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" The Otago Exercise Program: "
Shubert, Tiffany E; Goto, Lavinia Spring; Smith, Matthew Lee; Jiang, Luohua; Rudman, Holly; Ory, Marcia G
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AL
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| Record Number
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908483
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LA3994n61v
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| Title & Author
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The Otago Exercise Program:. Innovative Delivery Models to Maximize Sustained Outcomes for High Risk, Homebound Older Adults. [Article]\ Shubert, Tiffany E; Goto, Lavinia Spring; Smith, Matthew Lee; Jiang, Luohua; Rudman, Holly; Ory, Marcia G
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2017
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| Title of Periodical
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UC Irvine
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| Abstract
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It is estimated one in two adults age 80 and over fall each year, resulting in substantial morbidity and mortality rates among this oldest-old population. The Otago Exercise program (OEP) is an evidence-based fall prevention program shown to reduce falls by 35% among high-risk older adults. The OEP was designed to be delivered in the home by physical therapists. This model has encountered multiple implementation challenges in the United States health-care system, which has resulted in the development and testing of innovative models to support a broader reach and dissemination of this program.The Northwest Senior and Disability Services is an Area Agency on Aging (AAA) serving a five-county region in Oregon. This AAA developed a model where a Certified Occupational Therapy Assistant (COTA) and exercise physiologist delivered the OEP with a physical therapist available to consult on all cases. Physical function assessments and self-reported perceptions about physical function were collected at baseline and 6 months.Baseline measures were collected on 239 participants enrolled in the OEP, and 62 participants at 6 months. Those who completed 6 months of the OEP demonstrated significant improvements in all physical function assessments and self-perceived functional improvements. A subset of this group that demonstrated improvements in the ability to rise from a chair also reported significantly fewer falls during the 6-month intervention.Innovative models in which the OEP exercise sessions are delivered by non-physical therapists appear to be effective in improving physical performance measures and decreasing fall risk over a 6-month period. Because these models do not require a physical therapist, they may require fewer resources to implement. These findings have implications to inform implementation and dissemination strategies to bring the OEP to scale.
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