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

Author

Listed:
  • Jennifer Jurado Severance

    (Department of Internal Medicine and Geriatrics, University of North Texas Health Science Center, Fort Worth, TX 76107, USA)

  • Solymar Rivera

    (Department of Rehabilitation and Health Services Research, University of North Texas, Denton, TX 76203, USA)

  • Jinmyoung Cho

    (Center for Applied Health Research, Baylor Scott & White Research Institute, Temple, TX 76502, USA)

  • Jessica Hartos

    (Cizik School of Nursing, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA)

  • Amal Khan

    (Department of Internal Medicine and Geriatrics, University of North Texas Health Science Center, Fort Worth, TX 76107, USA)

  • Janice Knebl

    (Department of Internal Medicine and Geriatrics, University of North Texas Health Science Center, Fort Worth, TX 76107, USA)

Abstract

Falls 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.

Suggested Citation

  • Jennifer Jurado Severance & Solymar Rivera & Jinmyoung Cho & Jessica Hartos & Amal Khan & Janice Knebl, 2022. "A Collaborative Implementation Strategy to Increase Falls Prevention Training Using the Age-Friendly Health Systems Approach," IJERPH, MDPI, vol. 19(10), pages 1-11, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:5903-:d:814320
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    References listed on IDEAS

    as
    1. Sungmin Lee & Chanam Lee & Susan Rodiek, 2017. "Neighborhood Factors and Fall-Related Injuries among Older Adults Seen by Emergency Medical Service Providers," IJERPH, MDPI, vol. 14(2), pages 1-13, February.
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    Cited by:

    1. Nina Tumosa, 2023. "Using the Age-Friendly Health Systems Framework to Track Wellness and Health Promotion Priorities of Older Adults in the Global Community," IJERPH, MDPI, vol. 20(5), pages 1-5, March.

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