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To respond to these specific needs, an interdisciplinary team developed the individualized reduction of falls (iROLL) online program. iROLL uses a self-management approach covering wheelchair skills, transfers, seated balance exercises, environmental factor management, post-fall management, and assistive technology maintenance. In a pre/post mixed-methods study, PwMS participants (n=12) experienced a significant reduction in concerns about falling (p\u003C0.01) and a significant increase in fall prevention and management knowledge (p=0.03). Participants valued peer learning and recognized the program’s usefulness, supporting iROLL’s preliminary potential for an underserved population.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/fall-prevention-for-older-adults-who-use-wheelchairs-and-scooters-abstract/423936/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/fall-prevention-for-older-adults-who-use-wheelchairs-and-scooters-abstract/423936.png","ImageObject",300,407,{"name":92,"@type":93},"วิน","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why is fall prevention especially important for older adults who use wheelchairs and scooters?","Question",{"text":112,"@type":113},"Falls are common in this population, and injuries as well as fear of falling can limit engagement in the community. This creates a need for targeted fall prevention support.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What topics does the iROLL program address?",{"text":117,"@type":113},"iROLL focuses on wheelchair skills, transfer activities, seated balance exercise, management of environmental factors, post-fall management, and maintenance of assistive technology.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the study results after completing the six-week iROLL program?",{"text":121,"@type":113},"After the program, concerns about falling decreased significantly (p\u003C0.01), and fall prevention and management knowledge increased significantly (p=0.03). Participants also reported valuing the program and peer learning.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},423936,1790794337,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81,"preview_page_count":4},2336475104736,"https://ap-avatar.wpscdn.com/avatar/22000c4c5e0e5b17e70?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786591360781797222","774 Innovation in Aging, 2025, Vol. 9, No. S2  \nAbstract citation ID: igaf122.2628  \nFALL PREVENTION FOR OLDER ADULTS WHO USE  \nWHEELCHAIRS AND SCOOTERS  \nLaura Rice1, Elizabeth Peterson2, Toni Van Denend2,  \nJacob Sosnoff3, and Deborah Backus4, 1. University of Illinois College of Applied Health Sciences, Urbana, Illinois, United States, 2. University of Illinois Chicago, Chicago, Illinois, United States, 3. University of Kansas Medical Center, Kansas City, Kansas, United States, 4. Shepherd Center, Atlanta, Georgia, United States  \nFalls are common among the ∼1 million older adults who use wheelchairs and scooters (WC/S) full-time, especially people with Multiple Sclerosis (PwMS) . Falls can result in injuries and concerns about falling (CaF) that limit active engagement in the community. To address these concerns, the individualized reduction of falls (iROLL) program was developed by an interdisciplinary team to meet the unique needs of people who use WC/S.  \niROLL applies a self-management approach to address topics including wheelchair skills, transfer activities, seated balance exercise, management of environmental factors, post-fall management, and maintenance of assistive technology. The program is delivered online. Participants asynchronously review pre-recorded lessons and synchronously meet with a physical or occupational therapist in groups of 2-5 participants. A pre/post, mixed methods study was used to examine the preliminary efficacy ofiROLL. PwMS (n = 12) who use WC/S full time, age 62+/ - 12 years old, 92% female, participated in the study. After exposure to the six-week iROLL program, CaF significantly decreased (p \u003C 0.01) and fall prevention and management knowledge significantly increased (p = 0.03) . Participants reported a need for the program, valued peer learning, and attention to diverse influences on fall risk. This study is the first to examine the preliminary efficacy of an online fall prevention intervention for PwMS who use WC/S. While further evaluation is needed to examine iROLL’s impact on a larger and more diverse population, iROLL has good potential to meet a critical need for an underserved population of older adults aging with a disability.","cbCainnGyErdEnlV","https://ap.wps.com/l/cbCainnGyErdEnlV","pdf",705427,"English","# Background\n## iROLL program components\n# Study design and outcomes\n## Knowledge and fear of falling results\n## Participant feedback","[{\"question\":\"Why is fall prevention especially important for older adults who use wheelchairs and scooters?\",\"answer\":\"Falls are common in this population, and injuries as well as fear of falling can limit engagement in the community. This creates a need for targeted fall prevention support.\"},{\"question\":\"What topics does the iROLL program address?\",\"answer\":\"iROLL focuses on wheelchair skills, transfer activities, seated balance exercise, management of environmental factors, post-fall management, and maintenance of assistive technology.\"},{\"question\":\"What were the study results after completing the six-week iROLL program?\",\"answer\":\"After the program, concerns about falling decreased significantly (p\\u003c0.01), and fall prevention and management knowledge increased significantly (p=0.03). Participants also reported valuing the program and peer learning.\"}]","FALL PREVENTION FOR OLDER ADULTS WHO USE WHEELCHAIRS AND SCOOTERS - Abstract | PDF",1790632448]