PDF(Pubmed)
Abstract：
Prevention is an effective approach for mitigating the negative health outcomes associated with falls in older adults. The Administration for Community Living (ACL) has sponsored the implementation of evidence-based falls prevention programs (EBFPPs) across the United States through cooperative agreement grants to decrease the health and economic burden of falls. Marymount University received two of these grants to deliver three EBFPPs into the northern Virginia region. This community case study describes the development of a collaboration between a university and community-based organizations to adopt and implement multiple evidence-based programming in an area where none previously existed.
Through an academic-community partnership, EBFPPs were introduced to and implemented by senior-focused organizations. Target adopters were senior and community centers, multi-purpose senior services organizations, recreational organizations, and residential facilities serving older adults. The three EBFPPs were (1) Stay Active and Independent for Life (SAIL), (2) a Matter of Balance (MOB) and (3) Otago Exercise Program (OEP). Key interdependent project elements included: (1) fostering ongoing community organization collaboration, (2) introducing programs in the community, (3) growing and sustaining delivery sites, (4) preparing trained program leaders, and (5) building community demand for the programs.
From August 2016-June 2022, 5,857 older adults participated in one of the three EBFPPs. SAIL classes were offered at 33 sites and MOB workshops at 31 with over 70% of them occurring at community or senior centers. OEP was offered at 4 sites. Factors that influenced the implementation of these programs included having: key advocates at host organizations, programs embedded into site workflows, sufficient capacity and workforce, engaged invested partners, and flexibility in working with a complex set of agencies and systems with different administrative structures.
By connecting academic faculty with various community members from multiple sectors, new initiatives can be successfully implemented. Results from this ACL-funded project indicate that using an academic-community partnership model to build relationships and capacity for ongoing delivery of health promotion programming for older adults is feasible and effective in delivering EBFPPs. In addition, academic-community partnerships can develop a strong network of invested partners to foster continued support of fall prevention activities.
Through an academic-community partnership, EBFPPs were introduced to and implemented by senior-focused organizations. Target adopters were senior and community centers, multi-purpose senior services organizations, recreational organizations, and residential facilities serving older adults. The three EBFPPs were (1) Stay Active and Independent for Life (SAIL), (2) a Matter of Balance (MOB) and (3) Otago Exercise Program (OEP). Key interdependent project elements included: (1) fostering ongoing community organization collaboration, (2) introducing programs in the community, (3) growing and sustaining delivery sites, (4) preparing trained program leaders, and (5) building community demand for the programs.
From August 2016-June 2022, 5,857 older adults participated in one of the three EBFPPs. SAIL classes were offered at 33 sites and MOB workshops at 31 with over 70% of them occurring at community or senior centers. OEP was offered at 4 sites. Factors that influenced the implementation of these programs included having: key advocates at host organizations, programs embedded into site workflows, sufficient capacity and workforce, engaged invested partners, and flexibility in working with a complex set of agencies and systems with different administrative structures.
By connecting academic faculty with various community members from multiple sectors, new initiatives can be successfully implemented. Results from this ACL-funded project indicate that using an academic-community partnership model to build relationships and capacity for ongoing delivery of health promotion programming for older adults is feasible and effective in delivering EBFPPs. In addition, academic-community partnerships can develop a strong network of invested partners to foster continued support of fall prevention activities.
摘要：
■预防是减轻与老年人跌倒相关的负面健康结果的有效方法。社区生活管理局（ACL）通过合作协议赠款，在美国各地赞助了基于证据的跌倒预防计划（EBFPP）的实施，以减轻跌倒的健康和经济负担。Marymount大学获得了其中的两笔赠款，向弗吉尼亚北部地区提供了三笔EBFPP。此社区案例研究描述了大学与社区组织之间的合作发展，以在以前不存在的领域采用和实施多种基于证据的编程。
■通过学术团体合作，EBFPP被引入并由以高级为重点的组织实施。目标采用者是老年人和社区中心，多用途高级服务组织，康乐组织,和为老年人服务的住宅设施。这三个EBFPP是(1)保持活跃和独立的生活(SAIL)，(2)平衡问题(MOB)和(3)奥塔哥运动计划(OEP)。相互依赖的关键项目要素包括:(1)促进持续的社区组织合作，(2)在社区介绍节目，(3)不断增长和持续的交付地点，（4）准备训练有素的项目负责人，(5)建设社区对项目的需求。
■从2016年8月至2022年6月，5,857名老年人参加了三个EBFPP之一。SAIL课程在33个地点提供，MOB讲习班在31个地点提供，其中70％以上在社区或高级中心进行。OEP在4个站点提供。影响这些计划实施的因素包括：东道组织的主要倡导者，嵌入到站点工作流中的程序，足够的能力和劳动力，参与投资的合作伙伴，以及与具有不同行政结构的复杂机构和系统合作的灵活性。
■通过将学术教师与来自多个部门的各种社区成员联系起来，新举措可以成功实施。这项由ACL资助的项目的结果表明，使用学术-社区伙伴关系模型建立关系和能力，以持续为老年人提供健康促进计划是可行和有效的。此外,学术-社区伙伴关系可以建立一个强大的投资伙伴网络，以促进对秋季预防活动的持续支持。
■通过学术团体合作，EBFPP被引入并由以高级为重点的组织实施。目标采用者是老年人和社区中心，多用途高级服务组织，康乐组织,和为老年人服务的住宅设施。这三个EBFPP是(1)保持活跃和独立的生活(SAIL)，(2)平衡问题(MOB)和(3)奥塔哥运动计划(OEP)。相互依赖的关键项目要素包括:(1)促进持续的社区组织合作，(2)在社区介绍节目，(3)不断增长和持续的交付地点，（4）准备训练有素的项目负责人，(5)建设社区对项目的需求。
■从2016年8月至2022年6月，5,857名老年人参加了三个EBFPP之一。SAIL课程在33个地点提供，MOB讲习班在31个地点提供，其中70％以上在社区或高级中心进行。OEP在4个站点提供。影响这些计划实施的因素包括：东道组织的主要倡导者，嵌入到站点工作流中的程序，足够的能力和劳动力，参与投资的合作伙伴，以及与具有不同行政结构的复杂机构和系统合作的灵活性。
■通过将学术教师与来自多个部门的各种社区成员联系起来，新举措可以成功实施。这项由ACL资助的项目的结果表明，使用学术-社区伙伴关系模型建立关系和能力，以持续为老年人提供健康促进计划是可行和有效的。此外,学术-社区伙伴关系可以建立一个强大的投资伙伴网络，以促进对秋季预防活动的持续支持。
