RESEARCH – Publication


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Action Seniors! Cost‐Effectiveness Analysis of a Secondary Falls Prevention Strategy Among Community‐Dwelling Older Fallers

October 15, 2020

This article was recently published in the Journal of the American Geriatrics Society based on research conducted in our clinic. Full article details can be found here. BACKGROUND The Otago Exercise Program (OEP) has demonstrated cost‐effectiveness for the primary prevention of falls in a general community setting. The cost‐effectiveness of exercise as a secondary falls prevention (ie, preventing falls among those who have already fallen) strategy remains unknown. The primary objective was to estimate the cost‐effectiveness (incremental cost‐effectiveness/utility ratio) of the OEP from a healthcare system perspective. DESIGN A concurrent 12‐month prospective economic evaluation conducted alongside the Action Seniors! randomized critical trial (OEP compared with usual care). SETTING Vancouver Falls Prevention … Read more

Category: Adding Quality to Later Life Years, Falls Prevention, Publication


Better Sleep Could Improve Brain Health Among Older Adults

November 6, 2019

New study examines the connection between sleep, cognitive function and brain health. Originally published by Vancouver Coastal Health Research Institute. Getting a bad night’s sleep can do more than make us feel hazy and tired the next day. It can also contribute to the development of cognitive impairment and dementia, such as Alzheimer’s disease, particularly later in life. A new study led by Vancouver Coastal Health Research Institute (VCHRI) researchers Ryan Falck and Dr. Teresa Liu-Ambrose is examining interventions that could protect our cognitive function as we age. Over time, our body becomes less able to respond to stimuli, such as sunlight, and regulate our circadian rhythms—our 24-hour biological clock that … Read more

Category: Adding Quality to Later Life Years, Healthy Cognitive Aging, Publication


Effect of a Home-Based Exercise Program on Subsequent Falls Among Community-Dwelling High-Risk Older Adults After a Fall: A Randomized Clinical Trial

June 11, 2019

JAMA. 2019;321(21):2092–2100. Importance  Whether exercise reduces subsequent falls in high-risk older adults who have already experienced a fall is unknown. Objective  To assess the effect of a home-based exercise program as a fall prevention strategy in older adults who were referred to a fall prevention clinic after an index fall. Design, Setting, and Participants  A 12-month, single-blind, randomized clinical trial conducted from April 22, 2009, to June 5, 2018, among adults aged at least 70 years who had a fall within the past 12 months and were recruited from a fall prevention clinic. Interventions  Participants were randomized to receive usual care plus a home-based strength and balance retraining exercise program delivered by a physical therapist … Read more

Category: Adding Quality to Later Life Years, Falls Prevention, Publication


Adding other therapy to exercise may be best for fall prevention

November 7, 2017

Originally published by Reuters   (Reuters Health) – Older adults who exercise may be half as likely to fall as their inactive counterparts, and adding therapies like eye exams, vitamins and home repairs may lower the risk even more, a research review suggests. Researchers examined data from 238 previously published results with a total of about 160,000 people age 65 or older. All of the studies were experiments that randomly assigned participants to receive exercise or other interventions for fall prevention, usual care such as education, or no help at all. Compared to usual care, people who were assigned to exercise programs were 49 percent less likely to have a … Read more

Category: Falls Prevention, News, Publication