Effects of a fall prevention program with Ruesie Dutton exercises applied to a revised self-and family management framework on fall prevention behaviors among community-dwelling older adults with diabetes in Bangkok, Thailand: Randomized Controlled Trial
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Issued Date
2026-05-01
Resource Type
ISSN
26730774
eISSN
26511258
Scopus ID
2-s2.0-105038089426
Journal Title
Journal of Public Health and Development
Volume
24
Issue
2
Start Page
250
End Page
262
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Public Health and Development Vol.24 No.2 (2026) , 250-262
Suggested Citation
Pananan T., Jewpattanakul Y., Rerkluenrit J. Effects of a fall prevention program with Ruesie Dutton exercises applied to a revised self-and family management framework on fall prevention behaviors among community-dwelling older adults with diabetes in Bangkok, Thailand: Randomized Controlled Trial. Journal of Public Health and Development Vol.24 No.2 (2026) , 250-262. 262. doi:10.55131/jphd/2026/240217 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/116777
Title
Effects of a fall prevention program with Ruesie Dutton exercises applied to a revised self-and family management framework on fall prevention behaviors among community-dwelling older adults with diabetes in Bangkok, Thailand: Randomized Controlled Trial
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Author's Affiliation
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Abstract
Older adults with diabetes are at increased risk of falls due to complications such as sarcopenia, retinopathy, and peripheral neuropathy. In Bangkok, 94.3% of older adults reported a history of falls, with the highest prevalence observed among those with diabetes (35.3%). Importantly, the risk of falls remains elevated even among individuals with well-controlled blood glucose. This randomized controlled trial aimed to evaluate the effectiveness of a fall prevention program incorporating Ruesie Dutton exercises by applying a revised self-and family-management framework to improve fall prevention behaviors among community-dwelling older adults with diabetes in Bangkok, Thailand. Eighty-six community-dwelling older adults with diabetes aged 60-75 years were selected using multi-stage computer-generated random sampling. Then they were divided into experimental and control groups of 43 each. The control group continued living normal daily lives, while the experimental group participated in 8-week fall prevention program incorporating Ruesie Dutton exercises. The program consisted of activities involving the fall prevention education, Ruesie Dutton exercises, fall preventive dressing, and handbooks. Additionally, the older adults received home visits and infographics about preventing falls were sent through a LINE group. Afterwards, the participants in the experimental group were instructed to perform Ruesie Dutton exercises with 7 postures over a period of 8 weeks. The instruments used in data collection were a demographic data questionnaire and a fall prevention behavior questionnaire. Pre-and post-test data were analyzed using descriptive analysis, independent t-test and paired t-test statistics. The findings revealed that the experimental group had a higher mean posttest score for fall prevention behavior than the mean pretest score and a higher mean score than the control group with statistical significance (p <.001). The findings will guide healthcare providers in developing better ways to prevent falls among older adults in communities. Additionally, it will enhance family efforts to keep older adults with diabetes safe from falls in the future.