CE-22-006 Process and Outcome Evaluation of the Walk with Ease program for Fall Prevention

CE-22-006 预防跌倒的轻松步行计划的过程和结果评估

• 批准号: 10685363
• 负责人: Greg J Welk
• 金额: $ 34.99万
• 依托单位: IOWA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-30 至 2025-09-29
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10685363
• 关键词: CE; 22; 006; Process; Outcome

Summary The proposed project will evaluate the effectiveness of incorporating physical therapy exercises (primary prevention strategy) within an established physical activity intervention called Walk with Ease (WWE) to reduce incidence and risk of falls in community-dwelling older adults. The proposed study will be done in direct collaboration with an integrated hospital (Mary Greeley Medical Center - MGMC) and clinical network (McFarland Clinic). The commitment to collaboration and data sharing are documented in formal letters of support and this partnership will directly enable and facilitate the proposed research. The physical therapists will be specifically involved to facilitate broad community-based screens to recruit individuals at high risk for falls and to conduct robust evaluations of fall risk for all enrolled participants. A randomized controlled design we will used to systematically test the standard WWE implementation model that provides generic exercise recommendations against an enhanced version that will provide individually-prescribed, physical therapy exercises. The factorial design will enable us to also evaluate the relative effectiveness of the standard WWE behavior change modules against an enhanced set of modules based on theory-based, habit formation approaches. The primary hypothesis is that the participants receiving the Enhanced WWE program (i.e. individually prescribed exercises) will have lower incidence of falls and larger reductions in fall risk than those in the Standard condition (i.e. generic exercises). The secondary hypothesis is that participants receiving Enhanced behavior change modules (based on habit formation) will have greater compliance to the prescribed exercise, higher levels of physical activity, and better fall risk reduction outcomes than those in the Standard modules. Consistent with guidelines in the RFA we will conduct a robust process evaluation (Aim 1) and outcome evaluation (Aim 2) to provide a comprehensive perspective of the potential utility of WWE as a fall prevention program. The process data will be used in both summative and formative ways to enhance the evaluation. The formative evaluation of the process data will enable our team to monitor and adjust program implementation to ensure alignment with the standardized guidelines for WWE implementation. The refined procedures could then be incorporated into training materials to build capacity in other community-based organizations to implement the enhanced WWE for falls prevention. The summative evaluation of the process data will also be used to help explain differences in program outcomes across individuals, groups or over time. Thus, the process data will be directly incorporated into the

概括 拟议的项目将评估合并物理疗法练习的有效性（主要 预防策略）在既定的体育活动干预措施中，轻松行走（WWE）以减少 在社区居民老年人中发生的发病率和风险。拟议的研究将直接完成 与综合医院（Mary Greeley医疗中心-MGMC）和临床网络合作 （McFarland诊所）。对协作和数据共享的承诺记录在正式信件中 支持和这种伙伴关系将直接实现并促进拟议的研究。物理治疗师 将专门参与以促进基于社区的广泛屏幕，以招募具有高风险的个人 跌倒并对所有入学参与者进行跌倒风险的强有力评估。随机控制设计 我们将用于系统地测试提供通用练习的标准WWE实施模型 针对增强版本的建议，该版本将提供单独的物理疗法 练习。阶乘设计将使我们还可以评估标准WWE的相对有效性 基于基于理论的习惯形成的增强模块的行为变化模块 方法。主要假设是接受增强的WWE计划的参与者（即 单独规定的练习）比那些跌倒的发生率和跌倒风险的减少较低 在标准条件下（即通用练习）。次要假设是参与者接受 增强的行为改变模块（基于习惯形成）将更加符合规定的规定 运动，更高的体育锻炼水平以及比标准中的降低风险降低结果更好 模块。与RFA中的准则一致，我们将进行强大的过程评估（AIM 1）和 结果评估（AIM 2）提供了WWE作为秋季潜在效用的全面观点 预防计划。该过程数据将以总结性和形成性的方式使用来增强 评估。过程数据的形成性评估将使我们的团队能够监视和调整程序 实施以确保与WWE实施的标准化指南保持一致。精致 然后可以将程序纳入培训材料中，以在其他基于社区的其他基础上建立能力 组织实施增强的WWE进行预防瀑布。该过程的总结评估 数据还将用于帮助解释个人，群体或随着时间的流逝的计划结果差异。 因此，过程数据将直接合并到