Sage Journals: Discover world-class research

Abstract

Background

Evidence-based falls prevention programs are available in many communities, but participation in such programs remains low. This study aimed to develop community-based referral networks of organizations to facilitate the uptake of evidence-based falls prevention programs through engaging older adults at risk for falls with the RememberingWhen™ program and connecting them to evidence-based programs in Midwestern communities.

Methods

Guided by the Practical, Robust Implementation and Sustainability Model (PRISM), referral networks were developed in two Midwestern communities (urban and micropolitan) through a seven-step community engagement plan: establishing and operationalizing the State-level Advisory Board (SAB), identifying falls prevention resources, conducting community assessments, developing Local Advisory Groups (LAG), operationalizing the LAG, developing referral network and protocols, and implementing the network. Semistructured interviews guided by the RE-AIM framework were conducted with members of the SAB, LAG, administrators and staff from organizations that participated in networks, and older adult participants.

Results

After participating in the development of referral networks, participants felt they learned important skills that they can use to develop additional collaborations and networks in the future, emphasized the benefits of building community capacity among organizations with common missions. Interview data yielded strategies on enhancing the referral network’s reach, impact, adoption, implementation efficiency, and maintenance.

Conclusion

Future sustainability studies of such networks should explore identified challenges and strategies to sustain efforts. Results highlight the importance of ongoing funds to support the efforts of organizational networks in communities.

Keywords

community-based programs implementation community-engagement falls prevention organizations referral network

Get full access to this article

View all access options for this article.

References

Bradley

E. H.

Webster

T. R.

Baker

Schlesinger

Inouye

S. K.

Barth

M. C.

Lapane

K. L.

Lipson

Stone

Koren

M. J.

(2004). Translating research into practice: Speeding the adoption of innovative health care programs. Issue Brief (Commonwealth Fund), 724, 1–12.

Calhoun

Meischke

Hammerback

Bohl

Poe

Williams

Phelan

E. A.

(2011). Older adults’ perceptions of clinical fall prevention programs: A qualitative study. Journal of Aging Research, 2011, Article 867341. https://doi.org/10.4061/2011/867341

Casteel

Bruening

Carson

Berard-Reed

Ashida

(2020). Evaluation of a falls and fire safety program for community-dwelling older adults. Journal of Community Health, 45(4), 717–727. https://doi.org/10.1007/s10900-019-00786-8

Centers for Disease Control and Prevention. (2021a). STEADI (Stopping Elderly Accidents, Deaths & Injuries) —Older adult fall prevention. https://www.cdc.gov/steadi/index.html

Centers for Disease Control and Prevention. (2021b). WISQARS —Web-based Injury Statistics Query and Reporting System. https://www.cdc.gov/injury/wisqars/index.html

Crabtree

Miller

(1999). Using codes and code manuals: A template organizing style of interpretation. In B. Crabree & W. Miller (Eds), Doing qualitative research (2nd ed., pp. 163–177) Sage Publications, Inc.

Damschroder

L. J.

Aron

D. C.

Keith

R. E.

Kirsh

S. R.

Alexander

J. A.

Lowery

J. C.

(2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4, Article 50. https://doi.org/10.1186/1748-5908-4-50

Farrance

Tsofliou

Clark

(2016). Adherence to community based group exercise interventions for older people: A mixed-methods systematic review. Preventive Medicine, 87, 155–166. https://doi.org/10.1016/j.ypmed.2016.02.037

Feldstein

A. C.

Glasgow

R. E.

(2008). A practical, robust implementation and sustainability model (PRISM) for integrating research findings into practice. Joint Commission Journal on Quality and Patient Safety, 34(4), 228–243. https://doi.org/10.1016/s1553-7250(08)34030-6

10.

Fiori

K. L.

Antonucci

T. C.

Cortina

K. S.

(2006). Social network typologies and mental health among older adults. Journals of Gerontology—Series B Psychological Sciences and Social Sciences, 6(1), P25–P32. https://doi.org/10.1093/geronb/61.1.p25

11.

Ganz

D. A.

Alkema

G. E.

(2008). It takes a village to prevent falls: Reconceptualizing fall prevention and management for older adults. Injury Prevention, 14(4), 266–271. https://doi.org/10.1136/ip.2008.018549

12.

Goodwin

Jones-Hughes

Thompson-Coon

Boddy

Stein

(2011). Implementing the evidence for preventing falls among community-dwelling older people: A systematic review. Journal of Safety Research, 42(6), 443–451. https://doi.org/10.1016/j.jsr.2011.07.008

13.

Green

L. W.

Glasgow

R. E.

(2006). Evaluating the relevance, generalization, and applicability of research: Issues in external validation and translation methodology. Evaluation & the Health Professions, 29(1), 126–153. https://doi.org/10.1177/0163278705284445

14.

Holsti

O. R.

(1969). Content analysis for the social sciences and humanities. Addison-Wesley.

15.

Howland

Hackman

Taylor

O’Hara

Liu

Brusch

(2018). Older adult fall prevention practices among primary care providers at accountable care organizations: A pilot study. PLOS ONE, 13(10), Article e0205279. https://doi.org/10.1371/journal.pone.0205279

16.

Israel

B. A.

Eng

Schulz

A. J.

Parker

E. A.

(2012). Methods for community-based participatory research for health (2nd ed.). John Wiley & Sons.

17.

Jones

Ghosh

T. S.

Horn

Smith

Vogt

R. L.

(2011). Primary care physicians’ perceptions and practices regarding fall prevention in older adults 65 years and over. Accident Analysis and Prevention, 43, 1605–1609.

18.

Juckett

L. A.

Robinson

M. L.

(2019). Implementing fall prevention guidelines with vulnerable older adults: The social work role. Journal of Gerontological Social Work, 62(3), 338–348. https://doi.org/10.1080/01634372.2018.1555566

19.

Klesges

L. M.

Estabrooks

P. A.

Dzewaltowski

D. A.

Bull

S. S.

Glasgow

R. E.

(2005). Beginning with the application in mind: Designing and planning health behavior change interventions to enhance dissemination. Annals of Behavioral Medicine, 29(Suppl.), 66–75. https://doi.org/10.1207/s15324796abm2902s_10

20.

Krippendorff

(2018). Content analysis: An introduction to its methodology (4th ed.). Sage.

21.

Laing

S. S.

Silver

I. F.

York

Phelan

E. A.

(2011). Fall prevention knowledge, attitude, and practices of community stakeholders and older adults. Journal of Aging Research, 2011, Article 395357. https://doi.org/10.4061/2011/395357

22.

Liljas

A. E. M.

Walters

Jovicic

Iliffe

Manthorpe

Goodman

Kharicha

(2017). Strategies to improve engagement of “hard to reach” older people in research on health promotion: A systematic review. BMC Public Health, 17(1), Article 349. https://doi.org/10.1186/s12889-017-4241-8

23.

Lovarini

Clemson

Dean

(2013). Sustainability of community-based fall prevention programs: A systematic review. Journal of Safety Research, 47, 9–17. https://doi.org/10.1016/j.jsr.2013.08.004

24.

Markle-Reid

M. F.

Dykeman

C. S.

Reimer

H. D.

Boratto

L. J.

Goodall

C. E.

McGugan

J. L.

(2015). Engaging community organizations in falls prevention for older adults: Moving from research to action. Canadian Journal of Public Health, 106(4), e189–e196. https://doi.org/10.17269/cjph.106.4776

25.

McMahon

Talley

K. M.

Wyman

J. F.

(2011). Older people’s perspectives on fall risk and fall prevention programs: A literature review. International Journal of Older People Nursing, 6(4), 289–298. https://doi.org/10.1111/j.1748-3743.2011.00299.x

26.

Moreland

Kakara

Henry

(2020). Trends in nonfatal falls and fall-related injuries among adults aged >/=65 years—United States, 2012–2018. MMWR Morbidity and Mortality Weekly Report, 69(27), 875–881. https://doi.org/10.15585/mmwr.mm6927a5

27.

NCIPC. (2015). Preventing falls: A guide to implementing effective community-based fall prevention programs. Centers for Disease Control and Prevention. https://www.cdc.gov/homeandrecreationalsafety/pdf/falls/FallPreventionGuide-2015-a.pdf

28.

Scott

J. T.

Rundall

T. G.

Vogt

T. M.

Hsu

(2005). Kaiser Permanente’s experience of implementing an electronic medical record: A qualitative study. BMJ, 331(7528), 1313–1316. https://doi.org/10.1136/bmj.38638.497477.68

29.

Siegler

E. L.

Lama

S. D.

Knight

M. G.

Laureano

Reid

M. C.

(2015). Community-based supports and services for older adults: A primer for clinicians. Journal of Geriatrics, 2015, Article 678625. https://doi.org/10.1155/2015/678625

30.

Solberg

L. I.

(2000). Guideline implementation: What the literature doesn’t tell us. Joint Commission Journal on Quality Improvement, 26(9), 525–537. https://doi.org/10.1016/s1070-3241(00)26044-6

31.

Stevens

J. A.

Sleet

D. A.

Rubenstein

L. Z.

(2018). The influence of older adults’ beliefs and attitudes on adopting fall prevention behaviors. American Journal of Lifestyle Medicine, 12(4), 324–330. https://doi.org/10.1177/1559827616687263

32.

Tomita

Yoshimura

Ikegami

(2010). Impact of home and community-based services on hospitalisation and institutionalisation among individuals eligible for long-term care insurance in Japan. BMC Health Services Research, 10, Article 345. https://doi.org/10.1186/1472-6963-10-345

33.

Trickett

E. J.

Beehler

Deutsch

Green

L. W.

Hawe

McLeroy

Miller

R. L.

Rapkin

B. D.

Schensul

J. J.

Schulz

A. J.

Trimble

J. E.

(2011). Advancing the science of community-level interventions. American Journal of Public Health, 101(8), 1410–1419. https://doi.org/10.2105/ajph.2010.300113

34.

Vincenzo

J. L.

Patton

S. K.

(2021). Older adults’ experience with fall prevention recommendations derived from the STEADI. Health Promotion Practice, 22(2), 236–247. https://doi.org/10.1177/1524839919861967

35.

Vincenzo

J. L.

Patton

S. K.

Lefler

L. L.

McElfish

P. A.

Wei

Curran

G. M.

(2022). A qualitative study of older adults’ facilitators, barriers, and cues to action to engage in falls prevention using health belief model constructs. Archives of Gerontology and Geriatrics, 99, Article 104610. https://doi.org/10.1016/j.archger.2021.104610

36.

Wistow

(2001). Modernisation, the NHS Plan and healthy communities. Journal of Management in Medicine, 15(4–5), 334–351. https://doi.org/10.1108/eum0000000006182

37.

World Health Organization. (2017). Integrated care for older people: Guidelines on community-level interventions to manage declines in intrinsic capacity. https://apps.who.int/iris/handle/10665/258981

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.25 MB

0.07 MB

Developing Community-Level Implementation Networks to Connect Older Adults to Evidence-Based Falls Prevention Programs

Abstract

Background

Methods

Results

Conclusion

Keywords

Get full access to this article

References

Supplementary Material