Stackpool Gai
Health Promotion Service, Sydney South West Area Health Service, Camperdown, New South Wales.
Health Promot J Austr. 2006 Apr;17(1):12-20.
Since a lack of physical activity is a risk factor for falling, effective interventions to increase participation rates among older people need to be found. This project assessed the viability of a metropolitan Area Health Service collaboration to increase physical activity rates among older people.
A collaboration involving six Area Health Services in the Sydney metropolitan area, central coast of New South Wales (NSW), and NSW Department of Health was established. Interventions included a communication strategy to raise awareness of the benefits of physical activity for preventing falls and enhancement of local physical activity programs for older people. A repeated measures cross-sectional design was used to assess increases in physical activity programs and older people's participation, and data of fall-related hospital admissions were examined. Annual activity logs were completed to track local project activities. Semi-structured interviews with key stakeholders and workshops were used to review the collaborative management model.
Response to the communication strategy and gains in physical activity programs for older people varied among Area Health Services. Overall, approximately 2,929 people called the campaign inquiry hotlines in response to the media campaign, Area Health Service-supported exercise programs for older people increased by 19%, participation rates increased by 16%, and fall-related hospital admissions were observed to plateau. The collaborative management model used was somewhat effective, but had difficulties for the issue being addressed.
'Make a Move' added value to local physical activity programs for older people and increased the number of older people participating in Area Health Service-supported exercise programs. Collaborative projects are worthwhile if they address the right issue, involve the right partners and have sound management processes.
由于缺乏体育活动是跌倒的一个风险因素，因此需要找到有效的干预措施来提高老年人的参与率。本项目评估了大都市地区卫生服务合作以提高老年人体育活动率的可行性。
在悉尼大都市地区、新南威尔士州（NSW）中部海岸的六个地区卫生服务机构与NSW卫生部之间建立了合作关系。干预措施包括一项宣传策略，以提高人们对体育活动预防跌倒益处的认识，以及加强针对老年人的当地体育活动项目。采用重复测量横断面设计来评估体育活动项目的增加情况以及老年人的参与情况，并检查与跌倒相关的住院数据。完成年度活动日志以跟踪当地项目活动。通过与关键利益相关者进行半结构化访谈和举办研讨会来审查协作管理模式。
各地区卫生服务机构对宣传策略的反应以及老年人体育活动项目的增加情况各不相同。总体而言，约有2929人因媒体宣传活动拨打了活动咨询热线，地区卫生服务机构支持的老年人锻炼项目增加了19%，参与率提高了16%，且观察到与跌倒相关的住院人数趋于平稳。所采用的协作管理模式有一定效果，但在解决所涉问题方面存在困难。
“动起来”为针对老年人的当地体育活动项目增添了价值，并增加了参与地区卫生服务机构支持的锻炼项目的老年人数量。如果协作项目解决了正确的问题、涉及了合适的合作伙伴并拥有完善的管理流程，那么它们是值得开展的。
