title: Integrating proven falls prevention interventions into government programs.
abstract: OBJECTIVE
  To identify Department of Health programs with high potential to integrate evidence-based interventions to prevent falls among older people.
  
  
  METHODS
  Broad consultation within the Department followed by structured decision making. This work was informed by an analysis of Victorian hospital separations data and a Cochrane Systematic Review to identify relevant target groups and interventions. Ranking of the integration potential of interventions for a broad range of Department program areas was achieved through a facilitated workshop. A short list of program areas was then developed and scored, using pre-defined criteria, for their match with the interventions.
  
  
  RESULTS
  The ranked order of interventions, from most to least suitable for integration, were: multifactorial risk assessment and intervention; multi-component group exercise; medication review; occupational therapy-based home safety; home-based exercise; and first eye cataract surgery. Four of six program areas had a strong match (a score of ≥75% of the maximum score) with one or more of three interventions. Two program areas (Primary Care Partnerships, and Home and Community Care) had strong matches with three interventions (group- and home-based exercise; occupational therapy-based home safety) and were selected as priority areas. The Hospital Admissions Risk Program had strong and good matches respectively with home-based exercise and medication review, and was also selected.
  
  
  CONCLUSIONS
  Our systematic methods identified Department programs with strong potential for integration of proven falls prevention interventions.
  
  
  CONCLUSIONS
  Matching departmental programs and evidence-based interventions for integration may lead to more efficient resource allocation for falls prevention in Victoria.
authors.affiliation: Falls Prevention Research Unit, Monash Injury Research Institute, Monash University, Victoria.
authors.forename: Lesley
authors.initials: L
authors.lastname: Day
authors.forename: Alex
authors.initials: A
authors.lastname: Donaldson
authors.forename: Catherine
authors.initials: C
authors.lastname: Thompson
authors.forename: Margaret
authors.initials: M
authors.lastname: Thomas
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000061:Accidents, Home / Q000517:prevention & control*; D000369:Aged, 80 and over; D004779:Environment Design; D019317:Evidence-Based Medicine; D015444:Exercise; D005260:Female; D006078:Government Programs; D006801:Humans; D008297:Male; D012111:Residence Characteristics; D026302:Tai Ji; D014739:Victoria
keywords: evidence integration; falls prevention; implementation