Better Strength, Better Balance! Partnering to deliver a fall prevention program for older adults Wednesday, September 12, 2018 Kelly McKay, Ottawa Public Health Darcie Taing, Ottawa Public Health T HIS WEBINAR IS BEING RECORDED . Webinar technology T HE SLIDE DECK AND RECORDING WILL BE managed by: EMAILED AFTER THE WEBINAR .
Better Strength, Better Balance! Partnering for Fall Prevention Kelly McKay RN, BScN, Dip Prog. Eval Darcie Taing RN, MN, CCHN(C) September 12 2018
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Audience Poll: What sector do you currently work in? Other (please describe in chat box) 3% NGO 3% Recreation 9% Public health 27% Long term care and or rehabilitation 18% Research 5% Community care 44% Acute and or primary care 23% 0% 20% 40% 60% 3
Situational Assessment Cost of falls in Ottawa Growing aging population City of Ottawa Older Adult plan Partners 4
Evidence relating to Exercise for 65+ • A dose of 3+ hrs/week with high challenge balance is significantly effective fall prevention program • Duration • Ongoing participation or benefits will be lost 5
Better Strength, Better Balance! Goal: Reduce falls amongst older adults (65+) living at home Objectives: 1. Promote regular PA 2. Increase awareness of behaviours to reduce fall risk 3. Sustainable new partnerships for fall prevention 6
Foundations for the BSBB Evidence and best practices Community Partners • Values • Mandates • Accountabilities 7
BSBB Promotional Video https://www.youtube.com/watch?v= HgVP22UqDcA 8
Thank you to our funders and partners! 9
BSBB Evaluation Evaluation Question Data Sources • Participant questionnaire 1. How well was the program • Instructor survey delivered? • Focus groups 2. What changes occurred • Registration + during the program? 3. How many older adults did attendance records • Cycle 1 evaluation the program reach? • Staff time tracking tool 4. How effective was the partnership between OPH and RCFS? 10
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Components of Intended Program Results Effective Practice 1300 older 450 older adults Cycle 1: n=699 registrants, 34 adults/year, 86-130 through 29-43 programs programs programs per cycle Cycle 2: n=840 registrants , 40 programs Cycle 3: n=791 registrants, 41 programs Total: n=2330, 115 programs Reach older adults Gateway program. 20% of participants (n=83) had a 65 + at risk for falls Open to all residents fall in the 12 months prior to the program. Program 2-3 times Participants attend 40% (n= 292) attended 75%+ of a week for 12 75%+ of classes for classes. weeks. Duration 12 weeks. No home component >50 hours Home component 12
Key Findings (Cycles 1+2) Participants: 98% satisfied 92% learned new info/skills to prevent falls 86% less worried about falling 94% felt had better strength & balance 13
Key Findings (Cycles 1+2) Participants: 98% intended to continue exercising after program 73% would adopt 1+ new fall prevention behaviours ++ comments/testimonials 14
Thank you. I am for the first time in my life trying to take care of myself. You made exercising fun. -Participant I experienced a bad fall prior to starting and still have the fear of falling. The course is helping! -Participant I saw remarkable improvements with those who participated fully during the 12 weeks. -Instructor 15
Ce programme d’exercise a beaucoup aidé mon équilibre. Je n’ai plus peur de tomber. -Participant I love this course and the results I have witnessed are amazing. -Instructor This course has been very good for me. I am walking much better. -Participant This program helped me through the grieving process after my husband died -Participant 16
Key Findings (Cycles 1+2) Instructors: 100% noticed improvement in participants 85% got the support needed from partners 17
Key Findings (Cycles 1+2) Partnership: Good communication between front line staff Access to RCFS facilities and pool of fully certified Senior Fitness Instructors Significant in-kind contributions by OPH and RCFS Leveraging of resources 18
Limitations of the Evaluation Self reported data No pre-test or control group No standardized class curriculum Inconsistent attendance reporting Retrospective tabulation of staff time Repeat vs. first time participants? 19
Recommendations Strategies to increase / sustain attendance More sites in west and east end Develop at home component of program Participation and exit criteria/screeing Formal in-service for instructors Identify standard core exercises Review usage of PARQ+ Strategies to sustain program in the community 20
Audience Poll Has your organization ever partnered with municipal recreation providers? No 28% Yes 72% 0% 20% 40% 60% 80% 21
Partnership: Lessons Learned Leveraged resources and partnerships Unique strengths and resources Shared accountabilities and values • Equity • Accessibility • Information and Privacy • Public accountability Cross promotion of complementary programs 22
Partnership: Lessons Learned High resource commitment required Ongoing communication at both leadership and front line levels Competing priorities Cost recovery vs. funded models Meeting needs of a diverse audience 23
Partnership: Currently Program celebrating its 4 th year! Standardized curriculum Exercise continuum for free/low cost exercise programs Complimentary resources (at home and television). Fall prevention messaging integrated into mainstream recreation programs Partnership supporting further collaborative work 24
Thrilled that the program is being made affordable. Certainly a needed experience for those of us on limited income -Participant I hope more people in my age group take this program. This will keep us out of the hospital. -Participant 25
Current Status/Continuous Learning Improving the client experience • Registration • Health information and resources Implementing updated evidence Measuring impact 26
Current Status/Continuous Learning 27
Areas of Future Research Impact Contextual Influences What are the impacts of Influences of free vs for- program on participant fee programming? PA and fall risk (6 mo/1 yr Influences to successful post)? PA programs? Physical, social and Barriers and mechanisms mental health impacts? that promote or limit PA? Control study to compare injury/fall rate? 28
Questions? 29
Questions? Type your questions into the chat box. OR Dial *7 on your telephone to unmute. Dial *6 when you are finished speaking to re-mute. T HIS WEBINAR IS BEING RECORDED . T HE SLIDE DECK AND RECORDING WILL BE EMAILED AFTER THE WEBINAR .
Thank you for attending! STAY IN THE LOOP! WWW.FALLSLOOP.COM
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