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Implementing a Community-Based Falls-Prevention Program: From Drawing Board to Reality*

Published online by Cambridge University Press:  31 March 2010

Johanne Filiatrault ,
Manon Parisien ,
Sophie Laforest ,
Carole Genest ,
Lise Gauvin ,
Michel Fournier ,
Francine Trickey  and
Yvonne Robitaille
Johanne Filiatrault*
Affiliation:
Institut national de santé publique du Québec Programme de doctorat en santé publique, Université de Montréal Groupe de recherche interdisciplinaire en santé (GRIS) École de réadaptation, Université de Montréal
Manon Parisien
Affiliation:
Centre de Santé et de Services sociaux Cavendish—Centre affilié universitaire en gérontologie sociale
Sophie Laforest
Affiliation:
Groupe de recherche interdisciplinaire en santé (GRIS) Centre de Santé et de Services sociaux Cavendish—Centre affilié universitaire en gérontologie sociale Département de kinésiologie, Université de Montréal
Carole Genest
Affiliation:
Institut national de santé publique du Québec
Lise Gauvin
Affiliation:
Groupe de recherche interdisciplinaire en santé (GRIS) Département de médecine sociale et préventive, Université de Montréal Centre de recherche Léa-Roback sur les inégalités sociales de santé de Montréal
Michel Fournier
Affiliation:
Direction de santé publique de Montréal
Francine Trickey
Affiliation:
Direction de santé publique de Montréal
Yvonne Robitaille
Affiliation:
Institut national de santé publique du Québec Département de médecine sociale et préventive, Université de Montréal Department of Epidemiology and Biostatistics, McGill University
*
Requests for offprints should be sent to:/Les demandes de tirés-à-part doivent être adressées à: Johanne Filiatrault, O.T., M.Sc., École de réadaptation, Université de Montréal, C.P. 6128, Succursale Centre-ville, Montréal, Québec, H3C 3J7. (johanne.filiatrault@umontreal.ca)
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Abstract

Several studies have demonstrated the efficacy of falls-prevention programs designed for community-dwelling seniors using randomized designs. However, little is known about the feasibility of implementing these programs under natural conditions and about the success of these programs when delivered under such conditions. The objectives of this paper are to (a) describe a multifactorial falls-prevention program (called Stand Up!) designed for independent community-dwelling seniors and (b) present the results of an analysis of the practicability of implementing this program in community-based settings. The program was implemented in the context of an effectiveness study in 10 community-based organizations in the Montreal metropolitan area. Data pertaining to the reach and delivery of the program as well as participation level show that a falls-prevention program addressing multiple risk factors can be successfully implemented in community-based settings.

Résumé

Plusieurs études ont démontré, à l'aide de devis randomisés, l'efficacité de programmes de prévention des chutes destinés aux aînés vivant dans la communauté. Cependant, on connaît peu de choses quant à la faisabilité d'implanter ces programmes dans des conditions naturelles et quant à l'efficacité de ces programmes lorsqu'ils sont offerts dans de telles conditions. Les objectifs de cet article sont de: (a) décrire un programme multifactoriel de prévention des chutes (PIED) destiné à des aînés autonomes vivant dans la communauté et (b) présenter les résultats d'une analyse de la faisabilité d'une implantation du programme dans les organismes communautaires. Le programme a été implanté dans 10 organismes du milieu communautaire situés dans la région métropolitaine de Montréal dans le contexte d'une étude d'efficacité. Les résultats concernant la population recrutée et la façon dont le programme a été offert, ainsi que le niveau de participation au programme montrent qu'un programme de prévention des chutes visant plusieurs facteurs de risque peut être implanté avec succès dans des milieux communautaires.

Keywords

agingfalls preventionprogram implementationcommunity-based organizationscommunity-dwelling seniorsvieillissementprévention des chutesimplantation de programmesorganismes du milieu communautaireaînés vivant dans la communauté
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 26 , Issue 3 , Fall/Automne 2007 , pp. 213 - 225
Copyright
Copyright © Canadian Association on Gerontology 2007

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Footnotes

*

The study reported in this paper was supported by the Canadian Institutes of Health Research (Grant No. MOP 53123). The study was also supported by the Regional Health and Social Services Boards of Montreal, Laval, and Montérégie, who provided seed monies for program implementation in community-based organizations. Johanne Filiatrault was supported by doctoral fellowships from the Fonds de la recherche en santé du Québec (FRSQ) and the Ordre des ergothérapeutes du Québec (OEQ). The authors would like to thank seniors and collaborators from community-based organizations for their participation in the study.

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