Investigating the effect of education based on need to prevent falling during activities of daily living among the elderlies referring to health centers of Isfahan

Marziyeh Ghasemi, Abdollah RezaeiDehaghani, Tayebeh Mehrabi


Background: Falling has a great importance among the elderlies. Even if no physical injury occurs, it can cause fear of fallingdown again and, consequently, reduce older adults’ activities. With regard to the prevalence of falling among older adults, its prevention is essential. Therefore, the present study was aimed to define the effect of need-based education on prevention of older adults’ falling during their everyday life activities.

Materials and Methods: This is a quasi-experimental study. Study population comprised all the older adults of age 60 years and over referring to health care centers in Isfahan. Through multiple random sampling, 15 older adults were selected from four health care centers. Data collection tool in the present study was Daily Activity Questionnaire.

Results: Results showed a significant difference between the mean of daily activity scores in the intervention group before, immediately after, and 1 month after the intervention (12, 13.6, and 13.5, respectively; P = 0.01). Meanwhile, there was no
significant deference between the scores immediately after and 1 month after the intervention. There was no significant difference observed between the three time points in the control group (mean = 12.3; P = 0.907).

Conclusion: Implementation of education concerning prevention of older adults’ falling led to improvement of their daily activity in the intervention group.

Key words: Accidental falls, accident prevention, activities of daily living, aged, education, education based on need, prevention of fall


Accidental falls; accident prevention; activities of daily living; aged; education; education based on need; prevention of fall

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Eshaghi R, Shah Sanai A, Mellat Ardakani M. Assessment of the Physical Activity of Elderly Population of Isfahan, Iran. J Isfahan Med Sch 2011;147:29‑32.

Hamidizade S. Effect of group exercise program on quality of life in elderly. jssu 2008;1:16‑81.

Mirzaee M, Shams Ghahfarokhi M. Demographics elderly in Iran. Iran J Ageing 2007;2:326‑31.

Toraman A, Yildirim NU. The falling risk and physical fitness in older people. Arch Gerontol Geriatr 2010;51:222‑6.

Gaxatte C, Nguyen T, Chourabi F, Salleron J, Pardessus V, Delabrière I, et al. Fear of falling as seen in the multidisciplinary falls consultation. Ann Phys Rehabil Med 2011;54:248‑58.

Maghfouri B, Hassani Mehraban A, Taghizade G, Aminian G, Jafari H. Validity and reliability of persion version of home falls and accident screening tool in Iraniaian elderly. MRJ 2011;5:9‑14.

Oren F, Higgins S, Onen SH. Falling‑asleep‑related injured falls in the elderly. J Am Med Dir Assoc 2008;10:207‑10.

Bayat Z. Determine the risk factors for falls in the elderly in geriatric nursing Tehran. JQUMS s 2007;11:67‑70.

Nazakatolhosaini N, Mokhtari M, Esfarjani F. The effect of Pilates training on improvement of motor and cognitive functions related to falling in elderly female JRSR. 2012;91:489‑501.

Duglas P. Falls in older persons: Risk factors and patient evaluation. Up To Date. 2013.

Salarvand SH, Birjandi M. Factors related to falling down in older adults. IJN 2009;61:22‑51.

Ebersole P. Toward Healthy Aging: Human Needs, Nursing Response Mosby Elsevier. 2008. p. 371.

Rajendran SH. Impact of home modification education on fall prevention in home‑based older adults. New York: UMI Dissertations Publishing; 2010. p. 87.

Fathi M. The effect of activity of daily living of the elderly living in nursing homes Kurdistan Kums 2008;18:62‑22.

Mauk L. Gerontological Nursing: Competencies for Care. Jones and Bartlett Pub Canada; 2006. p. 103.

Davis JC, Robertson MC, Comans T, Scuffham PA. Guidelines for conducting and reporting economic evaluation of fall prevention strategies. Osteoporos Int 2011;22:2449‑59.

Karlsson MK, Magnusson H, von Schewelov T, Rosengren BE. Prevention of falls in the elderly ‑ A review. Osteoporos Int 2013;24:747‑62.

Rajendran SH. Impact of home modification education on fall prevention in home‑based older adults. State University of New York at buffalo 2012. p. 1‑79.

Fazlollahi S, Maleki M. A comprehensive approach to assessment methods and techniques important. IJHSS 2011;17:68‑88.

Habibi SA, Nikpur S, Rezaie M, Haghani H. Relationship between health promoting behaviors and activities with the activities of daily living in elderly life by means of West Tehran. Salmand journal 2008;2:332‑9.

Rostami M. The effect of fall prevention education program on knowledge of the elderly and caregivers lives in the center of Kahrizak charity. 2001.

Ghezeljeh T, Parsa Yekta Z, Mehran A, Jafari Oori M. Effect of a multidimensional fall prevention program on incidence of falling and quality of life among elderly. Hayat 2014;20:14‑24.

Karlsson MK, Magnusson H, von Schewelov T, Rosengren BE. Prevention of falls in the elderly ‑ A review. Osteoporos Int 2013;24:747‑62.

Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev 2012;9:CD007146.

Shaw FE. Prevention of falls in older people with dementia. J Neural Transm (Vienna) 2007;114:1259‑64.

Pereira C, Vogelaere P, Baptista Ft. Role of physical activity in the prevention of falls and their consequences in the elderly. Eur Rev Aging Phys Act 2008;5:51‑8.

Jannati S, Sohrabi M, Attarzadeh Hoseini R. The effect of selective Hata yoga training on balance of elderly women. Iranian Journal of Ageing 2011;5:46‑52.

Burton E, Cavalheri V, Adams R, Browne CO, Bovery‑Spencer P, Fenton AM, et al. Effectiveness of exercise programs to reduce falls in older people with dementia living in the community: A systematic review and meta‑analysis. Clin Interv Aging 2015;10:421‑34.

Tüzün F, Aktas I, Akarirmak U, Sipahi S, Tüzün S. Yoga might be an alternative training for the quality of life and balance in postmenopausal osteoporosis. Eur J Phys Rehabil Med 2010;46:69‑72.

Khaje Nemat K, Sadeghi H, Sahebzamani M. The effect of 8 weeks of strength training on static and dynamic balance in healthy men Ajsm. 2014;6:45‑55.

Bahgeri H, Abdolvahab M, Raji P, Jalili M, Faghih Zadeh S, Soltani Z. The effects of progressive resistive exercises on Activities of Daily Living of elderly persons. Modern Rehabilitation 2010;4:56‑9.


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