PreprintArticleVersion 1Preserved in Portico This version is not peer-reviewed
Cultural Adaptation and Pilot Testing of the CDC’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) Program for Older Adults in a Low and Middle-Income Country
Version 1
: Received: 9 May 2023 / Approved: 11 May 2023 / Online: 11 May 2023 (10:48:30 CEST)
How to cite:
Thiamwong, L.; Tongsiri, S.; Suwanno, J.; Xie, R.; Ng, B.P.; Park, J.; Li, W.; Eckstrom, E. Cultural Adaptation and Pilot Testing of the CDC’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) Program for Older Adults in a Low and Middle-Income Country. Preprints2023, 2023050842. https://doi.org/10.20944/preprints202305.0842.v1
Thiamwong, L.; Tongsiri, S.; Suwanno, J.; Xie, R.; Ng, B.P.; Park, J.; Li, W.; Eckstrom, E. Cultural Adaptation and Pilot Testing of the CDC’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) Program for Older Adults in a Low and Middle-Income Country. Preprints 2023, 2023050842. https://doi.org/10.20944/preprints202305.0842.v1
Thiamwong, L.; Tongsiri, S.; Suwanno, J.; Xie, R.; Ng, B.P.; Park, J.; Li, W.; Eckstrom, E. Cultural Adaptation and Pilot Testing of the CDC’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) Program for Older Adults in a Low and Middle-Income Country. Preprints2023, 2023050842. https://doi.org/10.20944/preprints202305.0842.v1
APA Style
Thiamwong, L., Tongsiri, S., Suwanno, J., Xie, R., Ng, B.P., Park, J., Li, W., & Eckstrom, E. (2023). Cultural Adaptation and Pilot Testing of the CDC’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) Program for Older Adults in a Low and Middle-Income Country. Preprints. https://doi.org/10.20944/preprints202305.0842.v1
Chicago/Turabian Style
Thiamwong, L., Wenjun Li and Elizabeth Eckstrom. 2023 "Cultural Adaptation and Pilot Testing of the CDC’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) Program for Older Adults in a Low and Middle-Income Country" Preprints. https://doi.org/10.20944/preprints202305.0842.v1
Abstract
Older adults in low-and middle-income countries experience a disproportionate burden of non-communicable diseases (NCDs). Unintentional injuries are among the major NCDs, and falls are the second leading cause of these injuries and deaths worldwide, including in Thailand. We aimed to culturally adapt the CDC’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) for Thai older adults and explore the feasibility, appropriateness, and acceptability of using STEADI in primary care via trained community health workers (CHWs) and care managers (CMs). STEADI takes a coordinated care approach that consists of three steps: screening, assessing, and intervening. In Step a, CHWs screened fall risk in 20 community-dwelling older adults using three key questions and found that all of them had fall risk, then CHWs screened with a Stay Independent questionnaire (range 0-14) and found that 100% have high fall risk (total scores 9.7± 2.4). In Step b, CMs assessed balance, vision, footwear, postural hypotension, medications, and CHWs assessed home hazards. They found that 50% had poor balance, 70% took 4+ medications,75% fell on the walkway, and 70% had no bathroom modifications. In Step c, individual participants received fall prevention interventions to mitigate their specific fall risk factors. CHWs and CMs indicated high acceptability (19.20±.1.31 of 20 total), appropriateness (18.80± 1.79 of 20 total), and feasibility (18.60±1.67 of 20 total) of the Thai-STEADI intervention. Our study showed that the community-based multifactorial Thai-STEADI delivered by CHWs and CMs is feasible and acceptable to prevent falls in older adults with limited access to health care.
Keywords
Assessment, community, fall prevention, low-income, non-communicable diseases, public health, older people, risk, primary care
Subject
Public Health and Healthcare, Nursing
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
,
,
,
