The authors have stated they have no conflict of interest.
Injury and Harm
Integrating proven falls prevention interventions into government programs
Article first published online: 1 APR 2014
© 2014 The Authors. ANZJPH © 2014 Public Health Association of Australia
Australian and New Zealand Journal of Public Health
Volume 38, Issue 2, pages 122–127, April 2014
How to Cite
Day, L., Donaldson, A., Thompson, C. and Thomas, M. (2014), Integrating proven falls prevention interventions into government programs. Australian and New Zealand Journal of Public Health, 38: 122–127. doi: 10.1111/1753-6405.12140
- Issue published online: 1 APR 2014
- Article first published online: 1 APR 2014
- Manuscript Accepted: 1 AUG 2013
- Manuscript Revised: 1 MAY 2013
- Manuscript Received: 1 APR 2013
- falls prevention;
- evidence integration
Objective: To identify Department of Health programs with high potential to integrate evidence-based interventions to prevent falls among older people.
Methods: Broad consultation within the Department followed by structured decision making. This work was informed by an analysis of Victorian hospital separations data and a Cochrane Systematic Review to identify relevant target groups and interventions. Ranking of the integration potential of interventions for a broad range of Department program areas was achieved through a facilitated workshop. A short list of program areas was then developed and scored, using pre-defined criteria, for their match with the interventions.
Results: The ranked order of interventions, from most to least suitable for integration, were: multifactorial risk assessment and intervention; multi-component group exercise; medication review; occupational therapy-based home safety; home-based exercise; and first eye cataract surgery. Four of six program areas had a strong match (a score of ≥75% of the maximum score) with one or more of three interventions. Two program areas (Primary Care Partnerships, and Home and Community Care) had strong matches with three interventions (group- and home-based exercise; occupational therapy-based home safety) and were selected as priority areas. The Hospital Admissions Risk Program had strong and good matches respectively with home-based exercise and medication review, and was also selected.
Conclusions: Our systematic methods identified Department programs with strong potential for integration of proven falls prevention interventions.
Implications: Matching departmental programs and evidence-based interventions for integration may lead to more efficient resource allocation for falls prevention in Victoria.