Title: A Matter of Balance:
1Sponsored by The National Council on the Aging
and CareSource
Healthy Aging Briefing Series
A Matter of Balance Managing Concerns about
Falls
WELCOME
This session will begin promptly at 130pm
ESTPlease mute your phone
Personal introductions are not necessaryThe
moderator will be on the line shortly
2A Matter of Balance Managing Concerns about
Falls Volunteer Lay Leader Model April 20,
2006 Peggy Haynes, MPA Elaine McMahon, MS,
RN MaineHealths Partnership for Healthy
Aging Portland, ME
3Session Objectives
- Identify a practical, community-based strategy to
address falls and fear of falling - Understand the importance of fall prevention for
older adults - Identify strategies for broad-based program
dissemination
4Falls Epidemiology of the Problem
- Major cause of injury and death for older adults
- Falls are the leading cause of injury
hospitalization in Maine Healthy Maine 2010 - 1/3 to 1/2 of older adults acknowledge fear of
falls - Fear of falling is associated with
- depression
- decreased mobility and social activity
- increased frailty
- increased risk for falls as a result of
deconditioning
5Why fall interventions?
- Falls in older adults are
- Common
- Morbid
- Predictable
- Preventable
6Administration on Aging Grant
- 2003 AoA launched a three year public/private
partnership to increase older peoples access to
programs that have proven to be effective in
reducing their risk of disease, disability and
injury. - Grant Goals
- Test whether a volunteer lay leader model is
successful as compared with original research - Maintain fidelity to the original MOB curriculum
- Share our approach with others in Maine and
around the country - AoA Grant 90AM2780
7A Matter of BalanceVolunteer Lay Leader Model
- Partners
- Southern Maine Agency on Aging
- MaineHealths Partnership for Healthy Aging
- Maine Medical Center Division of Geriatrics
- University of Southern Maine, School of Social
Work - Guided by a Project Advisory Committee
- A Matter of Balance participant and coach
- AARP Maine
- City of Portland
- Maine Center for Disease Control and Prevention
- Maine Nutrition Network
- Maine Office of Elder Services
- Maine State Housing Authority
- New England Rehabilitation Hospital
- Osher Lifelong Learning Institute
- University of New England, Geriatric Education
Center
8A Matter of BalanceOriginal Model
- Research by the Roybal Center for Enhancement of
Late-Life Function at Boston University. - Designed to reduce the fear of falling and
increase the activity levels of older adults who
have concerns about falls. - Tennsdedt, S., Howland, J., Lachman, M.,
Peterson, E., Kasten, L. Jette, A. (1998). A
randomized, controlled trail of a group
intervention to reduce fear of falling and
associated activity restriction in older adults.
Journal of Gerontology, Psychological Sciences,
54B (6), P384-P392.
9A Matter of BalanceManaging Concerns About Falls
- Designed to benefit community-dwelling older
adults who - Are concerned about falls
- Have sustained a fall in the past
- Restrict activities because of concerns about
falling - Are interested in improving flexibility, balance
and strength - Are age 60 or older, ambulatory and able to
problem-solve. - Eight 2-hour classes designed to help
participants learn - To view falls and fear of falling as controllable
- To set realistic goals for increasing activity
- To change their environment to reduce fall risk
factors - To promote exercise to increase strength and
balance
10A Matter of BalanceVolunteer Lay Leader Model
- Model Program Adaptations
- Classes taught by volunteer lay leaders instead
of healthcare professionals - Participant workbook developed and coach manual
modified - Exercises modified
- Healthcare connection via guest therapist
- Participants recruited through
- Community organizations newsletters
- Outreach presentations to
- Aging network
- Community centers faith-based organizations
- Clubs, libraries, social gatherings
- Physician practices
- Housing coordinators
11Maintaining Fidelity
- Original research curriculum used
- Two day coach training based on original A Matter
of Balance leader manual - Health care professionals and master trainers
observe volunteer coaches during - two day training
- a MOB/VLL class
- Use of a mentor model new volunteers are paired
with an experienced coach
12A Matter of Balance Outcomes
- Participant Outcomes
-
-
- 97 - more comfortable talking about fear of
falling - 97 - feel comfortable increasing activity
- 99 - plan to continue exercising
- 98 - would recommend A Matter of Balance
- who agree to strongly agree
13Outcomes Participant Comments
- I am more aware of my surroundings. I take time
to do things and dont hurry. - Although I still fear falling, the course helped
me to cope with the fear so that it does not
limit my life and keeps me aware of ways to avoid
fallingso far so good! - I have more pep in not being afraid.
- A Matter of Balance program made me realize that
Im responsible for me. It raised my self-esteem.
14Dissemination
- Phases
- Initial phase York Cumberland County
- First eighteen months design, develop and
demonstrate - During the second half of year two Request for
Partner process identified Master Trainer sites
statewide - During year three add Master Trainer sites
statewide, prepare national dissemination, work
with NHCOA for Spanish translation
15Request for Partners
16Dissemination with Statewide Partners Master
Trainer Sites
- Master Trainers Sites
- Agencies on Aging
- Regional Hospitals
- Healthy Maine Partnerships
- YMCA
- Responsibilities
- A Master Trainer is responsible for recruiting
and teaching the curriculum to coaches and
providing guidance and support, sponsoring
classes, and recruiting participants.
17Dissemination Activity
- 14 Master Trainer sites have been established in
Maine with 31 Master trainers - 617 older adult participants
- 114 volunteer coaches trained statewide
18A Matter of Balance Research Report March 2006
19Significant Outcomes
- 6 Weeks
- Falls Management
- Falls Efficacy
- Falls Control
- Exercise Level
- Social Activity
- 6 Months
- Falls Management
- Falls Efficacy
- Falls Control
- Exercise Level
- Monthly Falls
- 12 Months
- Falls Management
- Exercise level
- 6 Weeks
- Falls Management
- Falls Efficacy
- 6 Months
- Falls
- Management
- 12 months
- Falls Management
- Falls Efficacy
- plt.05 plt.01 plt.001
20Preliminary State Wide Findings
- Comparison of First and Last Class
- Falls Management
- Modified PACE
- Falls control Overcome Fear NS
- Social Activity - NS
- N65
21Cost to Implement
- Supplies
- Training
- Marketing
- Sponsorship
22A Matter of Balance Class Sites
Master Trainers and Coach Training Sites
A Matter of Balance Facilitator Training
Dissemination Profile
23MaineHealths PARTNERSHIP FOR HEALTHY AGING is
pleased to offer A MATTER OF BALANCE M A N A G I
N G C O N C E R N S A B O U T FA LLS
Volunteer Lay Leader Model Master Trainer
Session Wednesday, June 7 and Thursday, June 8,
2006 Hilton Garden Inn 5 Park Street Freeport,
Maine For more information please e-mail
PFHA_at_mmc.org
24A Matter of BalanceVolunteer Lay Leader Model
- For more information please contact
- Partnership for Healthy Aging
- 465 Congress Street, Suite 301
- Portland, Maine 04101
- (207) 775-1095 pfha_at_mmc.org