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Evaluation of Implementing a Home-Based Fall Prevention Program among Community-Dwelling Older Adults

Author

Listed:
  • Branko F. Olij

    (Department of Public Health, University Medical Center Rotterdam, Erasmus MC, 3000 CA Rotterdam, The Netherlands)

  • Vicki Erasmus

    (Department of Public Health, University Medical Center Rotterdam, Erasmus MC, 3000 CA Rotterdam, The Netherlands)

  • Lotte M. Barmentloo

    (Department of Public Health, University Medical Center Rotterdam, Erasmus MC, 3000 CA Rotterdam, The Netherlands)

  • Alex Burdorf

    (Department of Public Health, University Medical Center Rotterdam, Erasmus MC, 3000 CA Rotterdam, The Netherlands)

  • Dini Smilde

    (GENERO Foundation, 3001 AE Rotterdam, The Netherlands)

  • Yvonne Schoon

    (Department of Geriatric Medicine, Radboud University Medical Center, 6525 GC Nijmegen, The Netherlands)

  • Nathalie van der Velde

    (Section of Geriatric Medicine, Department of Internal Medicine, Amsterdam, University of Amsterdam. UMC, Amsterdam Public Health Research Institute, 1105 AZ Amsterdam, The Netherlands)

  • Suzanne Polinder

    (Department of Public Health, University Medical Center Rotterdam, Erasmus MC, 3000 CA Rotterdam, The Netherlands)

Abstract

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.

Suggested Citation

  • Branko F. Olij & Vicki Erasmus & Lotte M. Barmentloo & Alex Burdorf & Dini Smilde & Yvonne Schoon & Nathalie van der Velde & Suzanne Polinder, 2019. "Evaluation of Implementing a Home-Based Fall Prevention Program among Community-Dwelling Older Adults," IJERPH, MDPI, vol. 16(6), pages 1-13, March.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:6:p:1079-:d:217252
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    References listed on IDEAS

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    1. Glasgow, R.E. & Vogt, T.M. & Boles, S.M., 1999. "Evaluating the public health impact of health promotion interventions: The RE-AIM framework," American Journal of Public Health, American Public Health Association, vol. 89(9), pages 1322-1327.
    2. Michael Brach & Anna Moschny & Bettina Bücker & Renate Klaaßen-Mielke & Matthias Trampisch & Stefan Wilm & Petra Platen & Timo Hinrichs, 2013. "Recruiting Hard-to-Reach Subjects for Exercise Interventions: A Multi-Centre and Multi-Stage Approach Targeting General Practitioners and Their Community-Dwelling and Mobility-Limited Patients," IJERPH, MDPI, vol. 10(12), pages 1-19, December.
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    Cited by:

    1. Nina van der Vliet & Anita W.M. Suijkerbuijk & Adriana T. de Blaeij & G. Ardine de Wit & Paul F. van Gils & Brigit A.M. Staatsen & Rob Maas & Johan J. Polder, 2020. "Ranking Preventive Interventions from Different Policy Domains: What Are the Most Cost-Effective Ways to Improve Public Health?," IJERPH, MDPI, vol. 17(6), pages 1-24, March.
    2. Sanne W. T. Frazer & Rozan van der Veen & Anneloes Baan & Mariëlle E. W. Hermans & Branko F. Olij, 2021. "Evaluation of Implementing TOM: A Group-Based Fall Prevention Programme among Community-Dwelling Older Adults in The Netherlands," IJERPH, MDPI, vol. 18(12), pages 1-13, June.

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