Evidence Based Practice and Applied Nursing Research
Task 1 -XAP1-0219
Western Governors University
Quantitative Article
... [Show More]
Background or Introduction
The purpose of this study is show that reducing falls in people who are at least 75 years old and are in a community-dwelling by using a home-based strength and balance training program. And too assess whether a home-based exercise program would prevent future falls a 12-month single-blind, randomized clinical trial was conducted.
Review of the Literature
The author cited 37 references. Some of the topics covered in the literature review included the prevalence of falls in older adults and its association with chronic disability as well as looking into other strategies such as exercise programs to reduce the incidents of further falls.
Data Analysis
In this primary quantitative research article, the data were analyzed using statistical tests which included over-dispersed Poisson model, R statistical package, version 3.5.1, and Post hoc analysis.
Discussion of Methodology
This quantitative research study was a parallel-group, single-blind, randomized clinical trial. Participants were recruited from the Falls Prevention Clinic, a university hospital clinic. There was a total of 344 older adults included in this study. The following methods used were Functional Comorbidity Index, The 15-item Geriatric Depression Scale, The Lawton and Brody Instrumental Activities of Daily Living Scale, Mini-Mental State Examination, and the Montreal Cognitive Assessment.
Quantitative: Conclusions
The introduction supports the author’s conclusion that by offering home-based exercise programs as part of secondary fall prevention has benefits. Evidence was demonstrated and supported by this study.
The literature review section supports the author’s conclusion that introducing home-based strength and balance exercise program can significantly reduce future falls.
The methods were appropriate to find the result of using home-based exercise program in conjunction with secondary fall prevention. The study did find that in other clinical settings, this would need to be replicated.
The data analyses supported the author’s finding that from 172 patients from each group there were 236 falls of participants in the exercise program vs 366 falls participants not in the exercise program. Implementing home-based exercise and strength programs has it benefits. [Show Less]