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Falls prevention for frail seniors: Falls Intervention Team (FIT) project

Falls prevention for frail seniors: Falls Intervention Team (FIT) project. Baycrest Toronto Public Health York Region Health Services Department. Financial support: Population and Public Health Branch – Ontario Region, Health Canada. The intervention consisted of 6 in-home visits:.

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Falls prevention for frail seniors: Falls Intervention Team (FIT) project

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  1. Falls prevention for frail seniors: Falls Intervention Team (FIT) project Baycrest Toronto Public Health York Region Health Services Department Financial support: Population and Public Health Branch – Ontario Region, Health Canada

  2. The intervention consisted of 6 in-home visits: PHN = Public Health Nurse PT = physiotherapist

  3. Measurement Times Performed by designated assessors Public Health Nurses

  4. RESULTS Age Gender Number of participants (6 month intake period):

  5. Baseline frailty score & mean number of falls per person (previous 90 days) Frailty score (developed for institutionalized seniors) (Hirdes 2003) 0 = low; 1&2 = mild; 3&4 = severe; 5 = death Change in mean number of modifiable risk factors from V1 to V6

  6. Change in Outcomes Measures over time* *All data was paired for analysis at each time period

  7. Exercise Adherence Mean change in the number of falls per participant per month At Baseline, average number of falls per client per month = .38

  8. Of the 81 who started the in-home intervention program • 82.7% were able to complete the 3 month program • 75.35% were able to complete the 9 month follow-up visit • Changes in measurements over time: • Falls: • significant ↓ in the average number of falls • significance level dropped between T2 and T3 when there was no active follow-up • significant ↓ in average numbers of falls between baseline and 9 month post (T3) • Outcome measures: • changes in outcome measures were mostly significant. • consistent slight loss in gain when re-assessed at the 6 month follow-up (T3) • Number of modifiable fall risk factors: • significant ↓ at program completion

  9. This 12 week self referral program delivered in the client’s home resulted in: • decreased number of modifiable falls risk factors, • increased social participation, • improved balance and balance confidence, • reduced number of falls.

  10. November 2006 Draft #4 • Future Partnerships • Arthritis Society • Osteoporosis Society • RGP FIT COMMUNITY BASED SUSTAINABILITY FRAMEWORK • YMCA project • Markham Stouffville Hospital • YRHS • YR CCAC (Markham) • Markham YMCA • St. Michael’s Hospital • TPH • COTA York Region CCC* • St. Joseph Hospital • TPH and WTSS • TPH and Parks and Recreation • McConaghy Centre • YRHS FIT CORE PARTNERSHIP • Rouge Valley Health System • Centenary site - post ED visit • TPH Toronto CCC* • FIT Graduate Program • Baycrest • TPH • YRHS • Supportive Housing Projects • TPH • CANES • Rehab Express • FIT CORE PARTNERSHIP • Baycrest • Toronto Public Health (TPH) • York Region Health Services (YRHS) * CCC consists of approximately 30 community agencies

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