title: Community-based interventions to reduce falls among older adults in Taiwan - long time follow-up randomised controlled study.
abstract: OBJECTIVE
  The aim of the study was to examine the effects of different interventions that are used to prevent falls. These were education, Tai Chi Chuan and education plus Tai Chi Chuan; the study involved a five-month implantation period and a one-year follow-up period.
  
  
  BACKGROUND
  With advancing years, a fall can be very serious and an increased number of falls/re-falls among older adults has been noted. Hence, both education about risk factors and balance exercise programs such as Tai Chi Chuan may help to prevent falls.
  
  
  METHODS
  This study adopted a randomised case-controlled design with a two-by-two factorial approach. It included three intervention groups and one control group in a community-based program.
  
  
  METHODS
  Cluster-randomised sampling was used and four villages in Taiwan City were selected. Three interventions groups and one control group were involved over five-months from late July 2000-January 2001 and each participant was followed up one year later (n = 163).
  
  
  RESULTS
  The intervention involving education plus Tai Chi Chuan resulted in a statistically significant reduction in falls and the risk factors of falls over the five-month intervention. After one-year follow-up, participants receiving any one of the interventions showed a reduction in falls compared with the control group.
  
  
  CONCLUSIONS
  Tai Chi Chuan was able to improve gait balance significantly. Education may also help participants to prevent falls-by eliminating related risk factors present in their environment. However, it was found that at the one-year follow-up, any one of the three interventions had reduced falls significantly.
  
  
  CONCLUSIONS
  The prevention of falls among older adults seems to needs multiple interventions. Education plus Tai Chi Chuan has both an immediately and a long-term effect and it is possible that a shorter intervention period using this approach would also be successful.
authors.affiliation: Nursing Department, National Taipei College of Nursing, Taipei, Taiwan. huichi@ntcn.edu.tw
authors.forename: Hui-Chi
authors.initials: HC
authors.lastname: Huang
authors.forename: Chieh-Yu
authors.initials: CY
authors.lastname: Liu
authors.forename: Yu-Tai
authors.initials: YT
authors.lastname: Huang
authors.forename: W George
authors.initials: WG
authors.lastname: Kernohan
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000368:Aged; D005260:Female; D006266:Health Education; D006801:Humans; D008297:Male; D018570:Risk Assessment; D026302:Tai Ji; D013624:Taiwan