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Implementation and Evaluation of a Fall Risk Screening Strategy Among Frail Older Adults for the Primary Care
W M A Meekes1, C J Leemrijse2, J C Korevaar2
1Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, Noord-Brabant, Netherlands.
Clinical Interventions in Aging
|September 28, 2020
Summary
This study evaluates a targeted fall risk screening strategy for frail older adults in primary care. The aim is to improve the implementation of fall prevention interventions by general practitioners (GPs).
Area of Science:
- Gerontology
- Public Health
- Primary Care Medicine
Background:
- Falls pose a growing health concern for the elderly population.
- Evidence-based fall prevention interventions are available but often underutilized in primary care.
- General practitioners (GPs) are key to identifying and managing fall risk in older adults.
Purpose of the Study:
- To evaluate the implementation of a targeted fall risk screening strategy for independently living, frail older people.
- To assess the effectiveness of this strategy within the primary care setting.
- To identify barriers and facilitators to the successful adoption of fall prevention programs.
Main Methods:
- A targeted fall risk screening strategy including risk assessment tools, professional training, and certified therapist interventions.
- Evaluation using the RE-AIM model at GP practice and patient levels.
- Pre-posttest design with a 12-month follow-up to assess patient outcomes (stability, mobility, balance, etc.) and qualitative data from focus groups and interviews.
Main Results:
- Data collection on the number of screened, referred, and enrolled frail older individuals.
- Identification of implementation barriers and facilitators through qualitative research.
- Assessment of intervention impact on patient functional status and well-being.
Conclusions:
- The study aims to provide insights into optimizing the implementation of fall prevention strategies in primary care.
- Findings will inform the development of more effective programs for reducing fall risk in frail older adults.
- Successful implementation can enhance patient safety and quality of life for the elderly.
