Protocol for disseminating an evidence-based fall prevention program in community senior centers: evaluation of translatability and public health impact via a single group pre-post studyReport as inadecuate




Protocol for disseminating an evidence-based fall prevention program in community senior centers: evaluation of translatability and public health impact via a single group pre-post study - Download this document for free, or read online. Document in PDF available to download.

Implementation Science

, 9:63

First Online: 26 May 2014Received: 21 April 2014Accepted: 21 May 2014DOI: 10.1186-1748-5908-9-63

Cite this article as: Li, F. & Harmer, P. Implementation Sci 2014 9: 63. doi:10.1186-1748-5908-9-63

Abstract

BackgroundFalls are the leading cause of injury death in older adults and present a significant public health problem and a major burden to healthcare. Although there is sufficient evidence from randomized controlled trials to indicate that exercise can prevent falls in older people, few effective, evidence-based fall prevention programs exist in community practice. Thus, there is a pressing need to translate and disseminate evidence-based exercise programs to community providers that serve older adults at increased risk of falling. The current study addresses this public health need by disseminating the evidence-based Tai Ji Quan: Moving for Better Balance TJQMBB program through community senior centers.

Methods-DesignThe study uses a single-group design in which the TJQMBB program is being delivered to community-dwelling older adults through collaboration with senior centers in selected counties in Oregon, USA, for 48 weeks, followed by a 24-week post-intervention follow-up. Study process and outcome measures will be evaluated in accordance with the components of the RE-AIM framework that focus on Reach, Effectiveness, Adoption, Implementation and Maintenance.

DiscussionThis study will determine whether the evidence-based TJQMBB fall prevention program can be disseminated through a broad spectrum of community-based senior centers that often cater to low-income, underserved community-dwelling older adults at risk of falling. If shown to be both practically implementable and sustainable, the TJQMBB program will provide an effective, potentially low-cost, easy-to-implement intervention that could be used by public health practitioners and community-based organizations to address the problem of falls among older adults.

Trial registrationClinicalTrials.gov Identifier: NCT01854931

KeywordsFalls Community-dwelling older adults Falls prevention Tai Ji Quan AbbreviationsTJQMBBTai Ji Quan: moving for better balance.

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Author: Fuzhong Li - Peter Harmer

Source: https://link.springer.com/







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