Falls are a common geriatric syndrome that impedes healthy aging and are the primary cause of accidental death in older adults. Globally, more than 50% of older adults experience falls in nursing homes each year. Intrinsic capacity (IC) is a quantifiable measure of healthy aging, and consists of five dimensions: cognitive, locomotor, vitality, sensory (vision and hearing), and psychological capacity. Decline in IC is an independent factor in the occurrence of falls in older adults. A related theoretical framework indicates that healthy behaviors are the key to enhance IC. The health action process approach (HAPA) has been shown to have positive effects on health behavior promotion. Therefore, the aim of this study is to examine the effect of multidimensional fall management based on HAPA on fall risk, fall efficacy, and healthy aging among older adults with declines in IC in Chinese nursing homes.
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Intrinsic capacity (IC) composite score
Timeframe: baseline, after 4 weeks, after 16 weeks, after 24 weeks
The Mini-mental State Examination (MMSE)
Timeframe: baseline, after 4 weeks, after 16 weeks, after 24 weeks
The Short Physical Performance Battery (SPPB)
Timeframe: baseline, after 4 weeks, after 16 weeks, after 24 weeks
The Mini-Nutritional Assessment (MNA)
Timeframe: baseline, after 4 weeks, after 16 weeks, after 24 weeks
Sensory capacity assessment
Timeframe: baseline, after 4 weeks, after 16 weeks, after 24 weeks
The Patient Health Questionnaire-9 (PHQ-9)
Timeframe: baseline, after 4 weeks, after 16 weeks, after 24 weeks
The Self-Rated Fall Risk Questionnaire (SFRQ)
Timeframe: baseline, after 4 weeks, after 16 weeks, after 24 weeks