Home-based Settings

Home-based interventions attempt to involve the entire family in efforts to prevent injuries from falls. For example, through interactions between children and parents or guardians, families can help to provide safe environments at home (e.g., safety gates, furniture that doesn’t tip over, window guards, safe playground equipment). Likewise, the family is a useful source of social support for the challenges associated with getting older (e.g., arthritis, vision problems, medication side effects, strength, balance).

Previous work in home-based settings has found:

  • Given the evidence for the efficacy of home-based programs in improving parenting skills of low-income parents of preschool children, a home-based injury prevention program may be the most developmentally appropriate and ecologically valid method of delivering health education to low-income, inner-city families.
  • The home environment is the most common place for falls to occur among community-dwelling older adults and often, individualized fall prevention programs are conducted in the home-setting.
  • A home-based injury prevention program is a way to overcome barriers that other interventions may face. For example, literacy and time constraints can hamper the use of written materials. Lack of transportation, schedule conflicts and busy parental lifestyles can be reasons that may limit participation in community-based health programs. Lastly, internet technology is not accessible to all families.
  • Home-based programs are particularly pertinent to the more frail community members who are unable to access exercise classes offered in the community.
  • Self-directed gentle exercise programs for older adults are important to implement in remote and rural areas where they have less access to community-based programs.
  • The Internet is becoming an increasingly popular setting to provide health information for those living in rural areas with limited reach and availability of programs, as well as those who are homebound.
  • At home and in some of the other settings, intervention strategies often emphasize emotional support (e.g., encouragement to increase physical activity) alone or in addition to these other forms of support.

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