Development and Process Evaluation of a 5-Week Exercise Program to Prevent Falls in People after Stroke: The FALLS...

Area of Science:

• Neurorehabilitation
• Gerontology
• Public Health

Background:

• Falls are a frequent complication for stroke survivors.
• Balance and gait impairments are primary risk factors for falls after stroke.
• Existing fall prevention programs may not fully address the specific needs of stroke patients.

Purpose of the Study:

• To adapt and evaluate the FALLS program (FALL prevention after Stroke) for community-dwelling individuals post-stroke.
• To assess the suitability and feasibility of the FALLS program.
• To gather recommendations for clinical implementation.

Main Methods:

• The FALLS program, based on the "Nijmegen falls prevention program", was developed for stroke survivors.
• Twelve community-dwelling individuals with stroke participated in the program.
• A process evaluation was conducted involving patients, trainers, healthcare professionals, and managers.

Main Results:

• The FALLS program was found to be suitable and feasible for people with stroke.
• Healthcare professionals and study participants perceived the program positively.
• The study provided insights into potential implementation strategies.

Conclusions:

• The FALLS program is a viable option for fall prevention in stroke survivors.
• Adaptations of existing exercise programs can effectively meet the needs of specific patient populations.
• Further research and implementation in clinical practice are recommended.