Fall prevention in older adults: towards an integrated population-based perspective

Robitaille, Yvonne; Gauvin, Lise

doi:10.1136/ip.2008.019299

Cited by 4 publications

(3 citation statements)

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“…It is shown that the proven effective intervention, exercise programme, did not have an optimal coverage in the falls service. Subsequent challenges concern the feasibility of implementing proven interventions in appropriate settings, acceptability of the interventions by target participants and sustainability of the interventions (Robitaille and Gauvin, 2008). Recent studies suggest that effective falls prevention programmes should be sustainable, enjoyable and effective over the long term, and integration into daily activities at home is important (Clemson et al , 2012; Morris, 2012).…”

Section: Introductionmentioning

confidence: 99%

A community-based Falls Management Exercise Programme (FaME) improves balance, walking speed and reduced fear of falling

Yeung

Chan²,

Woo

2014

Prim Health Care Res Dev

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Section: Introductionmentioning

confidence: 99%

A community-based Falls Management Exercise Programme (FaME) improves balance, walking speed and reduced fear of falling

Yeung

Chan²,

Woo

2014

Prim Health Care Res Dev

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“…Effective falls prevention services require a wide referral base and integrated referral routes from all agencies including ambulance services, the voluntary sector and should include a significant input from older people and their families and relatives (Greenhalgh et al. , 2004; Rubenstein & Pugh, 2006; Robitaille & Gauvin, 2008; Campbell et al. , 2009; Watson, 2011).…”

Section: Joining Up Carementioning

confidence: 99%

Falls prevention and support: translating research, integrating services and promoting the contribution of service users for quality and innovative programmes of care

Gormley¹

2011

Int J Older People Nursing

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Falls are a significant threat to the safety, health and independence of older citizens. Despite the substantial evidence that is available around effective falls prevention programmes and interventions, their translation into falls reduction programmes and policies has yet to be fully realised. While hip fracture rates are decreasing, the number and incidence of fall-related hospital admissions among older people continue to rise. Given the demographic trends that highlight increasing numbers of older people in the UK, which is broadly reflected internationally, there is a financial and social imperative to minimise the rate of falls and associated injuries. Falling is closely aligned to growing older (Slips, Trips and Falls Update: From Acute and Community Hospitals and Mental Health Units in England and Wales, Department of Health, HMSO, London, 2010). According to the World Health Organization, around 30% of older people aged over 65 and 50% of those over 80 will fall each year (Falls Fact Sheet Number 344, WHO, Geneva, 2010). Falls happen as a result of many reasons and can have harmful consequences, including loss of mobility and independence, confidence and in many cases even death (Cochrane Database Syst Rev 15, 2009, 146; Slips, Trips and Falls Update: From Acute and Community Hospitals and Mental Health Units in England and Wales, Department of Health, HMSO, London, 2010; Falling Standards, Broken Promises: Report of the National Audit of Falls and Bone Health in Older People 2010, Health Care Quality Improvement Partnership, London, 2011). What is neither fair nor correct is the common belief by old and young alike that falls are just another inconvenience to put up with. The available evidence justifiably supports the view that well-organised services, based upon national standards and expert guidance, can prevent future falls among older people and reduce death and disability from fractures. This paper will draw from the UK, as an exemplar for policy and practice, to discuss the strategic direction of falls prevention programmes for older people and the partnerships that need to exist between researchers, service providers and users of services to translate evidence to the clinical setting. Second, it will propose some mechanisms for disseminating evidence to healthcare professionals and other stakeholders, to improve the quality and capacity of the clinical workforce.

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“…Research on this topic is quite limited, especially in Australian populations. There is intense interest in the translation of evidence-based falls interventions into sustainable practice to achieve health gains 21 22. This project will contribute significantly to the body of knowledge regarding translation and implementation models.…”

Section: Evaluation Planmentioning

confidence: 99%

A protocol for evidence-based targeting and evaluation of statewide strategies for preventing falls among community-dwelling older people in Victoria, Australia

et al. 2010

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BackgroundFalls are a significant threat to the safety, health and independence of older citizens. Despite the now substantial evidence about effective falls prevention interventions, translation into falls reductions has not yet been fully realised. While the hip fracture rate is decreasing, the number and rate of fall-related hospital admissions among older people is increasing. The challenge now is to deliver the most effective interventions efficiently at a population level, and for these interventions to be taken up by older people.ObjectiveTo support the development, and evaluation of, effective falls prevention policy and practice in the state of Victoria, Australia.MethodsThe RE-AIM model (Reach, Efficacy, Adoption, Implementation, Maintenance) was used to identify strategies for an effective programme. Research objectives were developed to support the strategies. These include: (1) identification of subgroups of older people most frequently admitted to hospital for falls; (2) examining the acceptability of established falls interventions; (3) identification of factors that encourage and support relevant lifestyle changes; (4) identifying opportunities to incorporate confirmed interventions in existing programmes and services; (5) developing guidelines for sustainability. The research results will subsequently guide strategy details for the falls prevention plan. RE-AIM will provide the framework for the evaluation structure.Outcome measuresMeasures to monitor the implementation of the selected interventions will be determined for each intervention, based on the five key factors of the RE-AIM model. The overall effect of the falls prevention plan will be monitored by time series analysis of fall-related hospital admission rates for community-dwelling older people.

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Fall prevention in older adults: towards an integrated population-based perspective

Cited by 4 publications

References 24 publications

A community-based Falls Management Exercise Programme (FaME) improves balance, walking speed and reduced fear of falling

A community-based Falls Management Exercise Programme (FaME) improves balance, walking speed and reduced fear of falling

Falls prevention and support: translating research, integrating services and promoting the contribution of service users for quality and innovative programmes of care

A protocol for evidence-based targeting and evaluation of statewide strategies for preventing falls among community-dwelling older people in Victoria, Australia

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