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Updated: Sep 21, 2025
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A Training Program Using an Agility Ladder for Community-Dwelling Older Adults
Published on: March 7, 2020
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A Collaborative Implementation Strategy to Increase Falls Prevention Training Using the Age-Friendly Health Systems
Jennifer Jurado Severance1, Solymar Rivera2, Jinmyoung Cho3
1Department of Internal Medicine and Geriatrics, University of North Texas Health Science Center, Fort Worth, TX 76107, USA.
Summary
Collaborative falls prevention training improved older adults' confidence in avoiding falls. This partnership effectively reached at-risk seniors, enhancing community-based education and resource allocation for fall prevention.
Area of Science:
- Gerontology
- Public Health
- Health Services Research
Background:
- Falls are a primary cause of injury and disability in older adults.
- The Age-Friendly Health Systems (AFHS) framework addresses key aspects of aging: Mobility, Medications, Mentation, and What Matters.
- Effective falls prevention strategies are crucial for maintaining independence and quality of life in seniors.
Purpose of the Study:
- To evaluate a falls prevention training program implemented through a multi-sector partnership.
- To assess the program's effectiveness using an Age-Friendly Health Systems approach.
- To examine outcomes in both targeted and non-targeted community areas.
Main Methods:
- A prospective study involving collaboration between academic, government, and community organizations.
- Implementation of an evidence-based falls prevention intervention based on the AFHS 4Ms.
- Paired t-test analysis to compare pre- and post-program self-assessed general health and falls efficacy scores.
Main Results:
- 27 classes were delivered, with 52% in targeted areas, reaching 354 adults aged 50+.
- 188 participants (53%) completed the program, with 35% residing in targeted areas.
- Significant improvement in falls efficacy was observed among program completers; no significant change in self-rated health.
Conclusions:
- Collaborative falls prevention training is effective in reaching at-risk older adults.
- Partnerships can optimize resource allocation for community-based falls prevention education.
- The study highlights the potential of mobilizing diverse stakeholders to address falls in aging populations.
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