Presented by: 1 in 4 adults aged 65+ years old fall every year - - PowerPoint PPT Presentation
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
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
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▪ 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
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▪ 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
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▪ 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
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▪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
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▪ 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
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▪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
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▪ 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
▪ Speaks and understands English or the language in
which the class is being provided
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▪Strength and Balance Exercises ▪Vision ▪Medication Review ▪Home Modification
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▪ 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
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▪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
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▪ 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
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▪ 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
1.
On-site, up to 20 appropriate individuals to be trained
2.
Send 2 or more individuals to Wisconsin based leader training
▪ 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
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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
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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
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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
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We look forward to working with you to expand Stepping On!