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Title: Implementation of the StandingTall programme to prevent falls in older people: a process evaluation protocol.
Austin Authors: Taylor, Morag E;Todd, Chris;O'Rourke, Sandra;Clemson, Lindy M;Close, Jacqueline Ct;Lord, Stephen R;Lung, Thomas;Berlowitz, David J ;Blennerhassett, Jannette M ;Chow, Jessica;Dayhew, Julia;Hawley-Hague, Helen;Hodge, Wendy;Howard, Kirsten;Johnson, Pamela;Lasrado, Reena;McInerney, Garth;Merlene, Marita;Miles, Lillian;Said, Catherine M ;White, Leanne;Wilson, Nicola;Zask, Avigdor;Delbaere, Kim
Affiliation: Australian Institute of Musculoskeletal Science, St Albans, Victoria, Australia
Centre of Excellence for Population Ageing Research, The University of Sydney, Sydney, New South Wales, Australia
Population Health, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia
The George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia
Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
Mid North Coast Local Health District, Coffs Harbour, New South Wales, Australia
Department of Physiotherapy, The University of Melbourne, Melbourne, Victoria, Australia
Health Promotion, Northern NSW Local Health District, Lismore, New South Wales, Australia
ARTD Consultants, Sydney, New South Wales, Australia
Physiotherapy, Western Health, St Albans, Victoria, Australia
Manchester University NHS Foundation Trust, Manchester, UK
Northern Health Science Alliance, Manchester, UK
National Institute for Health Research, Applied Research Collaboration Greater Manchester, University of Manchester, Manchester, UK
Manchester Academic Health Science Centre, Manchester, UK
School of Health Sciences, University of Manchester, Manchester, UK
Falls, Balance and Injury Research Centre, Neuroscience Research Australia, Randwick, New South Wales, Australia
Prince of Wales Clinical School, Faculty of Medicine, University of New South Wales, Sydney, New South Wales, Australia
School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia
Issue Date: 26-Jul-2021
Date: 2021-07-26
Publication information: BMJ Open 2021; 11(7): e048395
Abstract: One in three people aged 65 years and over fall each year. The health, economic and personal impact of falls will grow substantially in the coming years due to population ageing. Developing and implementing cost-effective strategies to prevent falls and mobility problems among older people is therefore an urgent public health challenge. StandingTall is a low-cost, unsupervised, home-based balance exercise programme delivered through a computer or tablet. StandingTall has a simple user-interface that incorporates physical and behavioural elements designed to promote compliance. A large randomised controlled trial in 503 community-dwelling older people has shown that StandingTall is safe, has high adherence rates and is effective in improving balance and reducing falls. The current project targets a major need for older people and will address the final steps needed to scale this innovative technology for widespread use by older people across Australia and internationally. This project will endeavour to recruit 300 participants across three sites in Australia and 100 participants in the UK. The aim of the study is to evaluate the implementation of StandingTall into the community and health service settings in Australia and the UK. The nested process evaluation will use both quantitative and qualitative methods to explore uptake and acceptability of the StandingTall programme and associated resources. The primary outcome is participant adherence to the StandingTall programme over 6 months. Ethical approval has been obtained from the South East Sydney Local Health District Human Research Ethics Committee (HREC reference 18/288) in Australia and the North West- Greater Manchester South Research Ethics Committee (IRAS ID: 268954) in the UK. Dissemination will be via publications, conferences, newsletter articles, social media, talks to clinicians and consumers and meetings with health departments/managers. ACTRN12619001329156.
DOI: 10.1136/bmjopen-2020-048395
ORCID: 0000-0002-4436-862X
Journal: BMJ Open
PubMed URL: 34312204
Type: Journal Article
Subjects: geriatric medicine
preventive medicine
qualitative research
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