Working with Local Government and their Public Health Plans to prevent falls - Rachel Meade
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Working with Local Government and their
Public Health Plans to prevent falls
Rachel Meade
Co Authors: Roisin Sweeney & Gemma Davis
www.injurymatters.org.au
Injury Matters acknowledges the Traditional Custodians of the lands and waters throughout Western Australia and pays respects to the Elders past, present and emerging.
We recognise the importance of continued connection to culture, country and community for Aboriginal and Torres Strait Islander peoples.
Our Reconciliation Action Plan can be found at www.injurymatters.org.au
Artwork: “Standing Strong” by Nerolie Bynder Blurton
Overview 1. Importance of Local Governments 2. Enacting change through Public Health Plans 3. Falls in East Fremantle 4. Interventions Developed and Delivered 5. Results 6. Opportunities
Local Government in Western Australia
Federal
State
Local
Public Health Plans Public Health Act update 2016 Objectives: 1) Empowering and enabling people to live healthy lives 2) Providing health protection for the community 3) Improving Aboriginal health and wellbeing
East Fremantle Injury Priorities
South Metropolitan
Population Health Unit
Development of interventions to align to
strategy
East Fremantle Objective one: To guide and encourage our community to lead healthier lifestyles through the Objective three: To engage with business,
Public Health provision of lifestyle and educational opportunities. partners and stakeholders to support the Town
Plan Objectives as a great place for people to live, work and
play.
East Fremantle Deliver and support facilities and Encourage active, sociable, Deliver programs for Provide a full package of support, training and
Strategies programs that encourage the uptake of meaningful lives to promote seniors and promote engagement mechanisms to foster staff
physically active lifestyles. good health and wellbeing senior focussed events development by 2020 and support equality in
(e.g. Seniors week, the workplace.
seniors’ afternoon tea
dance, healthy lifestyles
expo for over 55s,
heritage festival
programs).
Proposed • Stepping On Program • Community displays at • Peer education • HACC falls prevention presentation
Activities • Promote Local Services town events workshops
• Provision of falls
prevention resources
• Communication materials
Anticipated • Increased confidence of participants • Increased awareness of • Increased awareness of • Increased confidence of staff to identify
Outcomes to take control, implement positive the risk factors for falls. the risk factors for falls. strategies to reduce falls
lifestyle changes to keep participants • Increased awareness that • Increased awareness • Increased awareness of staff of resources and
independent, explore coping falls are preventable. that falls are support available to prevent falls.
behaviours and make changes to preventable.
safety to prevent falls. • Increased knowledge of
• Increased promotion of physical strategies for preventing
activity services in the Town. falls
Intervention Delivered
Awareness Workforce
Education
Raising Development
Promotion of Education
Peer Education
local services workshop
Community
Stepping On
events and
Program
displays
Distribution of Falls
Communication Prevention
Materials ResourcesAwareness Raising - Results Promotion of Local Services to Prevent Falls • Added 9 services to the eDirectory. • Developed 1 activity flyer. • 2 community displays. Distribution of Resources • Glyde-In Community Learning Centre • Juniper Independent Living Units • East Fremantle Medical Centre • Fremantle Library • Fremantle Leisure Centre
Awareness Raising - Results Outcome 3: Increase awareness of the risk factors for falls. Distribution of Communication Materials • Media Releases • Website Blogs • Newsletters • Social Media
Education - Results Outcome 3: Increased awareness of the risk factors for falls. Outcome 4: Increased awareness that falls are preventable. Outcome 5: Increased knowledge of strategies for preventing falls. Three (3) Peer Education Workshops to a total of 89 community members. 97.7% respondents agreed or strongly agreed they understand the reasons why people fall (n=43). 97.7% of respondents agreed or strongly agreed that falls are preventable (n=42). 88.6% of respondents agreed or strongly agreed they have a better understanding of what they can do to reduce their risk of falling (n=39).
Education - Results
Outcome 1: Increased confidence of participants to take control, implement
positive lifestyle changes to keep participants independent, explore coping
behaviours and make changes to safety to prevent falls.
Participants identified average of 3.2 more risk factors in Week 8 (13)
compared to Week 1 (9.8).
The average Falls Efficacy Scale (FES) score* increased from 23.72 in
Week 1 to 24.00 in Week 8.
“[The Program] came at a perfect time for me when I was
feeling worried about my abilities as my balance and knee
problems worsened.”Education - Results “I think my
balance and
strength have
Outcome 1: Increased confidence of participants to take control, implement improved. I
positive lifestyle changes to keep participants independent, explore coping feel my
behaviours and make changes to safety to prevent falls. confidence
has improved
on wet
surfaces.”
91% of participants had an improvement in one or more aspects of
their 4 stage balance test.
67% of participants improved their functional mobility based on the
TUG test.
73% of participants had an improvement in their functional strength
based on the 30 second STS and 5 second STS tests.91.6% of participants reported an increase in the frequency of at least
one fall preventing behaviour.
7.3% increase in positive attitude towards falls prevention.
“It's definitely worth promoting to
a 60+ group. Prevention is
everything. I was very glad to
have the opportunity to do the
course. Thanks East Fremantle
Council. Thanks [Injury Matters
staff] for doing an excellent job
at running the course.”Results – Workforce Engagement Outcome 6: Increased confidence of staff to identify strategies to reduce falls. Outcome 7: Increased awareness of staff of resources and support available to prevent falls. 1 x Home and Community Care (HACC)Presentation to upskill professionals who support older adults. 15% improvement in understanding of what staff could do to prevent falls and the resources available to support them.
Opportunities • Increasing opportunity to engage Local Government in falls prevention. • Activities that address social isolation of residents are attractive to Local Government. • Link falls activities in with other existing programs and infrastructure (i.e. recreation centres). • Make yourself known to your LG – do they know that your service exists.
Injury Matters is able to continue to make a difference in the Western Australian community through funding obtained from the state government, donations and income generated through our programs and services.
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