Presented by:
▪ 1 in 4 adults aged 65+ years old fall every year ▪ Nationally, falls are the leading cause of Traumatic Brain Injuries (TBI) ▪ Falls-related injuries are the leading cause of death in Wisconsin for older persons ▪ Majority of falls occur at home ▪ In Wisconsin, 40% of nursing home admittees had a fall in the 30 days prior to admission ▪ Emotional, physical and financial well-being jeopardized 2
▪ 2.8 million a year treated in the ER due to a fall ▪ Falls account for $50 billion in costs each year ▪ 75% of the costs are borne by Medicare & Medicaid ▪ Cost of doctor visits, time off work, caregivers, etc., in addition to ED costs ▪ Fear of falling leads to reduced activity and isolation, causing and increased risk for falls 3
▪ Falls are NOT a normal part of aging ▪ Falls can be prevented ▪ Risk can be reduced ▪ Need multi-factorial approach ▪ There are interventions that work, including STEPPING ON 4
▪ Developed in Australia by Dr. Lindy Clemson, OT ▪ Tested/implemented in community setting ▪ 2-hour sessions once a week for consecutive 7 weeks ▪ Follow-up home visit/phone call ▪ Follow-up booster session ▪ 10-14 participants ▪ Led by 2 trained Leaders 5
▪ Evidence-based ▪ Meets AoA’s highest standard ▪ Brought to U.S. by UW’s Dr. Jane Mahoney ▪ Adapted and disseminated in Wisconsin in 2007 ▪ Developed over years of: ▪ pilot-testing ▪ refinement ▪ evaluative research 6
▪ Facilitation to effect behavior change ▪ Decision-making as a process ▪ Principles of adult education ▪ Self-efficacy as a tool for change ▪ Mastery experience as a tool for change ▪ Group process ▪ Preventive Framework 7
▪ Intervention group: 31% reduction in falls ▪ Maintained confidence in more mobile ADL tasks ▪ Used more protective behaviors ▪ After 14 months ▪ 59% still doing exercises ▪ 70% followed up with home visit recommendations ▪ Less likely to start taking new psychotropic drug ▪ More subjects had vision checks 8
▪ Age 60+ ▪ At risk of falling ▪ Has fallen in past year or has a fear of falling ▪ Lives in own home or apartment ▪ Cognitively intact ▪ Walks independently or with cane; walker occasionally or for outdoor use ▪ Speaks and understands English or the language in which the class is being provided 9
▪ Strength and Balance Exercises ▪ Vision ▪ Medication Review ▪ Home Modification 10
▪ Building trust, risk appraisal ▪ Strength and balance exercises, homework ▪ Home hazards and safety modifications ▪ Community safety ▪ Bone health ▪ Medication management ▪ Sleep medication alternatives ▪ Safe footwear and safe clothing ▪ Vision and falls 11
▪ Health care provider, aging network professional, public health educator, or fitness instructor ▪ Experience leading groups of older adults ▪ Can demonstrate exercises, modify, and advance ▪ Follow the manual ▪ Understands will facilitate, not teach ▪ Passionate about falls prevention 12
▪ Attend entire 3 full-day Leader training ▪ Work with a sponsoring organization ▪ Lead workshops in pairs, both trained or 1 + peer ▪ Lead at least 2 workshops each year ▪ Follow program manual ▪ Secure and distribute weights to workshop participants ▪ Prepare and use a Stepping On Display ▪ Copy and distribute Exercise Manual and handouts ▪ Invite, prepare, and host 4 guest experts ▪ Follow WIHA administrative protocols 13
▪ Identify the local organization to obtain the license ▪ Have introductory call with the Stepping On Success Team ▪ Begin your license with 1 of 2 WIHA approved Leader Training options On-site, up to 20 appropriate individuals to be trained 1. Send 2 or more individuals to Wisconsin based leader training 2. ▪ Master Trainers ▪ Completed 2 successful workshops ▪ Passed fidelity coaching session ▪ Plan to conduct local Leader Trainings for individuals for their license only ▪ Conduct and maintain fidelity ▪ Expand Stepping On in community 14
WIHA’s role: ▪ Provides support for Leaders, Master Trainers ▪ Leader listserv ▪ Licensee and Leader conference calls with updates ▪ Monthly tips ▪ Shares evaluations and new knowledge re: Stepping On, research on adaptations or derivatives ▪ Creates standardized outreach, referral and partnership materials ▪ Conducts fidelity reviews of new Leaders ▪ Advises on how to grow program in community, add affiliates ▪ Provides on-line webinar for Master Trainers when organization is ready to grow 15
Licensee role: ▪ Plan and deliver workshops with fidelity ▪ Receive WIHA updates and distribute to partners, affiliates and Leaders ▪ Send videotapes of Leaders’ first workshops to WIHA for fidelity review; receive and respond to feedback ▪ Reach out with questions; share successes and challenges ▪ Participate on listserv, Leader and licensee conference calls ▪ Grow! More Leaders, Peer Leaders, Master Trainers? ▪ Keep license current and complete Annual Report 16
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▪ Betsy Abramson 608-243-5691 Betsy.abramson@wihealthyaging.org ▪ Shannon Myers 608-852-0813 Shannon.myers@wihealthyaging.org ▪ Margie Hackbarth 715-571-5250 Margie.Hackbarth@wihealthyaging.org 18
We look forward to working with you to expand Stepping On!
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