1. Balance & Mobility Classes for Adult Day Programs VCH Fall & Injury Prevention Version 5 Quality Forum 2015 ADP

2. 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 Program2 Purpose

3. VCH Fall & Injury Prevention Program3 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

4. VCH Fall & Injury Prevention Program4

5. Instructor 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 Program5

6. Participant Class SteadyFeet ® 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 Program6

7. 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

8. 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 Program8

9. 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

10. Measurement 10

11. VCH Fall & Injury Prevention Program11 For more information contact: Tanya Dunne Regional Program Leader Regional Fall & Injury Prevention Program Vancouver Coastal Health tanya.dunne@vch.ca For more info: steadyfeet@vch.ca