An impact evaluation of a falls prevention program among older people

Deery, Hamish A; Day, Lesley Margaret; Fildes, Brian

doi:10.1016/s0001-4575(99)00043-3

Cited by 28 publications

(17 citation statements)

References 13 publications

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“…Factors that have been shown to facilitate compliance with home modifications are a belief that home modifications will reduce risk of falls, a perception that falls are not an inevitable part of ageing and a past behaviour of home modification 22 . Previous history of falls has been shown to increase uptake of home modifications and adherence in some trials, 23 but not in others 18 . Low‐income status has been shown to be associated with acceptance of home modifications by older people with disabilities, presumably because those who are less affluent are more likely to appreciate assistance with making the necessary modifications or receive financial support to implement the modifications 17,24 .…”

Section: Discussionmentioning

confidence: 99%

Determinants of uptake of home modifications and exercise to prevent falls in community‐dwelling older people

Harvey

Mitchell

Lord

et al. 2014

Australian and New Zealand Journal of Public Health

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Objective: To examine the age-specific population prevalence and predictors of uptake of home modifications and exercise to prevent falls in the NSW older population. Methods:A total of 5,681 respondents were asked questions on fall prevention activities as part of the 2009 NSW Falls Prevention Survey. Results were weighted to represent the NSW population. Regression analysis was used to determine factors associated with uptake of interventions.Results: Overall, 28.9% of the older population have modified their home, and 35.1% increased exercise to prevent falls. Main predictors of home modification were being aged 85+ (RR 2.04, 95% CI 1.76-2.35) and physiotherapy/occupational therapy intervention (RR 1.57, 95% CI 1.22-2.01). Main predictors of increasing exercise were physiotherapy/OT intervention (RR 2.12, 95% CI 1.86-2.42) and medical advice (RR 1.45, 95% CI1.32-1.60). Older respondents (RR 0.68, 95% CI 0.57-0.81) and those with fair/poor health (RR 0.86, 95% CI 0.77-0.96) were less likely to report increased exercise. Conclusion:More than one-quarter of the older population of NSW report having made modifications to their home and one-third increased exercise to prevent falls. There was a clear gradient of increased uptake of home modifications with increasing age, with the reverse trend for increased exercise. Implication: Although fall prevention initiatives are having an impact at the population level, targeted strategies for high-risk groups are still required.

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Section: Discussionmentioning

confidence: 99%

Determinants of uptake of home modifications and exercise to prevent falls in community‐dwelling older people

Harvey

Mitchell

Lord

et al. 2014

Australian and New Zealand Journal of Public Health

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“…In assessing outcomes, there is limited evidence that education, including peer education, as a single strategy reduces fall rates [44]. Process and impact evaluations reported in studies using quasi‐experimental pretest/post‐test designs have shown the potential of peer education to raise awareness and knowledge of risk associated with falling [1,45]. However, there has been little formal evaluation of peer education in terms of outcomes such as reduction in falls or fall‐related injuries in the target group.…”

Section: Evidence Of Effectiveness Of Peer Education In Fall Preventionmentioning

confidence: 99%

Using senior volunteers as peer educators: What is the evidence of effectiveness in falls prevention?

Peel

Warburton

2009

Australas J Ageing

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Peer education models are well established as a means of delivering health and social welfare information. IntroductionThere is a popular view that advice is more readily accepted from contemporaries -those who are similar in age and experience to the recipients [1,2]. Based on this premise, peer education models have flourished since the 1960s and are well established as a means of delivering health and social welfare information [3]. The notion of a 'peer' is tied to identity, but it should not be assumed that age constitutes the only basis for identification between people. Identities derive from a multiplicity of sources including roles that people take on (for example being a grandparent), group categories that they feel they belong to (such as those based on culture or religion) or experiences that they have (such as having a chronic illness) [3].Common themes that can be identified in regard to peer education are that information sharing and transfer take place; attempts are made to influence knowledge, attitudes or behaviour; that it occurs between people who share common characteristics and similar experiences; and that it relies on influential members of a social group or category [4]. Although peer education is most often associated with younger age groups, its use among older age groups is becoming more common [5,6]. It has been suggested that using trained senior volunteers to inform peers about a variety of health-related topics is an important strategy for promoting healthy ageing [7].Volunteers have long played a key role in community-based health and social support services [8]. Older people are termed 'highly committed volunteers' as they donate more time than any other age group [9,10]. As well as giving time, they provide the benefits from lifelong experiences. As the baby-boomer cohort ages, they will continue to volunteer but have different needs and expectations in relation to their volunteering [11]. Many view commitment to peer education programs as a way to be active and involved, while contributing to their communities.Peer education models using trained older volunteers have included programs to provide information about medication management [12], to counsel on the mental health needs of older adults [13], for chronic disease self-management for conditions such as arthritis and osteoporosis [14], to promote wellness and quality of life [15], to encourage healthy eating [16] and increased physical activity [17], to support preventive health screening [2,18], as well as to advise about fall prevention [19]. Despite proliferation of such programs, uncertainty remains about the effectiveness of this model of service delivery. This paper reviews the literature exploring the theoretical basis for using senior volunteers as peer educators, outlining the advantages and disadvantages of this model of service delivery for health promotion of older people and, specifically, examines the evidence for effectiveness in fall prevention. To identify articles for inclusion in this review Pubmed, CIN...

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“…Fall prevention education provides numerous advantages such as improving fall prevention awareness, perception of fall prevention intervention, self-efficacy and in some cases, a reduction in the number of falls (Brouwer, Walker, Rydahl, & Culham, 2003;Clemson et al, 2004;Deery, Day, & Fildes, 2000;Haines et al, 2011;Schepens, Panzer, & Goldberg, 2011). Fall prevention education in conjunction with fall prevention strategies can reduce falls.…”

Section: Introductionmentioning

confidence: 99%

The impact of implementing a fall prevention educational session for community‐dwelling physical therapy patients

Ott

2018

Nursing Open

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AimThe aim of this study was to evaluate the impact of a fall prevention educational session on fall risk knowledge, use of fall prevention interventions and the number of falls in community‐dwelling older persons attending physical therapy.DesignThis pilot study used a mixed method design consisting of a quantitative pretest–posttest quasi‐experimental design followed by a qualitative interview.MethodAn educational intervention was given with pre‐ and posttest questionnaires to determine the outcome measures of: (a) fall risk knowledge; (b) number of participants implementing fall prevention techniques; and (c) the number of falls sustained for 60 days post the educational sessions. The Health Belief Model served as the theoretical underpinnings for development and presentation of two educational sessions.ResultsEight of 20 participants completed the fall prevention educational sessions and subsequent evaluation. An increase in fall risk knowledge (p = 0.031) and implementation of fall prevention techniques was noted. One fall was sustained 60 days after therapy discharge.

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An impact evaluation of a falls prevention program among older people

Cited by 28 publications

References 13 publications

Determinants of uptake of home modifications and exercise to prevent falls in community‐dwelling older people

Determinants of uptake of home modifications and exercise to prevent falls in community‐dwelling older people

Using senior volunteers as peer educators: What is the evidence of effectiveness in falls prevention?

The impact of implementing a fall prevention educational session for community‐dwelling physical therapy patients

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