Document Detail


Using the RE-AIM Framework to translate a research-based falls prevention intervention into a community-based program: Lessons Learned.
MedLine Citation:
PMID:  22152269     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
PROBLEM: Exercise-based research interventions demonstrate reduced risk and rates of falls for community dwelling older adults; however, little is known about effective mechanisms for the translation, implementation, and maintenance of these interventions in community settings.
METHOD: The RE-AIM framework was used to assess the translatability of an effective exercise-based research intervention in a community setting. Questions included: Reach - Would the target population attend? Effectiveness - What was the adherence and compliance to the program? Were there individual improvements in falls risk factors? Adoption: Would staff at the center adopt the program and offer it past the funding period? Implementation - What adaptations, including optimal frequency and duration, should be made to meet the community needs, still adhere to core elements and achieve similar outcomes? Maintenance - Would the program be sustained by our community partners?
DISCUSSION: The process of translating a controlled research intervention targeting older adults at risk of falls into a community setting was challenging. Licensed professionals developed the infrastructure to safely and effectively deliver the program. The end product was highly appealing program to our target audience, resulted in improved outcomes and was successfully adopted and maintained by the community partner.
SUMMARY: Partnerships between community and healthcare providers are key to successful implementation of falls prevention interventions. Lessons learned from this experience can be applied to the translation of future exercise-based falls prevention interventions.
Authors:
Tiffany E Shubert; Mary Altpeter; Jan Busby-Whitehead
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Publication Detail:
Type:  Journal Article     Date:  2011-11-18
Journal Detail:
Title:  Journal of safety research     Volume:  42     ISSN:  1879-1247     ISO Abbreviation:  J Safety Res     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1264241     Medline TA:  J Safety Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  509-16     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 National Safety Council and Elsevier Ltd. All rights reserved.
Affiliation:
UNC Chapel Hill Institute on Aging, University of North Carolina at Chapel Hill, Chapel Hill, NC; Division of Physical Therapy, University of North Carolina at Chapel Hill, Chapel Hill, NC.
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