TY - JOUR
T1 - Evaluation of implementing a home-based fall prevention program among community-dwelling older adults
AU - Olij, Branko F.
AU - Erasmus, Vicki
AU - Barmentloo, Lotte M.
AU - Burdorf, Alex
AU - Smilde, Dini
AU - Schoon, Yvonne
AU - van der Velde, Nathalie
AU - Polinder, Suzanne
PY - 2019/3/26
Y1 - 2019/3/26
N2 - 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.
AB - 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.
KW - Accidental falls
KW - Aged
KW - Exercise
KW - Implementation science
KW - Independent living
KW - Prevention and control
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85063970641&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/30917558
U2 - https://doi.org/10.3390/ijerph16061079
DO - https://doi.org/10.3390/ijerph16061079
M3 - Article
C2 - 30917558
SN - 1661-7827
VL - 16
JO - International journal of environmental research and public health
JF - International journal of environmental research and public health
IS - 6
M1 - 1079
ER -