Application of a falls prevention program for older people to primary health care practice.
BACKGROUND
Our research group has established the effectiveness of an individually tailored home exercise program to prevent falls and fall injuries in older people in four controlled trials. In one of these trials we evaluated the applicability of the exercise program to routine primary health care practice and the feasibility of nurses implementing the program.


METHODS
People aged 80 years and older, registered with general practices in three exercise (n = 330 participants) and four control centers (n = 120 participants) in New Zealand, were invited to take part by their doctor. We investigated program reach, uptake, and compliance. We carried out physical assessments at baseline and after 1 year to assess the impact of the program.


RESULTS
Most (85%) doctors agreed to take part and they approved 71% of patients to undertake the exercise program. Overall 47% of people invited agreed to participate and 70% of the exercise participants remained exercising at 1 year. Balance score and chair stand time improved by a similar amount in each exercise center compared with the control centers.


CONCLUSIONS
This falls prevention program is acceptable to older people and their doctors. Nurses trained by a physiotherapist can deliver the home exercise program effectively in routine primary health care practice.
Gardner
Melinda M
MM
Department of Medical and Surgical Sciences, University of Otago Medical School, Dunedin, New Zealand.
Phty
M
M
Robertson
M Clare
MC
McGee
Rob
R
Campbell
A John
AJ
D000058:Accidental Falls / Q000517:prevention & control*; D000061:Accidents, Home / Q000517:prevention & control*; D000368:Aged; D000369:Aged, 80 and over; D015444:Exercise; D005194:Family Practice; D005260:Female; D006801:Humans; D008297:Male; D011320:Primary Health Care / Q000379:methods* / Q000458:organization & administration; D015397:Program Evaluation