Using the RE-AIM Framework to translate a research-based falls prevention intervention into a community-based program: Lessons Learned
Using the RE-AIM Framework to translate a research-based falls prevention intervention into a community-based program: Lessons Learned
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DOI：
10.1016/j.jsr.2011.09.003
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发表时间：
2011-12-01
影响因子：
4.1
通讯作者：
Busby-Whitehead, Jan
中科院分区：
文献类型：
--
作者：
Shubert, Tiffany E.;Altpeter, Mary;Busby-Whitehead, Jan
问题：以社区为基础的研究干预措施表明，社区居住的老年人的风险和福尔斯率降低;然而，对社区环境中这些干预措施的翻译、实施和维护的有效机制知之甚少。方法：RE-AIM框架被用来评估在社区环境中有效的运动为基础的研究干预的可翻译性。问题包括：覆盖范围-目标人群会参加吗？有效性-对计划的遵守情况如何？福尔斯风险因素是否有个体改善？采用：中心的工作人员是否会采用该计划并在资助期后提供？实施-应作出哪些调整，包括最佳频率和持续时间，以满足社区需求，仍然坚持核心要素并实现类似的结果？维护-该计划将由我们的社区合作伙伴维持？讨论内容：将针对有福尔斯跌倒风险的老年人的受控研究干预转化为社区环境的过程具有挑战性。获得许可的专业人员开发了基础设施，以安全有效地交付程序。最终产品对我们的目标受众具有很高的吸引力，结果得到了改善，并被社区合作伙伴成功采用和维护。摘要：社区和医疗保健提供者之间的合作伙伴关系是成功实施福尔斯预防干预措施的关键。从这一经验中吸取的教训可以应用于未来基于运动的福尔斯预防干预措施的翻译。(C)2011年国家安全理事会和爱思唯尔有限公司保留所有权利。
Problem: Exercise-based research interventions demonstrate reduced risk and rates of falls for community dwelling older adults; however, little is known about effective mechanisms for the translation, implementation, and maintenance of these interventions in community settings. Method: The RE-AIM framework was used to assess the translatability of an effective exercise-based research intervention in a community setting. Questions included: Reach - Would the target population attend? Effectiveness - What was the adherence and compliance to the program? Were there individual improvements in falls risk factors? Adoption: Would staff at the center adopt the program and offer it past the funding period? Implementation - What adaptations, including optimal frequency and duration, should be made to meet the community needs, still adhere to core elements and achieve similar outcomes? Maintenance - Would the program be sustained by our community partners? Discussion: The process of translating a controlled research intervention targeting older adults at risk of falls into a community setting was challenging. Licensed professionals developed the infrastructure to safely and effectively deliver the program. The end product was highly appealing program to our target audience, resulted in improved outcomes and was successfully adopted and maintained by the community partner. Summary: Partnerships between community and healthcare providers are key to successful implementation of falls prevention interventions. Lessons learned from this experience can be applied to the translation of future exercise-based falls prevention interventions. (C) 2011 National Safety Council and Elsevier Ltd. All rights reserved.