Partnering to deliver a fall prevention program for older adults - - PowerPoint PPT Presentation

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Partnering to deliver a fall prevention program for older adults - - PowerPoint PPT Presentation

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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

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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

THIS WEBINAR IS BEING RECORDED. THE SLIDE DECK AND RECORDING WILL BE

EMAILED AFTER THE WEBINAR.

Webinar technology managed by:

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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:

23% 44% 5% 18% 27% 9% 3% 3% 0% 20% 40% 60% Acute and or primary care Community care Research Long term care and or rehabilitation Public health Recreation NGO Other (please describe in chat box)

What sector do you currently work in?

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Situational Assessment

 Cost of falls in Ottawa  Growing aging population  City of Ottawa Older Adult plan  Partners

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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

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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
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Foundations for the BSBB

 Evidence and

best practices

 Community  Partners

  • Values
  • Mandates
  • Accountabilities
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BSBB Promotional Video

 https://www.youtube.com/watch?v=

HgVP22UqDcA

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Thank you to our funders and partners!

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BSBB Evaluation

Evaluation Question Data Sources

  • 1. How well was the program

delivered?

  • 2. What changes occurred

during the program?

  • 3. How many older adults did

the program reach?

  • 4. How effective was the

partnership between OPH and RCFS?

  • Participant questionnaire
  • Instructor survey
  • Focus groups
  • Registration +

attendance records

  • Cycle 1 evaluation
  • Staff time tracking tool
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Components of Effective Practice Intended Program Results 1300 older adults/year, 86-130 programs 450 older adults through 29-43 programs per cycle Cycle 1: n=699 registrants, 34 programs Cycle 2: n=840 registrants , 40 programs Cycle 3: n=791 registrants, 41 programs Total: n=2330, 115 programs Reach older adults 65 + at risk for falls Gateway program. Open to all residents 20% of participants (n=83) had a fall in the 12 months prior to the program. Program 2-3 times a week for 12

  • weeks. Duration

>50 hours Participants attend 75%+ of classes for 12 weeks. Home component 40% (n= 292) attended 75%+ of classes. No home component

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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

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Key Findings (Cycles 1+2)

 Participants:  98% intended to continue exercising after

program

 73% would adopt 1+ new fall prevention

behaviours

 ++ comments/testimonials

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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
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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
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Key Findings (Cycles 1+2)

 Instructors:  100% noticed improvement in participants  85% got the support needed from partners

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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

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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?

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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
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Audience Poll

72% 28% 0% 20% 40% 60% 80% Yes No

Has your organization ever partnered with municipal recreation providers?

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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

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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

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Partnership: Currently

 Program celebrating its 4th 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

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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
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Current Status/Continuous Learning

 Improving the client experience

  • Registration
  • Health information and resources

 Implementing updated evidence  Measuring impact

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Current Status/Continuous Learning

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Areas of Future Research

Impact

 What are the impacts of

program on participant PA and fall risk (6 mo/1 yr post)?

 Physical, social and

mental health impacts?

 Control study to compare

injury/fall rate?

Contextual Influences

 Influences of free vs for-

fee programming?

 Influences to successful

PA programs?

 Barriers and mechanisms

that promote or limit PA?

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Questions?

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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.

THIS WEBINAR IS BEING RECORDED. THE SLIDE DECK AND RECORDING WILL BE

EMAILED AFTER THE WEBINAR.

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STAY IN THE LOOP! WWW.FALLSLOOP.COM

Thank you for attending!