title: Disseminating the Otago Exercise Program in the United States: Perceived and Actual Physical Performance Improvements From Participants.
abstract: The Otago Exercise Program (OEP) is an evidence-based fall prevention program disseminated internationally. Little is known about the implementation or effectiveness of the OEP in the United States. The purposes were to (a) identify characteristics of older adults enrolled in OEP, and (b) examine perceived and actual functional performance changes after participation in 8 weeks of the program. Baseline and 8-week functional and self-report data were collected on 210 older adults from 2013 to 2015. Linear mixed models and general estimating equations logistic regression models adjusted for socio-demographic factors were performed to assess changes. At 8 weeks, scores dramatically improved on self-report and physical performance tests: Timed Up-and-Go ( p < .001), 30-Second Chair Rise ( p < .001), and Four-Stage Balance ( p < .001). Findings support that participation in the U.S. OEP as part of a plan of care can result in significant improvements in objective functional mobility, balance measures, and self-reported ability.
authors: 1 The University of North Carolina at Chapel Hill, NC, USA.|5 South College School of Physical Therapy Knoxville, TN, USA.
authors: Tiffany E
authors: TE
authors: Shubert
authors: 2 University of Georgia, Athens, GA, USA.|4 Texas A&M University, College Station, TX, USA.
authors: Matthew Lee
authors: ML
authors: Smith
authors: 3 University of California, Irvine, CA, USA.
authors: Luohua
authors: L
authors: Jiang
authors: 4 Texas A&M University, College Station, TX, USA.
authors: Marcia G
authors: MG
authors: Ory
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000368:Aged; D000369:Aged, 80 and over; D005080:Exercise Test; D005081:Exercise Therapy; D005260:Female; D006284:Health Plan Implementation; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D016014:Linear Models; D016015:Logistic Models; D008297:Male; D004856:Postural Balance; D015397:Program Evaluation; D057170:Translational Research, Biomedical; D014481:United States
keywords: Otago Exercise Program; aging; evidence-based health promotion; fall prevention; geriatrics