A protocol for evidence-based targeting and evaluation of statewide strategies for preventing falls among community-dwelling older people in Victoria, Australia
- Day, Lesley, Finch, Caroline, Hill, Keith, Haines, Terry, Clemson, Lindy, Thomas, Margaret, Thompson, Catherine
- Authors: Day, Lesley , Finch, Caroline , Hill, Keith , Haines, Terry , Clemson, Lindy , Thomas, Margaret , Thompson, Catherine
- Date: 2011
- Type: Text , Journal article
- Relation: Injury Prevention Vol. 17, no. 2 (2011), p. 1-8
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Relation: http://purl.org/au-research/grants/nhmrc/546282
- Full Text:
- Reviewed:
- Description: Background: Falls are a significant threat to the safety, health and independence of older citizens. Despite the now substantial evidence about effective falls prevention interventions, translation into falls reductions has not yet been fully realised. While the hip fracture rate is decreasing, the number and rate of fall-related hospital admissions among older people is increasing. The challenge now is to deliver the most effective interventions efficiently at a population level, and for these interventions to be taken up by older people. Objective: To support the development, and evaluation of, effective falls prevention policy and practice in the state of Victoria, Australia. Methods: The RE-AIM model (Reach, Efficacy, Adoption, Implementation, Maintenance) was used to identify strategies for an effective programme. Research objectives were developed to support the strategies. These include: (1) identification of subgroups of older people most frequently admitted to hospital for falls; (2) examining the acceptability of established falls interventions; (3) identification of factors that encourage and support relevant lifestyle changes; (4) identifying opportunities to incorporate confirmed interventions in existing programmes and services; (5) developing guidelines for sustainability. The research results will subsequently guide strategy details for the falls prevention plan. RE-AIM will provide the framework for the evaluation structure. Outcome measures: Measures to monitor the implementation of the selected interventions will be determined for each intervention, based on the five key factors of the RE-AIM model. The overall effect of the falls prevention plan will be monitored by time series analysis of fall-related hospital admission rates for community-dwelling older people.
- Authors: Day, Lesley , Finch, Caroline , Hill, Keith , Haines, Terry , Clemson, Lindy , Thomas, Margaret , Thompson, Catherine
- Date: 2011
- Type: Text , Journal article
- Relation: Injury Prevention Vol. 17, no. 2 (2011), p. 1-8
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Relation: http://purl.org/au-research/grants/nhmrc/546282
- Full Text:
- Reviewed:
- Description: Background: Falls are a significant threat to the safety, health and independence of older citizens. Despite the now substantial evidence about effective falls prevention interventions, translation into falls reductions has not yet been fully realised. While the hip fracture rate is decreasing, the number and rate of fall-related hospital admissions among older people is increasing. The challenge now is to deliver the most effective interventions efficiently at a population level, and for these interventions to be taken up by older people. Objective: To support the development, and evaluation of, effective falls prevention policy and practice in the state of Victoria, Australia. Methods: The RE-AIM model (Reach, Efficacy, Adoption, Implementation, Maintenance) was used to identify strategies for an effective programme. Research objectives were developed to support the strategies. These include: (1) identification of subgroups of older people most frequently admitted to hospital for falls; (2) examining the acceptability of established falls interventions; (3) identification of factors that encourage and support relevant lifestyle changes; (4) identifying opportunities to incorporate confirmed interventions in existing programmes and services; (5) developing guidelines for sustainability. The research results will subsequently guide strategy details for the falls prevention plan. RE-AIM will provide the framework for the evaluation structure. Outcome measures: Measures to monitor the implementation of the selected interventions will be determined for each intervention, based on the five key factors of the RE-AIM model. The overall effect of the falls prevention plan will be monitored by time series analysis of fall-related hospital admission rates for community-dwelling older people.
Fall Prevention in Australia: Policies and activities
- Clemson, Lindy, Finch, Caroline, Hill, Keith, Lewin, Gill
- Authors: Clemson, Lindy , Finch, Caroline , Hill, Keith , Lewin, Gill
- Date: 2010
- Type: Text , Journal article
- Relation: Clinics in geriatric medicine Vol. 26, no. 4 (2010), p. 733-749
- Full Text:
- Reviewed:
- Description: Fall prevention recommendations and plans have been prolific in Australia since 1986 but Commonwealth recommendations have rarely been acted on from a national perspective and the funds for prevention at a national level have been limited At a state level, although increasing annually funds for fall prevention have also remained as only a low proportion of total health spending Several Australian states have developed their own strategic plans and their activities have developed separately and uniquely although referring to national guidelines This article presents a perspective of Australian fall prevention policy over time provides insights into the current focus, and draws on some specific examples of activities from the 2 most populous Australian states (New South Wales and Victoria) and from our largest geographic state Western Australia
- Authors: Clemson, Lindy , Finch, Caroline , Hill, Keith , Lewin, Gill
- Date: 2010
- Type: Text , Journal article
- Relation: Clinics in geriatric medicine Vol. 26, no. 4 (2010), p. 733-749
- Full Text:
- Reviewed:
- Description: Fall prevention recommendations and plans have been prolific in Australia since 1986 but Commonwealth recommendations have rarely been acted on from a national perspective and the funds for prevention at a national level have been limited At a state level, although increasing annually funds for fall prevention have also remained as only a low proportion of total health spending Several Australian states have developed their own strategic plans and their activities have developed separately and uniquely although referring to national guidelines This article presents a perspective of Australian fall prevention policy over time provides insights into the current focus, and draws on some specific examples of activities from the 2 most populous Australian states (New South Wales and Victoria) and from our largest geographic state Western Australia
Investigation of older adults’ participation in exercises following completion of a state-wide survey targeting evidence-based falls prevention strategies
- Lee, Den-Ching, Day, Lesley, Finch, Caroline, Hill, Keith, Clemson, Lindy, McDermott, Fiona, Haines, Terry
- Authors: Lee, Den-Ching , Day, Lesley , Finch, Caroline , Hill, Keith , Clemson, Lindy , McDermott, Fiona , Haines, Terry
- Date: 2014
- Type: Text , Journal article
- Relation: Journal of Aging and Physical Activity Vol.23, no.2 (2014), p.256-263
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Full Text:
- Reviewed:
- Description: This paper examines whether involvement in an observational study may prompt participants to change their exercise behaviors. Data was collected from 394 older community dwellers in Victoria, Australia using a baseline survey, and 245 of these participated in a follow-up survey one year later. Survey domains were drawn from constructs of relevant health behavior models. Results showed that the proportion of respondents who were currently participating in exercises to prevent falls at follow-up was 12% higher than at baseline (Wilcoxon p value<0.001). Twenty-nine percent reported they had changed their perceptions about falls and their risk of falls, with comments focused on threat appraisal. Forty-four percent reported having taken strategies to reduce their risk of falling, with comments based on implementation of different preventive strategies. Respondents who held favorable views towards exercises for the prevention of falls appear to change their behaviors that might address falls when participating in observational studies.
- Authors: Lee, Den-Ching , Day, Lesley , Finch, Caroline , Hill, Keith , Clemson, Lindy , McDermott, Fiona , Haines, Terry
- Date: 2014
- Type: Text , Journal article
- Relation: Journal of Aging and Physical Activity Vol.23, no.2 (2014), p.256-263
- Relation: http://purl.org/au-research/grants/nhmrc/565900
- Full Text:
- Reviewed:
- Description: This paper examines whether involvement in an observational study may prompt participants to change their exercise behaviors. Data was collected from 394 older community dwellers in Victoria, Australia using a baseline survey, and 245 of these participated in a follow-up survey one year later. Survey domains were drawn from constructs of relevant health behavior models. Results showed that the proportion of respondents who were currently participating in exercises to prevent falls at follow-up was 12% higher than at baseline (Wilcoxon p value<0.001). Twenty-nine percent reported they had changed their perceptions about falls and their risk of falls, with comments focused on threat appraisal. Forty-four percent reported having taken strategies to reduce their risk of falling, with comments based on implementation of different preventive strategies. Respondents who held favorable views towards exercises for the prevention of falls appear to change their behaviors that might address falls when participating in observational studies.
Mental fatigue does not affect static balance under both single and dual task conditions in young adults
- Salihu, Abubakar, Usman, Jibrin, Hill, Keith, Zoghi, Maryam, Jaberzadeh, Shapour
- Authors: Salihu, Abubakar , Usman, Jibrin , Hill, Keith , Zoghi, Maryam , Jaberzadeh, Shapour
- Date: 2023
- Type: Text , Journal article
- Relation: Experimental Brain Research Vol. 241, no. 7 (2023), p. 1769-1784
- Full Text:
- Reviewed:
- Description: The ability to control balance and prevent falls while carrying out daily life activities may require a predominantly controlled (cognitive) or automatic processing depending on the balance challenge, age, or other factors. Consequently, this process may be affected by mental fatigue which has been shown to impair cognitive abilities. Controlling static balance in young adults is a relatively easy task that may proceed automatically with minimal cognitive input making it insusceptible to mental fatigue. To investigate this hypothesis, static single and dual task (while concurrently counting backward by seven) balance was assessed in 60 young adults (25.2 ± 2.4 years) before and after 45 min of Stroop task (mental fatigue condition) and watching documentary (control), presented in a randomized counterbalanced order on separate days. Moreover, because mental fatigue can occur due to task underload or overload, participants carried out two different Stroop tasks (i.e., all congruent, and mainly incongruent trials) on separate days in the mental fatigue condition. Results of the study revealed a significantly higher feeling of mental fatigue after the mental fatigue conditions compared to control (p < 0.001). Similarly, the performance on congruent Stroop trials decreases with time indicating objective mental fatigue (p < 0.01). However, there was no difference in balance or concurrent task performance under both single and dual task assessments between the three conditions (p > 0.05) indicating lack of effect of mental fatigue on static balance in this population. Therefore, future studies investigating this phenomenon in occupational or sport settings in similar population should consider using more challenging balance tasks. © 2023, The Author(s).
- Authors: Salihu, Abubakar , Usman, Jibrin , Hill, Keith , Zoghi, Maryam , Jaberzadeh, Shapour
- Date: 2023
- Type: Text , Journal article
- Relation: Experimental Brain Research Vol. 241, no. 7 (2023), p. 1769-1784
- Full Text:
- Reviewed:
- Description: The ability to control balance and prevent falls while carrying out daily life activities may require a predominantly controlled (cognitive) or automatic processing depending on the balance challenge, age, or other factors. Consequently, this process may be affected by mental fatigue which has been shown to impair cognitive abilities. Controlling static balance in young adults is a relatively easy task that may proceed automatically with minimal cognitive input making it insusceptible to mental fatigue. To investigate this hypothesis, static single and dual task (while concurrently counting backward by seven) balance was assessed in 60 young adults (25.2 ± 2.4 years) before and after 45 min of Stroop task (mental fatigue condition) and watching documentary (control), presented in a randomized counterbalanced order on separate days. Moreover, because mental fatigue can occur due to task underload or overload, participants carried out two different Stroop tasks (i.e., all congruent, and mainly incongruent trials) on separate days in the mental fatigue condition. Results of the study revealed a significantly higher feeling of mental fatigue after the mental fatigue conditions compared to control (p < 0.001). Similarly, the performance on congruent Stroop trials decreases with time indicating objective mental fatigue (p < 0.01). However, there was no difference in balance or concurrent task performance under both single and dual task assessments between the three conditions (p > 0.05) indicating lack of effect of mental fatigue on static balance in this population. Therefore, future studies investigating this phenomenon in occupational or sport settings in similar population should consider using more challenging balance tasks. © 2023, The Author(s).
Older adults’ perceptions of a novel outdoor exercise initiative: A qualitative analysis
- Sales, Myrla, Polman, Remco, Hill, Keith, Levinger, Pazit
- Authors: Sales, Myrla , Polman, Remco , Hill, Keith , Levinger, Pazit
- Date: 2018
- Type: Text , Journal article
- Relation: The journal of aging and social change Vol. 8, no. 1 (2018), p. 61-78
- Full Text:
- Reviewed:
- Description: This study aimed to investigate the acceptability, barriers, enablers, perceived benefits, and outcomes in undertaking an exercise intervention using a novel outdoor exercise park designed for senior citizens. This study was a parallel randomised controlled trial with pre- and post-intervention design (outcome assessments at baseline and at eighteen weeks after participation commencement). Twenty-seven independent community-dwelling adults (75.1 ± 7.9 years seventeen females ten males) underwent an interview after completing the eighteen-week exercise intervention. A thematic analysis approach was used to evaluate the content of the interviews. Participants reported that the exercise intervention proposed was very enjoyable and had varied perceived benefits. The exercise intervention has been positively rated by the participants. The main outcomes perceived from their participation were physical (e.g., improvements in muscle strength, balance, flexibility, and gait), psychological (e.g., improved confidence and well-being and reduced depression symptoms) and psychosocial (e.g., improved social interaction). Participants also perceived an improvement on their ability to perform activities of daily living (e.g. climbing stairs, tying shoelaces, and catching public transport). The exercise-park program has been shown to be a well-accepted, novel option for older adults to exercise outdoors and therefore might enhance exercise uptake and attendance and sustain participation in exercise programs for older adults in the community.
- Authors: Sales, Myrla , Polman, Remco , Hill, Keith , Levinger, Pazit
- Date: 2018
- Type: Text , Journal article
- Relation: The journal of aging and social change Vol. 8, no. 1 (2018), p. 61-78
- Full Text:
- Reviewed:
- Description: This study aimed to investigate the acceptability, barriers, enablers, perceived benefits, and outcomes in undertaking an exercise intervention using a novel outdoor exercise park designed for senior citizens. This study was a parallel randomised controlled trial with pre- and post-intervention design (outcome assessments at baseline and at eighteen weeks after participation commencement). Twenty-seven independent community-dwelling adults (75.1 ± 7.9 years seventeen females ten males) underwent an interview after completing the eighteen-week exercise intervention. A thematic analysis approach was used to evaluate the content of the interviews. Participants reported that the exercise intervention proposed was very enjoyable and had varied perceived benefits. The exercise intervention has been positively rated by the participants. The main outcomes perceived from their participation were physical (e.g., improvements in muscle strength, balance, flexibility, and gait), psychological (e.g., improved confidence and well-being and reduced depression symptoms) and psychosocial (e.g., improved social interaction). Participants also perceived an improvement on their ability to perform activities of daily living (e.g. climbing stairs, tying shoelaces, and catching public transport). The exercise-park program has been shown to be a well-accepted, novel option for older adults to exercise outdoors and therefore might enhance exercise uptake and attendance and sustain participation in exercise programs for older adults in the community.
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