A study of the effect of senior Sikhio Program toward fall risk reduction among the elderly in Sikhio district, Nakhon Ratchasima province
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Abstract
This research aimed to study the effect of senior Sikhio program toward fall risk reduction for elderly in Sikhio district, Nakhon Ratchasima province among 36 participants. The research is quasi-experimental study with one group pre- and post- follow-up test. Data were collected four times consisting of before and after the 1st, the 3rd, and the 6th months of falling reduction participation. Research tools consisting of senior Sikhio program, individual data interview, Thai falls risk assessment test (Thai-FRAT), 4 stages balance test (4SBT), and Time up and go test (TUGT). Data analyzed by using descriptive statistics and either Paired t-test or Wilcoxon signed–rank test. The results revealed that the pair differentiated comparison of mean fall risk score of Thai-FRAT and 4SBT between before and after the program participation at the 3rd and the 6th month (p < 0.01), between the 1st and the 3rd month (p < 0.01), and the 1st and the 6th (p < 0.01), and between the 3rd and the 6th month (p < 0.05) were statistically significant difference. While the mean time of TUGT indicated that there was statistically significant difference between before and after the 1st, the 3rd, and the 6th month (p < 0.01), between the 1st and the 3rd and the 6th month (p < 0.01), and between the 3rd and the 6th month (p < 0.01). In conclusion, the applied of senior Sikhio program can reduce the fall risk among the elderly and can promote fall prevention behaviors and physical performance in balance.
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References
World Health Organization. Ageing and health. Geneva, Switzerland: World Health Organization [Internet]. 2022 [cited 2023 Dec 5]. Available from: https://www.who.int/news–room/fact–sheets/detail/ageing–and–health.
Bakhtiyari M, Emaminaeini M, Hatami H, Khodakarim S, Sahaf R. Depression and perceived social support in the older people. Iran J Ageing 2017; 12(2): 192–207.
Suebsoontorn W, Nimit–Arnun N, Chatdokmaiprai K. The effects of self–efficacy enhancement program on fall prevention behaviors and physical capabilities of elderly persons in community. Chonburi Hospital Journal. 2019; 44(2): 119–28. (in Thai)
Department of Older Person (TH). Older statistics [Internet]. 2023 [cited 2023 Dec 13]. Available from: https://www.dop.go.th/en/news_hr/12/298.
Foundation of Thai Gerontology Research and Development Institute (TH). The situation of Thai elderly [Internet]. 2014 [cited 2023 Sep 28]. Available from: http://thaitgri.org/?p=36746#. (in Thai)
International Health Policy Program (TH). Disability–adjusted life year (DALY), report on the burden of diseases and injuries of the Thai population [Internet]. 2013 [cited 2023 Sep 28]. Available from:http://www.thaincd.com/document/file/download/knowledge/report_BOD_2556.pdf.
Aekplakorn W, Puckcharern H, Satheannopakao W. The report of Thailand population health examination survey VI, 2019–2020 [Internet]. 2021 [cited 2023 Sep 26]. Available from: https://kb.hsri.or.th/dspace/handle/11228/5425. (in Thai)
O’Loughlin JL, Robitaille Y, Boivin JF, Suissa S. Incidence of and risk factors for falls and injurious falls among the community–dwelling elderly. American Journal of Epidemiology 1993;137(3):342–54.
Tricco AC, Thomas SM, Veroniki AA, Hamid JS, Cogo E, Strifler L, et al. Comparisons of interventions for preventing falls in older adults: a systematic review and meta–analysis. JAMA 2017;318(17):1687–99.
Wimolphan P, Pitchalard K. Effect of a fall prevention program on falls among elderly people. Nursing Journal of the Ministry of Public Health 2013; 23(3): 98–109. (in Thai)
Regional Health Promotion Center 5 Ratchaburi (TH). The effectiveness of preparation and fall prevention programs in elderly. [Completed research project report]. Regional Health Promotion Center 5 Ratchaburi. 2019. (in Thai)
Phelan EA, Mahoney JE, Voit JC, Stevens JA. Assessment and management of fall risk in primary care settings. Med Clin North Am. 2015; 99(2): 281–93.
Milisen K, Geeraerts A, Dejaeger E. Use of a fall prevention practice guideline for community–dwelling older persons at risk for falling: a feasibility study. Gerontology. 2009; 55(2): 169–78.
Kittipimpanon K, Kraithaworn P. The effectiveness of community–based fall prevention model to physical performance and fall among older adults in an urban community Bangkok: the follow up study. Journal of Public Health Nursing 2015; 29(1): 98–113. (in Thai)
Nakhon Ratchasima Public Health Provincial Office (TH). Nakhon Ratchasima provincial medical and health data warehouse system [Internet]. 2023 [cited 2023 Oct 1]. Available from: https://nma.hdc.moph.go.th. (In Thai)
Gogtay NJ. Principles of sample size calculation. Indian J Ophthalmol 2010; 58(6): 517–8.
Sirivibulyakiti C, Makboon K, Kumcharoen J. The effects of Thasala model on physical competency promoting to minimize risk from falls in the elderly. Region 4–5 Medical Journal 2020; 39(1): 127–37. (in Thai)
Thai Hypertension Society (TH). Guidelines in the treatment of hypertension 2019 [cited 2023 Dec 15]. Available from: http://www.thaihypertension.org/hypertensiondetail.php?n_id=442.
Thiamwong L, Thamarpirat J, Maneesriwongul W, Jitapunkul S. Thai falls risk assessment test (Thai-FRAT) developed for community–dwelling Thai elderly. J Med Assoc Thai 2008; 91(12): 1823–31.
Tiedemann A, Lord SR, Sherrington C. The development and validation of a brief performance–based fall risk assessment tool for use in primary care. J Gerontol A Biol Sci Med Sci 2010; 65(8): 896–903.
Soriano TA, DeCherrie LV, Thomas DC. Falls in the community–dwelling older adult: a review for primary–care providers. Clin Interv Aging. 2007; 2(4): 545–54.
Southerland LT, Hunold KM, Van Fossen J, Caterino JM, Gulker P, Stephens JA, et al. An implementation science approach to geriatric screening in an emergency department. J Am Geriatr Soc 2022; 70(1): 178–87.
Ministry of Public Health (TH). Clinical practice guidelines for the prevention and assessment of falls in the elderly [Internet]. Institute Of Geriatric Medicine, Department of Medical Services; 2018 [cited 2023 Oct 2]. Available from: http://agingthai.dms.go.th/agingthai/wp–content/uploads/2021/01/CPG–book.pdf.
Nualnetr N. Dynamic standing balance assessment in elderly. Journal of Medical Technology and Physical Therapy 1998; 10(2): 59–70. (in Thai)
Orem DE. Nursing Concepts of Practice. 4th ed. New York: Mc Graw–Hill; 1991.
Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot 1997; 12(1): 38–48.
Day LM. Fall prevention programs for community– dwelling older people should primary target a multifactorial intervention rather than exercise as s single intervention. J Am Geriatr Soc 2013; 61(2): 284–5.