Scale-up of the stepping on fall prevention program amongst older adults in NSW: Program reach and fall-related health service use

Issue addressed: We describe the reach of the scale-up of 'Stepping On', a fall prevention program targeting community-dwellers aged >=65 years in NSW, along with fallrelated ambulance service use and fall-related hospitalisations after scale-up. Methods: Data on program provision were...

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Bibliographic Details
Published in:Health promotion journal of Australia 2021-10, Vol.32 (S2), p.391-398
Main Authors: Paul, Serene S., Li, Qiang, Harvey, Lara, Carroll, Therese, Priddis, Annabel, Tiedemann, Anne, Clemson, Lindy, Lord, Stephen R., Close, Jacqueline C. T., Sherrington, Cathie, Nash, Rosie
Format: Article
Language:English
Subjects:
Adults
Ambulance service
Ambulance services
Ambulances
Care
community‐based intervention
Evaluation
Falls
Falls (Accidents)
Health information
Health services
Health services utilization
Hospitalization
injury
Injury prevention
Methodology
Older people
Patient admissions
Physicians
Prevention
Prevention programs
program evaluation
Residents
Social services delivery
Wounds and injuries
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Summary:Issue addressed: We describe the reach of the scale-up of 'Stepping On', a fall prevention program targeting community-dwellers aged >=65 years in NSW, along with fallrelated ambulance service use and fall-related hospitalisations after scale-up. Methods: Data on program provision were received from Local Health Districts. Routinely collected fall-related ambulance usage and hospital admissions in NSW residents aged >=65 years between 2009 and 2015 were compared within Statistical Local Areas prior to and following the implementation of 'Stepping On' using multilevel models. Results: Between 2009 and 2014 the program was delivered in 1077 sites to 10 096 older adults. Rates of fall-related ambulance use and hospital admissions per 100-person-years were 1-2 in people aged 66-74, 4-5 in people aged 75-84 and 12-13 in people aged >=85. These rates increased over time (P
ISSN:1036-1073
2201-1617
DOI:10.1002/hpja.413