Dimensions | Fall risk reduction component | Origin | Treatment approach |
---|---|---|---|
Intrinsic | Personal goals to improve motivation and adherence to the program | The Purpose in Life literature [47], incorporated based on results from open-label phase of the current study | The OT asks about personal goals and explicitly directs the program toward the goals (e.g., to walk to church, to spend time with grandchildren) |
Intrinsic | Exercise to improve balance and strength | The LiFE program [11] | Over the course of 8 home visits the OT coaches the participant to incorporate balance and strength activities in daily life activities, for example, tandem walking when walking through the hallway or standing on one leg when working in the kitchen |
Intrinsic | Medication review for medication safety | Beers report [29] | Pharmacist reviews scanned list of medications that potentially increase the risk of falls and writes a letter with recommendations to the participant to share with their primary care provider |
Intrinsic | Vision contrast screening to optimize vision | Mars [28] | At-home vision contrast screening provided by the OT using the Mars tool [28]. The results and recommendations are written in a letter to the participant to share with the primary care provider or an optometrist |
Extrinsic | Home safety: reduce fall hazards in and around the home | Results on home modification interventions, e.g., the CAPABLE program [19] | The OT assesses home safety and provides smaller modifications (e.g., night lights, non-skid strips for the bathtub). Creates a prioritized list of modifications for handyman (e.g., installing grab bars in bathroom, stabilizing shaky banisters, and fixing holes in floors). Handyman installs items up to $500/participant |