Falls prevention as a pathway to successful aging: Statewide implementation and dissemination of an evidence-based program

Background: Falls and related sequelae are a major cause of loss of independence. Evidence-based programs have proven successful in reducing behavioral and environmental falls-related risk factors, enabling older adults to live more active and productive lives.

Purpose: To describe a statewide effort to evaluate the implementation and dissemination of A Matter of Balance-Volunteer Lay Leader (AMOB-VLL) model under the auspices of the Department of Aging and Disability Services Texas Healthy Lifestyles Program.

Methods: Applying a RE-AIM framework, standardized training sessions were held to build statewide capacity and implement a common set of measures for assessing the public health impact of AMOB-VLL. Current analyses focus on documenting program reach and effectiveness for 1493 participants enrolled through January 31, 2009.

Results: Program dissemination was broad with 216 Texas counties represented. Program capacity was successfully built by training 188 master trainers and lay leaders throughout the state, and delivering the program in 119 classes. Preliminary pre-immediate post intervention outcome results are very positive indicating: 1) gains in general health assessments as well as a reduction in number of unhealthy days; 2) increases in falls-self efficacy, and 3) improvements in overall physical activity levels and reductions in interference with everyday normal routines Six month follow-up evaluation show promise for long-term sustainability of positive outcomes.

Conclusion: Widespread dissemination of falls prevention program can promote active aging, among those who would otherwise be at risk for a downward health and functional trajectory. Current activities center on identifying strategies for embedding programs into existing aging services networks.