Development, Implementation, and Evaluation of an Interprofessional Falls Prevention Program for Older Adults

Authors

  • Carol Banez RN, BScN, APN, MAn,

    1. From the *University Health Network, Toronto, CanadaSt. Michael's Hospital, Toronto, CanadaDepartment of Medicine, University of Toronto, Toronto, Canada
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  • Sandra Tully RN, BScN, APN, MAEd,

    1. From the *University Health Network, Toronto, CanadaSt. Michael's Hospital, Toronto, CanadaDepartment of Medicine, University of Toronto, Toronto, Canada
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  • Lina Amaral MSW,

    1. From the *University Health Network, Toronto, CanadaSt. Michael's Hospital, Toronto, CanadaDepartment of Medicine, University of Toronto, Toronto, Canada
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  • Debbie Kwan BScPhm, MSc,

    1. From the *University Health Network, Toronto, CanadaSt. Michael's Hospital, Toronto, CanadaDepartment of Medicine, University of Toronto, Toronto, Canada
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  • Anita Kung BScPT,

    1. From the *University Health Network, Toronto, CanadaSt. Michael's Hospital, Toronto, CanadaDepartment of Medicine, University of Toronto, Toronto, Canada
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  • Kitty Mak RN, BHlthSc,

    1. From the *University Health Network, Toronto, CanadaSt. Michael's Hospital, Toronto, CanadaDepartment of Medicine, University of Toronto, Toronto, Canada
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  • Rola Moghabghab RN, APN, MN,

    1. From the *University Health Network, Toronto, CanadaSt. Michael's Hospital, Toronto, CanadaDepartment of Medicine, University of Toronto, Toronto, Canada
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  • Shabbir M.H. Alibhai MD, MSc

    1. From the *University Health Network, Toronto, CanadaSt. Michael's Hospital, Toronto, CanadaDepartment of Medicine, University of Toronto, Toronto, Canada
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Address correspondence to Carol Banez, 399 Bathurst St., 8th McLaughlin 442, Toronto, Ontario, Canada M5T 2S8. E-mail: carol.banez@uhn.on.ca

Abstract

This article describes the development and implementation of an Interprofessional Falls Prevention Program (IFPP) designed for community-dwelling seniors. The program was a collaborative pilot research study conducted in a retirement home and an outpatient hospital setting. The pilot was successful and was positioned into a permanent falls prevention program. The IFPP aimed at improving physical function and balance and reducing the fear of falling in seniors with a history of falls. The pilot study included an interprofessional falls assessment followed by a 12-week program of once-weekly group education and exercise sessions, 3- and 6-month follow-up visits, and individual counseling. To measure program effectiveness, the Berg Balance Scale, the Timed Up and Go Test, the Falls Efficacy Scale, and the Morse Fall Risk Scale were used at baseline, upon program completion, and at 3- and 6-month follow-up. Process measures were also collected, including patient satisfaction. Persistent improvements were found in participants' balance, strength, functional mobility, and fear of falling. Patient satisfaction with the program was high. Challenges faced in program implementation are also highlighted.

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