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Modified Delphi Consensus to Suggest Key Elements of Stepping On Falls Prevention Program.

Jane E Mahoney1, Lindy Clemson2, Amy Schlotthauer3

  • 1Department of Medicine, University of Wisconsin School of Medicine and Public Health , Madison, WI , USA.

Frontiers in Public Health
|March 8, 2017
PubMed
Summary

Experts identified essential components of the Stepping On fall prevention program. These key elements are crucial for effective community-based dissemination and successful implementation to reduce falls in older adults.

Keywords:
Delphi consensusStepping Onfall preventionhealth promotionimplementation

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Area of Science:

  • Gerontology
  • Public Health
  • Evidence-Based Practice

Background:

  • Falls among older adults lead to significant morbidity and mortality.
  • Community-based programs can effectively reduce fall rates.
  • The Centers for Disease Control and Prevention funded research to disseminate the Stepping On fall prevention program.

Purpose of the Study:

  • To identify key, non-modifiable elements of the Stepping On fall prevention program.
  • To establish a foundation for broad US dissemination of the Stepping On program.

Main Methods:

  • A modified Delphi technique was employed with 44 subject matter experts in older adult fall prevention.
  • Experts included physical therapists, occupational therapists, geriatricians, exercise scientists, and public health researchers.
  • Rasch analysis was used to assess consensus and response diversity.

Main Results:

  • Consensus was reached on essential elements across adult learning, programming, exercise, peer co-leader roles, home visits, booster sessions, and group leader qualifications.
  • Key elements for program delivery included using plain language, building trust, contextual engagement, self-monitoring exercise quality, and comprehensive group leader training.
  • Rasch analysis indicated sufficient diversity of perspectives among the 19 participating panelists.

Conclusions:

  • A Delphi consensus process identified critical components for delivering the Stepping On program effectively.
  • These identified elements are considered essential for maintaining program integrity and effectiveness.
  • The findings support the translation and broad dissemination of the Stepping On program in the US.