Weekly Research Highlight in Fall Prevention

This weekly blog post aims to highlight articles published during the week regarding fall prevention. This week we take a look at community care staff attitudes to delivering fall prevention exercises and scaling up a fall prevention program.

Abstracts for these studies can be found here

Community care staff attitudes towards delivering a falls prevention exercise intervention to community care clients
Burton E, Boyle EJ, O’Connell H, Lewin G, Petrich M, Hill KD. Health Soc. Care Community 2020; ePub(ePub): ePub.
DOI 10.1111/hsc.13101 PMID 32687249
Older adults who receive community care services are often frail and experience 50% more falls than older adults who do not require these services. The regular and long term nature of community care staff providing services to older adults is an ideal environment to promote fall prevention exercise. This study study retrospectively looks at a trial where community care staff successfully incorporated a fall prevention exercise program safely to their clients and and understand community care staff’s attitudes towards and  experience of, delivering a home-based exercise program to their clients.
Outcomes associated with scale-up of the Stepping On falls prevention program: A case study in redesigning for dissemination
Mahoney JE, Gangnon R, Clemson L, Jaros LV, Cech S, Renken J. J. Clin. Transl. Sci. 2020; 4(3): 250-259.
DOI 10.1017/cts.2020.17 PMID 32695497
The Stepping On fall prevention program has been widely adopted succesfully across Australia and internationally. As the program in America began to scale-up to accomodate more groups it was discovered that the program had begun to be changed and adapted as well as run by a variety of instructors with different levels of training (Eg. Occupational Therapists through to non-health professionals). This study aimed to identify the key elements of Stepping On and build a program package to ensure fidelity of delivery and effectiveness, and maximize dissemination, implementation, and sustainment of the program nationally.