scholarly journals The Dartmouth Falls Prevention Training Program: Primary Care and Community-Based Organization Collaboration

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 369-369
Author(s):  
Dawna Pidgeon
Keyword(s):  
Primary Care ◽  
Training Program ◽  
Falls Prevention ◽  
Community Based ◽  
Instructor Training ◽  
Community Based Education ◽  
Falls Risk ◽  
Adult Participation ◽  
Community Based Organization ◽  
Prevention Training

Abstract Falls are a leading cause of fatal and non-fatal injuries in older adults. Older adult participation in community-based falls prevention programs can significantly reduce falls risk, however, identifying and referring individuals to appropriate programs can be challenging. Through Administration for Community Living (ACL) funding, we have developed a comprehensive Dartmouth Falls Prevention Training Program for healthcare and community based organizations that includes (1) Falls screening in primary care; (2) “Balance Days”, a community-based education and balance screening event encompassing falls risk stratification and coaching into programs; (3) Instructor Training for Tai Ji Quan: Moving for Better Balance®, a highly effective falls prevention program; and (4) Implementation Training, a research informed workshop shown to enhance community-based program sustainability through participant retention. We will share strategies for sustainable collaborations between primary care and CBOs to reach at-risk individuals and improve lives and decrease costs associated with falls.

scholarly journals Leveraging ACL Funding to Implement an Evidence-Based Falls Prevention Program in Three GWEPs

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 368-369
Author(s):  
Ellen Flaherty ◽  
Nina Tumosa
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Rhode Island ◽  
Systems Of Care ◽  
Health Resources ◽  
Prevention Programs ◽  
Falls Prevention ◽  
Evidence Based ◽  
Community Based ◽  
Falls Risk

Abstract Primary care practices have a robust capacity to screen older adults for falls risk and refer them to evidence-based falls prevention programs delivered by Community Based Organizations (CBOs). However, due to a difference in the culture and nature of the work done in these two systems of care, there is often a lack of coordination and communication. Dartmouth has worked to bridge this gap for the past five years through our Health Resources and Services Administration (HRSA)-funded Geriatric Workforce Enhancement Program (GWEP). GWEP goals include the promotion of Age-Friendly Health Systems by focusing on the 4 Ms: What Matters Most, Medication, Mentation and Mobility. GWEPs commonly operationalize the Mobility component via falls risk screening and prevention programs. Though CBOs are well suited to deliver falls prevention programs, implementing, disseminating and sustaining community-based falls prevention programs in an environment of cost containment, limited funds for community-based services and workforce issues is challenging. Previous Administration for Community Living (ACL) grant funding enabled us to develop the Dartmouth Falls Prevention Training Center (D-TC) using our expertise in training and community-based implementation of evidence-based interventions. The D-TC offers training and implementation support to primary care and CBOs on screening, referring and capacity-building for falls prevention programs. We will discuss challenges and successes implementing the Dartmouth falls prevention model with two additional GWEP grantees, Baystate and the University of Rhode Island. Benefits of leveraging ACL and HRSA funding to achieve synergistic goals to reduce falls in older adults will be explored.

scholarly journals Adopting and Adapting a Falls Prevention Program: Lessons Learned From Implementing a Model From a Different Context

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 369-369
Author(s):  
Carol Petrie ◽  
Christine Ferrone ◽  
Phillip Clark ◽  
Alexandra Morelli
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Rhode Island ◽  
Lessons Learned ◽  
Academic Programs ◽  
Falls Prevention ◽  
Community Based ◽  
Health And Social Care ◽  
Academic Primary Care ◽  
Care System

Abstract Geriatric Workforce Enhancement Programs (GWEPs) are ideally suited to develop and implement educational programs to transform the geriatric care system. They link academic programs, clinical partners, and community-based organizations to bridge care system gaps to improve the health and social care of older adults. Such a collaboration is especially important in falls prevention, where primary care assessments generate referrals to community programs that enroll older adults to reduce their risk of falling. However, exporting an evidence-based model developed in one context for implementation in another is not without its perils and pitfalls. This paper explores the challenges of applying a model developed elsewhere to the Rhode Island context, including the need to understand how structural differences in academic, primary care, and community-based systems require flexibility, innovation, and persistence in overcoming the networking challenges in these different settings. Recommendations for implementing program models in a variety of settings are explored.

Community-Based Education in Global Low-Resource Settings: A Unique Interprofessional Collaborative Experience in Primary Care Delivery

2019 ◽  
Vol 6 (1) ◽  
pp. 56-62
Author(s):  
Mabel Ezeonwu
Keyword(s):  
Primary Care ◽  
Health Education ◽  
Global Health ◽  
Care Delivery ◽  
Collaborative Practice ◽  
Community Based ◽  
Community Based Education ◽  
Low Resource Settings ◽  
Low Resource ◽  
Global Health Education

The complex nature of global health issues requires multidisciplinary efforts, namely, interprofessional education (IPE) and collaborative practice. For American students to develop skills and competencies that contribute to global primary care workforces, they must receive community-based education in various environments around the world. This article presents a global health education program that offers community-based, health-related IPE that is centered on primary care, collaborative practice, and a unique three-way partnership. Using a “classroom in the field” hybrid model, this program placed graduate and undergraduate students from different majors into experienced multidisciplinary health care teams and gave them hands-on, firsthand public health experiences in eight low-resource settings in Guatemala. The curricular design was informed by the Consortium of Universities for Global Health’s global health education competencies. At the completion of the program, all partners, participants, and local communities involved saw significant positive outcomes. Notably, students were able to articulate the essentials of primary care in a global context and demonstrate knowledge and skills in global health competencies. Such community-based approaches promote student understanding of disease prevention and health promotion as key elements of primary care that could improve health outcomes for underserved global populations.

scholarly journals Leveraging Expertise from Community Resources to Improve the Role of the Pharmacist in HIV Testing and Counseling

2021 ◽  
Vol 12 (4) ◽  
pp. 21
Author(s):  
Edgar S. Diaz-Cruz ◽  
Sara Thompson ◽  
Mary Hawkins ◽  
Riguin Zengotita Borges ◽  
Kathryn Jefferson
Keyword(s):  
Public Health ◽  
Hiv Testing ◽  
Training Program ◽  
Depth Information ◽  
Community Based ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
The Public ◽  
Counseling And Testing ◽  
Community Based Organization

The human immunodeficiency virus (HIV) epidemic continues to be a major global public health issue. Moreover, disparities continue to persist in HIV among racial and ethnic minority populations, with the highest rates of new diagnoses in Black/African American and Hispanic/Latino men who have sex with men in the United States. Pharmacists are one of the most accessible and trusted health care professionals. Therefore, it is imperative that student pharmacists are educated on culturally-competent HIV testing and risk behaviors counseling. This study describes the development of a partnership between a pharmacy school and a community-based organization to offer an HIV counseling and testing training program to help develop skills in delivering HIV testing services. The HIV counseling and testing training program contains learning modules that provide a wide array of in-depth information about HIV patient care in the community. The partnership allows for the enjoyment of a myriad of benefits for students, the pharmacy program, the community-based organization, and the public health of the community-at-large. Students feel more prepared and comfortable working with patients in discussing HIV transmission risk factors and test results as a result of this training. Such partnerships support the pharmacist’s role in the public health arena. A successful and durable relationship between a community partner and a school of pharmacy is a feasible strategy for pharmacy progress in public health.

scholarly journals DEVELOPING A COMMUNITY-BASED COMPREHENSIVE FALLS PREVENTION PROGRAM IN COLLABORATION WITH PRIMARY CARE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S770-S770
Author(s):  
Dawna Pidgeon
Keyword(s):  
Primary Care ◽  
At Risk ◽  
New England ◽  
Prevention Program ◽  
Tai Chi ◽  
Systems Approach ◽  
Screening Program ◽  
Falls Prevention ◽  
Community Based ◽  
Falls In Older Adults

Abstract Reducing falls in older adults requires a comprehensive screening program, a systems approach to refer those at risk and an evidence based community falls prevention programs. The Dartmouth Centers for Healthy & Aging has been the recipient of 2 Association of Community Living (ACL) Falls Prevention grants. This has enabled the development of a robust program for falls screening both in primary care and through community based balance screening events called “Balance Days”. At risk individuals receive coaching, based on the principles of motivational interviewing, focusing on enrolling in either “Matter of Balance” or “Tai Chi Quan: Moving for Better Balance”. Through the ACL grant we have built significant capacity across New England for these programs. This talk will focus on the “secret sauce” of implementing a robust community based falls prevention program in partnership with primary care.

Urban Australian general practitioners’ perceptions of falls risk screening, falls risk assessment, and referral practices for falls prevention: an exploratory cross-sectional survey study

2017 ◽  
Vol 41 (1) ◽  
pp. 111 ◽  
Author(s):  
Kajtek Kielich ◽  
Lynette Mackenzie ◽  
Meryl Lovarini ◽  
Lindy Clemson
Keyword(s):  
Primary Care ◽  
Older People ◽  
Health Professionals ◽  
Allied Health ◽  
Falls Prevention ◽  
Evidence Based ◽  
Allied Health Professionals ◽  
Falls Risk ◽  
Referral Practices ◽  
Prevention Interventions

Objective The study aimed to explore Australian general practitioners’ (GPs) perceptions of falls risk screening, assessment and their referral practices with older people living in the community, and to identify any barriers or facilitators to implementing evidence-based falls prevention practice. Methods Hardcopy surveys and a link to an online survey were distributed to 508 GPs working at one Medicare Local (now part of a Primary Care Network) located in Sydney, Australia. Data were analysed using descriptive statistics and key themes were identified from open text responses. Results A total of 37 GPs returned the survey. Only 10 (27%) GPs routinely asked older people about falls, and five (13.5%) asked about fear of falls during clinical consultations. Barriers to managing falls risk were identified. GPs estimated that they made few referrals to allied health professionals for falls interventions. Conclusions GPs were knowledgeable about falls risk factors but this did not result in consistent falls risk screening, assessment or referral practices. Due to the small sample, further research is needed with a larger sample to augment these results. What is known about the topic? Falls are a common and serious health issue for older people and fall prevention is vital, especially in the primary care setting. General practitioners (GPs) are key health professionals to identify older people at risk of falls and refer them to appropriate health professionals for intervention. Evidence-based falls prevention interventions exist but are not easily or routinely accessed by older people. What does this paper add? GPs believe that previous falls are an important falls risk factor but they do not routinely ask about falls or fear of falls in clinical practice with older people. GP referral rates to allied health professionals for falls prevention are low, despite evidence-based falls prevention interventions being provided by allied health professionals. There are several barriers to GPs providing falls prevention assessment and intervention referrals, particularly using the current primary health systems. What are the implications for practitioners? GPs need to recognise their potential significant contribution to falls prevention in the community and may require tailored training. Sustainable evidence-based referral pathways need to be developed so that older people can be referred to allied health professionals for falls prevention interventions in the primary care setting, and better local networks need to be developed to allow this to occur. Policy makers may have to address the identified barriers to multidisciplinary practice and funding of services to facilitate effective falls prevention programs in primary care.

A COMMUNITY-BASED OSTEOPOROSIS PREVENTION TRAINING PROGRAM FOR ELDER CARE PROVIDERS

1998 ◽  
Vol 30 (Supplement) ◽  
pp. 90
Author(s):  
J. E. Layne ◽  
M. A. Hardenbergh ◽  
C. D. Economos ◽  
A. Wilde ◽  
C. Pu ◽  
...  
Keyword(s):  
Training Program ◽  
Elder Care ◽  
Care Providers ◽  
Osteoporosis Prevention ◽  
Community Based ◽  
Prevention Training

Connecting Primary Care to Community-Based Education: Michigan Physicians’ Familiarity With Extension Programs

2019 ◽  
Vol 21 (2) ◽  
pp. 175-180
Author(s):  
Tamkeen Khan ◽  
Cheryl Eschbach ◽  
Courtney A. Cuthbertson ◽  
Cathy Newkirk ◽  
Dawn Contreras ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Delivery ◽  
Primary Care Patient ◽  
State Level ◽  
Care Patient ◽  
Health Programs ◽  
Michigan State University ◽  
State University ◽  
Community Based ◽  
Community Based Education

Clinical–community linkages enhance health care delivery and enable physician–patient partnerships to achieve better health. The Michigan State University (MSU) Model of Health Extension includes a strategy for forming these linkages by focusing on increasing primary care patient referrals and enrollment in health programs. This article shares the results of a survey of Michigan internal medicine and family medicine physicians ( n = 323) to better understand attitudes toward and familiarity with community-based education (CBE) programs and to assess the logistical requirements to make CBE referrals efficient and sustainable. Survey results showed that at most, 55% of respondents were aware of at least one CBE program implemented by Cooperative Extension. Of those who were aware, over 85% agreed that the programs have positive benefits for patients. Thirty-five percent reported at least one referral barrier, and familiarity with the CBE programs was a significant predictor for reporting all referral barriers. The results suggest that increasing physicians’ familiarity of CBE health programs is a key first step in identifying ideal strategies to overcome referral barriers. Data from this study may help determine scalable state level models for increasing awareness of chronic disease prevention and other CBE programs in efforts to improve the health of the nation.

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