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

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.

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Purpose

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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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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

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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

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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

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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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For more information contact:Tanya Dunne

Regional Program Leader

Regional Fall & Injury Prevention Program

Vancouver Coastal Health

[email protected]

For more info:

[email protected]