1. Group 2 Sigridur, Catherine, Anette, Bruna, Marija, Rosmarie, Songül, Christiane, Catharina FALL PREVENTION IN COMMUNITY CARE- people aged 65 and older

2. BACKGROUND Prevalence - 1/3 people 65+ fall at least one time a year -1/2 people 80+ fall at least one time a year Significant morbidity - 10-15 % are associated with serious injuries Significant loss of QoL High cost - £ 2.3 billion / year in the UK Cameron et al. (2010); Gillespie et al. (2012); National Institute for Clinical Excellence (2013).

3. OBJECTIVES Aim: Implementing the NHS NICE-guidelinesCLINICAL GUIDELINE 161-Falls in older people Setting: Wales, Primary Care Providers Target groups: all community health care providers

4. BARRIERS andFACILITATORS BARRIERSFACILITATORS Lack of awarenessEasy access to necessary material (webpage, posters, flyers) Lack of knowledgeEducation Lack of motivationIncentives Lack of timeGood reputation

5. FRAMEWORK Individual level: Active learning theory Social level : Social cognitive theory Organisational level: Theories on organisational theory …within the Preceed/proceed framework

6. INTERVENTION Educational sessions at Education days 2 times/year Printed and web-based material for patients and professionals Reminders (computerized) Contact person Fall champions

7. EVALUATION Effect and process evaluation Time-series design - data collection twice a year (five time points) Survey for the practitioners Patient record analysis Feedback with recommendations Re-Audit

8. EVALUATION Quality Indicators: Are all health care personel aware of the guidelines? Are all people 65+ asked about falls? Are all people at risk offered multifactorial risk assessment? Are all people at risk offered multifactorial intervention? Number of falls related to people aged 65+ All people aged 65+

9. BUSINESS PLAN Time frame: 1 year of implementation 2 years of follow-up (audit) Budget: 2 part time research assistants 170 000 Educational material50 000 Data collection/Report70 000 Overhead costs10 000 300 000

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