A Collaborative Implementation Strategy to Increase Falls Prevention Training Using the Age-Friendly Health Systems Approach

dc.creatorSeverance, Jennifer J.
dc.creatorRivera, Solymar
dc.creatorCho, Jinmyoung
dc.creatorHartos, Jessica
dc.creatorKhan, Amal
dc.creatorKnebl, Janice
dc.description.abstractFalls in the home and in community environments are the leading cause of injuries and long-term disabilities for the aging population. The purpose of this study was to examine outcomes of a partnership among an academic institution, government agency, community organizations, and emergency management services to implement a falls prevention training program using an Age-Friendly Health Systems approach. In this prospective study, partners identified gaps in services and targeted and non-targeted delivery areas for implementation of an evidence-based falls prevention intervention addressing the 4Ms of Age-Friendly Health Systems-Mobility, Medications, Mentation, and What Matters. Descriptive statistics were calculated for program implementation and participant demographic variables, and paired t-test analysis compared scores for self-assessed general health and falls efficacy prior to and after program participation. Twenty-seven falls prevention classes were implemented, with over half (52%) in targeted areas. A total of 354 adults aged 50 and older participated, with N = 188 participants (53%) completing the program by attending at least five of eight sessions. Of completers, 35% resided in targeted areas. The results showed a statistically significant improvement in falls efficacy by program completers in targeted and non-targeted areas. However, there was no statistically significant difference in self-rated health. Overall, the findings of this study indicate that collaboration to deliver falls prevention training can be effective in reaching at-risk older adults. By mobilizing collaborative partnerships, limited resources can be allocated towards identifying at-risk older adults and improving community-based falls prevention education.
dc.description.sponsorshipThis project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U1QHP28735. Its contents are solely the responsibility of the authors and do not necessarily represent the official view of the Health Resources and Services Administration or the U.S. Department of Health and Human Services.
dc.identifier.citationSeverance, J. J., Rivera, S., Cho, J., Hartos, J., Khan, A., & Knebl, J. (2022). A Collaborative Implementation Strategy to Increase Falls Prevention Training Using the Age-Friendly Health Systems Approach. International journal of environmental research and public health, 19(10), 5903. https://doi.org/10.3390/ijerph19105903
dc.rights.holder© 2022 by the authors.
dc.rights.licenseAttribution 4.0 International (CC BY 4.0)
dc.sourceInternational Journal of Environmental Research and Public Health
dc.subjectAge-Friendly Health Systems
dc.subjectfall prevention
dc.subjectfalls efficacy
dc.subject.meshAccidental Falls / prevention & control
dc.subject.meshMiddle Aged
dc.subject.meshProspective Studies
dc.subject.meshSocial Environment
dc.subject.meshSystems Analysis
dc.titleA Collaborative Implementation Strategy to Increase Falls Prevention Training Using the Age-Friendly Health Systems Approach


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