Supplementary file: Baseline survey and Follow-up survey. In: "Fall prevention behaviour after participation in the Stepping On program: a pre-post study" published by Public Health Research & Practice
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ArticleAuthor/s
Tiedemann, AnneAbstract
Objective: The Stepping On program is demonstrated to prevent falls among community-dwelling people in a research setting and was implemented state-wide by the New South Wales (NSW) Ministry of Health in 2008. This study measured ongoing fall prevention strategies and behaviours ...
See moreObjective: The Stepping On program is demonstrated to prevent falls among community-dwelling people in a research setting and was implemented state-wide by the New South Wales (NSW) Ministry of Health in 2008. This study measured ongoing fall prevention strategies and behaviours undertaken by Stepping On participants during the six months following program completion. Secondary objectives were to document participant satisfaction and to identify motivators and barriers to fall prevention behaviour and strategy uptake. Methods: We conducted a pre-post prospective study among Stepping On program participants with 6-month follow-up. Participants commenced Stepping On in 2015 and 2016 in 15 Local Health Districts (LHDs) across NSW. A study-specific survey was completed at baseline and 6 months post-completion of Stepping On. Measures included: current self-reported fall prevention strategies and behaviours; the Falls Behavioural Scale (FaB); the Incidental and Planned Exercise Questionnaire (IPEQ); motivators and barriers to uptake of fall prevention strategies and behaviours. Results: Baseline questionnaires were completed by 458 participants (mean age 77, Standard Deviation [SD] 6.7, 76% female). Both baseline and follow-up surveys were completed by 291 participants (64%, mean age 78, SD 6.9, 76% female). There was a high degree of program satisfaction – 251 participants (86%) completed the whole program, 284 (98%) said it increased awareness of falls, 284 (98%) would recommend Stepping On to others. There were statistically significant increases in the proportion of participants who reported doing regular balance and strength exercise (74% vs 24%, p <0.0001) and using safe walking strategies (78% vs 51%, p <0.0001) at follow-up compared with baseline. There was also a significant improvement in the FaB scale, indicating less risk-taking behaviour (mean increase 0.15 out of 4, 95% CI 0.12–0.19, p < 0.0001), and an increase in IPEQ-reported structured exercise (mean increase 2.0 hours per week, 95% CI 1.6–2.5, p < 0.0001). The main motivators/barriers to uptake of structured exercise included participants’ health, availability and access to local programs, and insufficient time to take part. Conclusion: This study demonstrates the appeal of the Stepping On program and its positive impact on fall prevention behaviours among adults in the community aged 65 years and older. It is important to note the study limitations: the self-report nature of the measures used and the large amount of missing data.
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See moreObjective: The Stepping On program is demonstrated to prevent falls among community-dwelling people in a research setting and was implemented state-wide by the New South Wales (NSW) Ministry of Health in 2008. This study measured ongoing fall prevention strategies and behaviours undertaken by Stepping On participants during the six months following program completion. Secondary objectives were to document participant satisfaction and to identify motivators and barriers to fall prevention behaviour and strategy uptake. Methods: We conducted a pre-post prospective study among Stepping On program participants with 6-month follow-up. Participants commenced Stepping On in 2015 and 2016 in 15 Local Health Districts (LHDs) across NSW. A study-specific survey was completed at baseline and 6 months post-completion of Stepping On. Measures included: current self-reported fall prevention strategies and behaviours; the Falls Behavioural Scale (FaB); the Incidental and Planned Exercise Questionnaire (IPEQ); motivators and barriers to uptake of fall prevention strategies and behaviours. Results: Baseline questionnaires were completed by 458 participants (mean age 77, Standard Deviation [SD] 6.7, 76% female). Both baseline and follow-up surveys were completed by 291 participants (64%, mean age 78, SD 6.9, 76% female). There was a high degree of program satisfaction – 251 participants (86%) completed the whole program, 284 (98%) said it increased awareness of falls, 284 (98%) would recommend Stepping On to others. There were statistically significant increases in the proportion of participants who reported doing regular balance and strength exercise (74% vs 24%, p <0.0001) and using safe walking strategies (78% vs 51%, p <0.0001) at follow-up compared with baseline. There was also a significant improvement in the FaB scale, indicating less risk-taking behaviour (mean increase 0.15 out of 4, 95% CI 0.12–0.19, p < 0.0001), and an increase in IPEQ-reported structured exercise (mean increase 2.0 hours per week, 95% CI 1.6–2.5, p < 0.0001). The main motivators/barriers to uptake of structured exercise included participants’ health, availability and access to local programs, and insufficient time to take part. Conclusion: This study demonstrates the appeal of the Stepping On program and its positive impact on fall prevention behaviours among adults in the community aged 65 years and older. It is important to note the study limitations: the self-report nature of the measures used and the large amount of missing data.
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Date
2020-03-30Share