STAY ON YOUR FEET: An evidence-based framework for falls prevention

1. STAY ON YOUR FEET: An evidence-based framework for falls prevention Rhonda Lovell RN, BNSc Public Health Nurse, KFL&A Public Health Chair, KFL&A Falls Prevention Coalition

2. Objectives • Provide an overview of the Stay On Your Feet framework • Explore the rationale for use of the SOYF framework • Highlight the KFL&A experience with SOYF

3. What is Stay On Your Feet? An umbrella and multi-factorial falls prevention framework, with a positive brand name, and 5 strategy areas: Awareness raising Education Policy development Hazard Reduction Partnerships with health professionals/disciplines

4. SOYF Australia underlying principles: • Falls can be prevented • To reduce the number and • severity of falls, a community • needs to implement a wide • variety of health promotionactivities • Planning and implementation of SOYF based on the Ottawa Charter for Health Promotion

5. Why Stay On Your Feet? • Evidence based • Flexibility • Addresses critical issues & priorities • Community capacity approach • Cost effective

6. The EvidenceAustralian Project Outcomes • Community-wide program that addressed as many falls risk factors as possible • 22% reduction in self-reported falls • 20% reduction in falls-related hospital admissions

7. Flexibility • Fits with other approaches and interventions • Utilizes local knowledge and data • Leverages leadership and expertise • Enables a mix of strategies • Provides a starting point and/or the context to evaluate existing activities

8. Addresses Critical Issues & Priorities • Ontario Public Health Standards 2008 • MHP Chronic Disease Prevention Priorities • Ontario Injury Prevention Strategy • Integrated Health Service Plan priorities

9. Community Capacity Approach • Ensures local relevance • Promotes longevity & sustainability • Supports collaboration & integration of services • Fosters community ownership of the program and input into solutions

10. A role for everyone Society INDIVIDUALS Government Groups, Coalitions LHINs & Other HCPs Public Health

11. Cost effective • Each hip fracture costs the system $21,285 in the 1st year after hospitalization, and $44,156 if the patient is institutionalized. (Osteoporosis Canada) • SOYF Ontario demonstration project grants received $60,000 per year for two years • In KFL&A many SOYF elements are sustained through Public Health & through in kind donation of community partners’ time etc – embedded in agency priorities

12. The Ontario Model • In 2004, ONF selected three communities (KFL&A, Grey Bruce, and Elliot Lake) to receive a two-year grant to adapt and implement the SOYF program in Ontario and evaluate its effectiveness • Formal evaluation (Corlett & Warren, 2006) found that the program could be sustained by ongoing leadership of lead agencies beyond ONF funding • SOYF approach is still present in some of the pilot communities, albeit in different form

13. KFL&A Public Health South East LHIN

14. Kingston Frontenac Lennox & Addington Total population = 190 399 65+ = 29 973 = 15.74% 55-64 = 24 519 Addington, North & Central Frontenac 65+ = 23% Ontario 65+ = 12.8% Source: South East Local Health Integration Network (LHIN) Sub-LHIN Planning Area Profile: Addington, North and Central Frontenac Population Estimates (2008), Provincial Health Planning Database (PHPDB)

15. Implementation in KFL&A • Created a locally relevant action plan • Built upon an existing coalition of key local partners • KFL&A Falls Prevention Coalition • Hired a co-ordinator • Gathered required information

17. KFL&A focus moving forward • Awareness & education • Growth & sustainability • Building community capacity • Regional relevance • Evidence based practice

18. Rhonda Lovell, RN, BNSc Public Health Nurse, KFL&A Public Health Chair, KFL&A Falls Prevention Coalition 221 Portsmouth Avenue Kingston, Ontario Canada   K7M 1V5 tel:  613-549-1232 ext. 1181 fax: 613-549-7896 rlovell@kflapublichealth.ca www.stepsafe.com