steady feet
TRANSCRIPT
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Balance & Mobility Classes for Adult Day Programs
VCH Fall & Injury Prevention
Version 5
Quality Forum 2015
ADP
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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
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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
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VCH Fall & Injury Prevention Program 4
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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
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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
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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
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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
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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
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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
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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: