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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Translating a Fall Prevention Intervention Into Practice: A Randomized Community Trial.

Clare E Guse1, Donna J Peterson, Ann L Christiansen

  • 1Clare E. Guse is with the Department of Family and Community Medicine, Medical College of Wisconsin, Milwaukee. Donna J. Peterson, Ann L. Christiansen, and Peter M. Layde are with the Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee. Jane Mahoney is with the Department of Medicine, Division of Geriatrics, University of Wisconsin School of Medicine and Public Health, Madison. Purushottam Laud is with the Division of Biostatistics, Institute for Health and Society, Medical College of Wisconsin, Milwaukee. Clare E. Guse, Ann L. Christiansen, Purushottam Laud, and Peter M. Layde are also with the Injury Research Center, Medical College of Wisconsin, Milwaukee.

American Journal of Public Health
|January 21, 2015
PubMed
Summary
This summary is machine-generated.

Community programs effectively reduced fall injuries in older adults. Standard and enhanced support models showed similar, significant reductions compared to no intervention, indicating successful population-based fall prevention.

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Area of Science:

  • Gerontology
  • Public Health
  • Evidence-Based Practice

Background:

  • Falls are a major cause of injury and disability in older adults.
  • Community-based interventions are crucial for widespread fall prevention.
  • Evidence-based programs require effective implementation strategies.

Purpose of the Study:

  • To assess community translation of an evidence-based fall prevention program using standard monetary support.
  • To evaluate if enhanced support (technical assistance, capacity building) amplifies fall reduction.
  • To determine the impact on community-wide fall injuries in older adults.

Main Methods:

  • A randomized controlled community trial involving adults aged 65+.
  • Three groups: control (no support), standard support (funding), and enhanced support (funding + technical support).
  • Primary outcome: hospital discharges for falls, analyzed using Poisson regression.

Main Results:

  • Both standard and enhanced support communities achieved significant community-wide reductions in fall injuries (9% and 8% respectively) compared to controls.
  • No significant difference in fall reduction was observed between standard and enhanced support groups.
  • The study demonstrated successful implementation of a fall prevention program at a community level.

Conclusions:

  • Population-based fall prevention interventions are effective in community settings.
  • Standard monetary support can facilitate successful implementation.
  • Further research is needed on barriers and facilitators for broad adoption of fall prevention interventions.