A comparison between occupational therapy intervention and self-directed learning of home safety assessments to prevent falls in community-dwelling older adults
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The purpose of this study was to compare the effectiveness of the two different methods of home safety education, occupational therapy (OT) intervention and self-directed learning (SDL), to reduce the fall risk factors present in home. This study evaluated these two methods using a Home Safety Self-Assessment Tool which lists risk factors and solutions. Community-based 119 older adults with or without history of falls participated. A two-group pretest and posttest design with a one-month intervention period was used to assess home hazards, fear of falling, change of stage in Transtheoretical model (TTM), and the actual home hazard removal. Analyses used one-way ANOVA, and independent and paired t-tests. Use of the HSSAT was effective with OT intervention and for SDL participants with prior falls in reducing actual fall risk factors, fear of falling, and advancing the stages of TTM. Further research is necessary to understand the large variability in SDL group.