% CI 0.03, 0.68; p = 0.03) and percentage of participants who prescribed at least 2 hours/week of fall prevention exercise (RR 1.53; 95% CI 1.08, 2.15; p = 0.015).
CONCLUSION
The education workshop significantly improved participants' knowledge, confidence and behaviour regarding fall prevention exercise prescription.
目的和重要性
运动可预防社区居住的老年人跌倒。因此，健康和运动专业人员必须具备相关知识和技能，以开出适当的预防跌倒运动处方。本研究评估了预防跌倒教育计划对健康和运动专业人员预防跌倒知识和行为的影响，以及他们为老年人开出预防跌倒运动处方的信心。
研究类型
随机对照试验。
方法
参与者为 200 名在澳大利亚新南威尔士州招募的健康和运动专业人员。干预组参加了为期 1 天的关于老年运动预防跌倒的面对面教育研讨会。等待对照组在完成 3 个月的随访后接受教育干预。主要结果是自我报告的预防跌倒知识，以及预防跌倒运动处方行为的变化。次要结果包括：开具预防跌倒运动处方的信心；过去一个月内看到的 60 岁及以上人群中开具预防跌倒运动处方的比例；以及过去一个月内开具的基于证据的预防跌倒运动处方的比例。使用协方差分析模型分析连续评分结果和组间差异（相对风险 [RR]）。
结果
干预组显著提高了知识（6 分制中 0.27 分；95%置信区间 [CI] 0.03，0.51；p = 0.03）、感知临床行为（RR 5.58；95% CI 3.25，9.59；p < 0.001）、信心（10 分制中 1.02 分；95% CI 0.65，1.39；p < 0.001）以及所开基于证据的运动处方的比例，无论是运动数量（BGD 0.36；95% CI 0.03，0.68；p = 0.03）还是每周至少开 2 小时预防跌倒运动处方的参与者比例（RR 1.53；95% CI 1.08，2.15；p = 0.015）。
结论
教育研讨会显著提高了参与者预防跌倒运动处方的知识、信心和行为。
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