|Health Factors:||Quality of Care Community Safety|
|Decision Makers:||State Government Healthcare Professionals & Advocates Public Health Professionals & Advocates|
|Population Reach:||10-19% of WI's population|
|Impact on Disparities:|
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A fixed, multi-component set of fall prevention interventions are often provided to older adults in community settings and may also be implemented in long-term care or clinical settings (Goodwin 2014). Such interventions typically include some combination of exercise, education, home or environmental modification, medication optimization, and vitamin D supplementation and can be provided without undertaking individual risk assessments (Cochrane-Cameron 2012, Goodwin 2014). Falls can lead to long-term physical injuries, increased risk of early death, and psychological concerns such as fear of falling and loss of confidence (CDC-Falls, Cochrane-Gillespie 2012).
There is strong evidence that multi-component fall prevention interventions reduce the rate of falls and the risk of falling among older adults (Goodwin 2014, Cochrane-Gillespie 2012). Additional evidence is needed to determine the most effective combinations of intervention components.
Multi-component interventions are effective in community and clinical settings. Such efforts can reduce the rate and risk of falls for older adults who live independently in the community, and may also benefit those living in care facilities. Including an exercise component in the multi-component intervention may increase reductions in fall rates (Goodwin 2014).
The National Council on Aging (NCOA) leads the National Falls Prevention Resource Center, which supports implementation of fall prevention programs across the country and coordinates the Falls Free® Initiative, which includes 43 state-level coalitions (NCOA-Falls prevention). This initiative promotes several approaches to fall prevention, including multi-component programs for older adults in communities and clinics.
In 1991, the Wisconsin Falls Prevention Initiative (FPI) was developed to reduce falls and fall-related complications across the state. In 2015, the coalition included health care providers, educators, researchers, organizations serving older adults, social service professionals, and state government officials. FPI promotes implementation of tested fall prevention interventions, including Stepping On, a multi-component, community-based workshop to help older adults develop specific knowledge and skills to prevent falls (WI DHS-Falls).
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