Protocol for disseminating an evidence-based fall prevention program in community senior centers: evaluation of translatability and public health impact via a single group pre-post study

Implementation Science

Peter Harmer¹  Fuzhong Li² 

[1] Department of Exercise Science, Willamette University, Salem, OR 97310, USA;Oregon Research Institute, 1776 Millrace Dr, Eugene, OR 97403, USA

关键词: Tai Ji Quan;    Falls prevention;    Community-dwelling older adults;    Falls;   

Others  :  801220
DOI  :  10.1186/1748-5908-9-63

 received in 2014-04-21, accepted in 2014-05-21,  发布年份 2014

【 摘 要 】

Background

Falls are the leading cause of injury death in older adults and present a significant public health problem and a major burden to healthcare. Although there is sufficient evidence from randomized controlled trials to indicate that exercise can prevent falls in older people, few effective, evidence-based fall prevention programs exist in community practice. Thus, there is a pressing need to translate and disseminate evidence-based exercise programs to community providers that serve older adults at increased risk of falling. The current study addresses this public health need by disseminating the evidence-based Tai Ji Quan: Moving for Better Balance (TJQMBB) program through community senior centers.

Methods/Design

The study uses a single-group design in which the TJQMBB program is being delivered to community-dwelling older adults through collaboration with senior centers in selected counties in Oregon, USA, for 48 weeks, followed by a 24-week post-intervention follow-up. Study process and outcome measures will be evaluated in accordance with the components of the RE-AIM framework that focus on Reach, Effectiveness, Adoption, Implementation and Maintenance.

Discussion

This study will determine whether the evidence-based TJQMBB fall prevention program can be disseminated through a broad spectrum of community-based senior centers that often cater to low-income, underserved community-dwelling older adults at risk of falling. If shown to be both practically implementable and sustainable, the TJQMBB program will provide an effective, potentially low-cost, easy-to-implement intervention that could be used by public health practitioners and community-based organizations to address the problem of falls among older adults.

Trial registration

ClinicalTrials.gov Identifier: NCT01854931

【 授权许可】

   
2014 Li and Harmer; licensee BioMed Central Ltd.

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