Evaluation of the NSW Management Policy to Reduce Fall Injury Among Older People, 2003–2007: implications for policy development
Wendy L. Watson A C and Rebecca J. Mitchell A BA NSW Injury Risk Management Research Centre, The University of New South Wales
B Department of Aviation, The University of New South Wales
C Corresponding author. Email: w.watson@unsw.edu.au
NSW Public Health Bulletin 22(4) 69-72 https://doi.org/10.1071/NB10003
Published: 2 June 2011
Abstract
Aim: To retrospectively evaluate the NSW Management Policy to Reduce Fall Injury Among Older People, 2003–2007. Methods: The process evaluation was conducted by interviewing stakeholders regarding the implementation of the Policy. A document review was also undertaken to identify activities and initiatives undertaken during the implementation process. Results: Key achievements in the implementation of the Policy and significant early events, decisions and contextual factors which acted as barriers to the implementation were identified. Results included the: identification of the need for the prioritisation of evidence-based interventions; application of consistent best practice guidelines for implementing falls prevention strategies in the community; and development of an evaluation and monitoring framework concurrent with the development of policy. Conclusion: Subsequent policy initiatives must be strategically focused and coordinated if future activities are to have a significant impact on the increasing burden of fall-related injury.
References
[1] NSW Department of Health. NSW Management Policy to Reduce Fall Injury Among Older People, 2003–2007. Available from: http://www.health.nsw.gov.au/policies/PD/2005/pdf/PD2005_353.pdf (Cited 13 January 2011.)[2] NSW Department of Health. Healthy People 2005: New Directions for Public Health in New South Wales. Available from: http://www.health.nsw.gov.au/pubs/2000/pdf/public2005.pdf (Cited 13 January 2011.)
[3] NSW Department of Health. NSW Chronic Disease Prevention Strategy 2003–2007. Available from: http://www.health.nsw.gov.au/pubs/2003/pdf/chronic_disease.pdf (Cited 13 January 2011.)
[4] Bunn F, Dickinson A, Barnett-Page E, McInnes E, Horton K. A systematic review of older people's perceptions of facilitators and barriers to participation in falls prevention interventions. Ageing Soc 2008; 28 449–72.
| A systematic review of older people's perceptions of facilitators and barriers to participation in falls prevention interventions.Crossref | GoogleScholarGoogle Scholar |
[5] Resnick B. A prediction model of aerobic exercise in older adults living in a continuing-care retirement community. J Aging Health 2001; 13 287–310.
| A prediction model of aerobic exercise in older adults living in a continuing-care retirement community.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD38%2Fmt1Cgtg%3D%3D&md5=c639ae49d2c5c73d46d6e87452cfec3cCAS | 11787516PubMed |
[6] Resnick B, Spellbring AM. Understanding what motivates older adults to exercise. J Gerontol Nurs 2000; 26 34–42..
| 1:STN:280:DC%2BD3M7itVSkuw%3D%3D&md5=7cf3bbeb2e094687d3b05ce1ed13c08eCAS | 11111629PubMed |
[7] Stead M, Wimbush E, Eadie D, Teer P. A qualitative study of older people’s perceptions of ageing and exercise: the implications for exercise. Health Educ J 1997; 56 3–16.
| A qualitative study of older people’s perceptions of ageing and exercise: the implications for exercise.Crossref | GoogleScholarGoogle Scholar |
[8] Rejeski WJ, Brawley LR, Ettinger W, Morgan T, Thompson C. Compliance to exercise therapy in older particpants with knee osteoarthritis: implications for treating disability. Med Sci Sports Exerc 1997; 29 977–85.
| Compliance to exercise therapy in older particpants with knee osteoarthritis: implications for treating disability.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK2svhsVSktQ%3D%3D&md5=0fafd19136b895bf6423f4826d0827cfCAS | 9268953PubMed |
[9] Church J, Goodall S, Norman R, Haas M. An economic evaluation of community and residential aged care falls prevention strategies in NSW. NSW Public Health Bull 2011; 22(3–4): 60–68
[10] Australian Commission on Safety and Quality in Health Care. Preventing Falls and Harm From Falls in Older People: Best Practice Guidelines for Australian Community Care. Commonwealth of Australia: Canberra; 2009. Available from: http://www.health.gov.au/internet/safety/publishing.nsf/Content/com-pubs_FallsGuidelines/$File/30456-Guidelines-COMM.PDF (Cited 13 January 2011.)