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Student coaching in a rural community fall prevention program: An exploratory study.

Dennis Klima1, Nathan Austin1, Katherine Avila1

  • 1Department of Physical Therapy, University of Maryland Hazel Hall, Maryland, USA.

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Summary
This summary is machine-generated.

This study shows that the Stepping On fall prevention program improved older adults' understanding of fall risks and floor recovery strategies. Student physical therapists gained valuable coaching experience in a rural community setting.

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Area of Science:

  • Gerontology
  • Public Health
  • Physical Therapy

Background:

  • Falls represent a major global cause of disability among older adults.
  • Community-based fall prevention programs are crucial for enhancing senior safety and independence.

Purpose of the Study:

  • To explore the effectiveness of the Stepping On (SO) community fall prevention program in a rural setting.
  • To assess program outcomes and student experiences in delivering fall prevention interventions.

Main Methods:

  • A mixed-methods design was employed, involving 117 community-dwelling older adults and nine student physical therapists.
  • Interventions included exercise mastery, floor recovery techniques, and community navigation strategies.
  • Data collection involved descriptive surveys and student focus groups.

Main Results:

  • 87.7% of participants reported improved understanding of falls and their causes.
  • 82.6% developed a plan for arising from the floor after a fall.
  • Fear of falling led some participants living alone to limit activities (p=0.045).

Conclusions:

  • The Stepping On program enhances older adults' knowledge of fall prevention and preparedness for floor recovery.
  • Student physical therapists gained practical skills in facilitation, safety reinforcement, and participant motivation.
  • The program fostered interprofessional awareness regarding fall prevention contributions.