Evaluation of Implementing a Home-Based Fall Prevention Program among Community-Dwelling Older Adults

International Journal of Environmental Research and Public Health

Yvonne Schoon¹  Suzanne Polinder²  LotteM. Barmentloo²  Vicki Erasmus²  BrankoF. Olij²  Alex Burdorf²  Dini Smilde³  Nathalie van der Velde⁴ 

[1] Department of Geriatric Medicine, Radboud University Medical Center, 6525 GC Nijmegen, The Netherlands;Department of Public Health, University Medical Center Rotterdam, Erasmus MC, 3000 CA Rotterdam, The Netherlands;GENERO Foundation, 3001 AE Rotterdam, The Netherlands;Section of Geriatric Medicine, Department of Internal Medicine, Amsterdam, University of Amsterdam. UMC, Amsterdam Public Health Research Institute, 1105 AZ Amsterdam, The Netherlands;

关键词: accidental falls;    aged;    prevention and control;    exercise;    independent living;    implementation science;   

DOI  :  10.3390/ijerph16061079

来源: DOAJ

【 摘 要 】

We aimed to describe and evaluate the implementation of a home-based exercise program among community-dwelling adults aged ≥65 years. In an observational study, the twelve-week program was implemented in a community setting. The implementation plan consisted of dialogues with healthcare professionals and older adults, development of an implementation protocol, recruitment of participants, program implementation, and implementation evaluation. The dialogues consisted of a Delphi survey among healthcare professionals, and of individual and group meetings among older adults. The implementation of the program was evaluated using the framework model RE-AIM. In the dialogues with healthcare professionals and older adults, it was found that negative consequences of a fall and positive effects of preventing a fall should be emphasized to older adults, in order to get them engaged in fall prevention activities. A total of 450 older adults enrolled in the study, of which 238 started the program. The process evaluation showed that the majority of older adults were recruited by a community nurse. Also, a good collaboration between the research team and the local primary healthcare providers was accomplished, which was important in the recruitment. Future fall prevention studies may use this information in order to translate an intervention in a research project into a community-based program.

【 授权许可】

Unknown