Citation

Stark S, Somerville E, Conte J, Keglovits M, Hu YL, Carpenter C, Hollingsworth H, Yan Y. Am. J. Occup. Ther. 2018; 72(1): 7201205020p1-7201205020p10.

Affiliation

Yan Yan, MD, PhD, is Professor of Surgery, Division of Public Health Sciences, Washington University School of Medicine, St. Louis, MO.

Copyright

(Copyright © 2018, American Occupational Therapy Association)

DOI

10.5014/ajot.2018.021774

PMID

29280722

Abstract

OBJECTIVE: The aim of this study was to conduct a process evaluation to examine the implementation of a randomized controlled trial of home modifications designed to reduce the risk of falls and improve daily activity performance among community-dwelling older adults.

METHOD: A process evaluation was conducted alongside a blinded, randomized sham-controlled trial (n = 92). Participants were followed for 1 yr after intervention. The process evaluation was framed using the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework.

RESULTS: The treatment group improved daily activity performance over 12 mo compared with the sham control group (F = 4.13; p =.024). The intervention elements and dose were delivered with greater than 90% accuracy. Participants reported a 91% adherence rate at 12 mo.

CONCLUSION: The complex intervention of home modifications examined in this study is acceptable to older adults, is feasible, and can be delivered with high fidelity for frail, community-dwelling older adults.

Language: en