title: Effects of an Evidence-Based Falls Risk-Reduction Program on Physical Activity and Falls Efficacy among Oldest-Old Adults.
abstract: OBJECTIVE
  The current study was designed to examine changes in falls efficacy and physical activities among oldest-old and young-old participants in a falls risk-reduction program called a matter of balance/volunteer lay leader model.
  
  
  METHODS
  An oldest-old group (aged 85 years and older; n = 260) and a young-old group (aged between 65 and 84 years old; n = 1,139) in Texas with both baseline and post-intervention measures were included. Changes in Falls Efficacy Scale scores and weekly physical activity levels were examined from baseline to post-intervention. Repeated measures analysis of covariance were employed to assess program effects on falls efficacy.
  
  
  RESULTS
  Results showed significant changes in falls efficacy from baseline to post-intervention, as well as a significant interaction effect between time (baseline and post-intervention) and physical activity on falls efficacy.
  
  
  CONCLUSIONS
  Findings from this study imply the effectiveness of evidence-based programs for increasing falls efficacy in oldest-old participants. Future implications for enhancing physical activities and reducing fear of falling for oldest-old adults are discussed.
authors.affiliation: Center for Applied Health Research, Baylor Scott and White Health , Temple, TX , USA ; Department of Health Promotion and Community Health Science, Texas A&M Health Science Center, School of Public Health , College Station, TX , USA.
authors.forename: Jinmyoung
authors.initials: J
authors.lastname: Cho
authors.affiliation: Department of Health Promotion and Behavior, College of Public Health, The University of Georgia , Athens, GA , USA.
authors.forename: Matthew Lee
authors.initials: ML
authors.lastname: Smith
authors.affiliation: Division of Health Systems Management and Policy, School of Public Health, The University of Memphis , Memphis, TN , USA.
authors.forename: SangNam
authors.initials: S
authors.lastname: Ahn
authors.affiliation: Department of Preventive Medicine, Graduate School of Public Health, Kyungpook National University , Daegu , South Korea.
authors.forename: Keonyeop
authors.initials: K
authors.lastname: Kim
authors.affiliation: Department of Public Health Studies, Texas A&M Health Science Center School of Public Health , College Station, TX , USA.
authors.forename: Bernard
authors.initials: B
authors.lastname: Appiah
authors.affiliation: Department of Health Promotion and Community Health Science, Texas A&M Health Science Center, School of Public Health , College Station, TX , USA.
authors.forename: Marcia G
authors.initials: MG
authors.lastname: Ory
keywords: falls efficacy; falls risk-reduction program; oldest-old adults