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Balance & Mobility Classes for Adult Day Programs
VCH Fall & Injury Prevention
Version 5
Quality Forum 2015
ADP
To improve functional fitness and reduce risk of falls for vulnerable older adults living independently through partner supported community based balance, strength, and mobility activity classes delivered by registered SteadyFeet® instructors.
VCH Fall & Injury Prevention Program 2
Purpose
VCH Fall & Injury Prevention Program 3
Goals• Provide standardized
balance, mobility & strength activity classes
• Referral option for VCH allied health & physicians
• Evidence & outcome based
• Develop community partnerships
• Facilitate access
Benefits• Facilitate independent
living for elderly• Promote behavior
change & self directed care
• Improve quality of life• Improve/increase uptake
of physical activity• Increasing skills of
partners• Reduce fall risk
Goals
VCH Fall & Injury Prevention Program 4
Instructor Training CourseInstructor Training Course• Online & Practical workshop
• Taught by VCH SteadyFeet Master Trainers
• BCRPA approved &counts for 22 CE Credits for BCRPA Instructors
• Physios, OT’s and BCRPA Fitness Instructors to ensure high quality instruction.
• Partnership with Osteofit
VCH Fall & Injury Prevention Program 5
Participant ClassSteadyFeet® Class• Taught by VCH Registered
SteadyFeet® Instructors
• Low ratio participants to instructor (5:1 for Level 1, 7:1 for Level 2)
• Pre and Post assessments
• Level 1 and 2
• May use mobility aids
• Periodic audits by VCH
• Utilize trained volunteers
VCH Fall & Injury Prevention Program 6
Problem
• Poor strength and balance are leading contributors to falls
• ADPs had exercise classes in place but:– Not standardized from site to site– Instructors - varying knowledge backgrounds– Limited resources for training instructors– Some concerns about safety within classes– Questions about effectiveness of exercises
7
SteadyFeet®
•Max participant to instructor ratio is 6:1 for Level 1 and 8:1 for Level 2
•Classes: 60 mins•Focus is on balance, gait and strength•Must be able to walk independently; may use walking aids
•Instructor: BCRPA certified instructors•Training: Online – 8 hours online
Workshop – 14 hours•Customized progressive lesson plans
SteadyFeet® ADP•Max participant to instructor ratio is 20:1
•Classes: 20 – 45 mins•Focus is on strength and balance•May use walking aids•Instructor: Activity Workers •Training: Online – 6 hours
Workshop – 7 hours•Rotate through a series of set lesson plans
Intervention
VCH Fall & Injury Prevention Program 8
Challenges
• Adapt SteadyFeet® to meet the needs of the ADP setting:– Staff – level of training– Length and cost of training– Class size– Class frequency– Participant physical and medical status
9
Measurement
10
5 Sit-to-Stands
4-point Stance
Timed Up & Go
0% 5% 10% 15% 20% 25% 30% 35% 40%
33%
2%
38%
35%
16%
33%
0.27
0.13
SteadyFeet®Percent Improvement Across Tests
ADP
Level 2
Level 1
Percent Improvement
Out
com
e M
easu
re
Strength
Balance
Mobility & Gait
VCH Fall & Injury Prevention Program 11
For more information contact:Tanya Dunne
Regional Program Leader
Regional Fall & Injury Prevention Program
Vancouver Coastal Health
For more info: