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

Branko F. Olij, Vicki Erasmus, Lotte M. Barmentloo, Alex Burdorf, Dini Smilde, Yvonne Schoon, Nathalie van der Velde and Suzanne Polinder
Additional contact information
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

IJERPH, 2019, vol. 16, issue 6, 1-13

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.

Keywords: accidental falls; aged; prevention and control; exercise; independent living; implementation science (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

Downloads: (external link)
https://www.mdpi.com/1660-4601/16/6/1079/pdf (application/pdf)
https://www.mdpi.com/1660-4601/16/6/1079/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:16:y:2019:i:6:p:1079-:d:217252

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().