Preventing Falls: How to Develop Community-based Fall Prevention ...

PREVENTING FALLS:

A Guide to Implementing Effective Community-Based Fall Prevention Programs

Preventing Falls:

A Guide to Implementing Effective Community-Based Fall Prevention Programs

2nd Edition Division of Unintentional Injury Prevention National Center for Injury Prevention and Control Centers for Disease Control and Prevention

Atlanta, Georgia 2015

This document is a publication of the National Center for Injury Prevention and Control of the Centers for Disease Control and Prevention:

Centers for Disease Control and Prevention Thomas R. Frieden, MD, MPH, Director

National Center for Injury Prevention and Control Debra Houry, MD, MPH, Director

Division of Unintentional Injury Prevention Grant Baldwin, PhD, MPH, Director

Home, Recreation, and Transportation Branch Ann Dellinger, PhD, MPH, Branch Chief

Home and Recreation Injury Prevention Team Robin Lee, PhD, MPH, Team Lead

ACKNOWLEDGEMENTS

CDC would like to acknowledge the contributions of the Administration for Community Living (ACL) and U.S. Department of Housing and Urban Development (HUD) for their continued expertise and guidance on the development of this guide. The partnership between CDC, ACL, and HUD is critical for advancing the use and uptake of effective fall prevention programs that can help safeguard the health of older Americans.

Suggested Citation: National Center for Injury Prevention and Control. Preventing Falls: A Guide to Implementing Effective Community-based Fall Prevention Programs. 2nd ed. Atlanta, GA: Centers for Disease Control and Prevention, 2015.

Disclaimer: Reference herein to any specific commercial products, programs, or services by trade name, trademark, manufacturer, or otherwise, does not necessarily constitute or imply its endorsement, recommendation, or favoring by the United States Government. The views and opinions of authors expressed herein do not necessarily state or reflect those of the United States Government, and shall not be used for advertising or product endorsement purposes.

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CONTENTS

Chapter 1. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Why fall prevention is important . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Understanding fall risk factors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Effective interventions can prevent older adult falls . . . . . . . . . . . . . . . . . . . . . . . . 4 Purpose of this guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Chapter 2. Planning for a Fall Prevention Program . . . . . . . . . . . . . . . . . . . 7 Determine your community's needs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Identify resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Determine your organization's readiness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Selected web resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Chapter 3. The Important Role of Partnerships . . . . . . . . . . . . . . . . . . . . . 11 Developing partnerships . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Maintaining partnerships . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Building an infrastructure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Budget adequate resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Selected web resources for developing partnerships . . . . . . . . . . . . . . . . . . . . . . . 14

Chapter 4. Selecting an Evidence-Based Fall Prevention Program . . . . . . . . . 15 What is an evidence-based program? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Community fall prevention programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Selecting a program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Program characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Selected program web resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Chapter 5. Raising Awareness about Your Program . . . . . . . . . . . . . . . . . . 19 Reaching your intended audience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Increasing public awareness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Developing a plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Provider education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Public education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Selected fall prevention education web resources . . . . . . . . . . . . . . . . . . . . . . . . 22

Chapter 6. Implementing Your Fall Prevention Program . . . . . . . . . . . . . . . 23 Identify your target audience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Think collaboratively . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Recruiting program participants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Assuring program quality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

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