Development, implementation, and evaluation of an Interprofessional Falls Prevention Program for older adults.
This article describes the development and implementation of an Interprofessional Falls Prevention Program (IFPP) designed for community-dwelling seniors. The program was a collaborative pilot research study conducted in a retirement home and an outpatient hospital setting. The pilot was successful and was positioned into a permanent falls prevention program. The IFPP aimed at improving physical function and balance and reducing the fear of falling in seniors with a history of falls. The pilot study included an interprofessional falls assessment followed by a 12-week program of once-weekly group education and exercise sessions, 3- and 6-month follow-up visits, and individual counseling. To measure program effectiveness, the Berg Balance Scale, the Timed Up and Go Test, the Falls Efficacy Scale, and the Morse Fall Risk Scale were used at baseline, upon program completion, and at 3- and 6-month follow-up. Process measures were also collected, including patient satisfaction. Persistent improvements were found in participants' balance, strength, functional mobility, and fear of falling. Patient satisfaction with the program was high. Challenges faced in program implementation are also highlighted.
University Health Network, Toronto, Canada. carol.banez@uhn.on.ca
Carol
C
Banez
Sandra
S
Tully
Lina
L
Amaral
Debbie
D
Kwan
Anita
A
Kung
Kitty
K
Mak
Rola
R
Moghabghab
Shabbir M H
SM
Alibhai
D000058:Accidental Falls / Q000517:prevention & control*; D000203:Activities of Daily Living / Q000145:classification; D000368:Aged; D003299:Cooperative Behavior; D004185:Disability Evaluation; D015444:Exercise; D005500:Follow-Up Studies; D015577:Geriatric Assessment; D006266:Health Education; D006284:Health Plan Implementation; D006293:Health Promotion / Q000458:organization & administration; D006801:Humans; D008609:Mental Status Schedule; D051346:Mobility Limitation; D009864:Ontario; D010348:Patient Care Team / Q000458:organization & administration*; D017060:Patient Satisfaction; D010865:Pilot Projects; D004856:Postural Balance; D011446:Prospective Studies; D012307:Risk Factors; D012931:Social Environment