BC Injury Research and Prevention Unit.
J Safety Res. 2011 Dec;42(6):501-7. doi: 10.1016/j.jsr.2011.10.004. Epub 2011 Nov 17.
A staged, mixed methods approach was applied to the development and evaluation of an evidence-based education program for health care professionals and community leaders on how to design, implement and evaluate a fall prevention program. Stages included pre-development, development, pilot testing and impact on practice. The goal of the evaluation was to determine if the Canadian Falls Prevention Curriculum met the needs of the target audience and had an impact on learning and practice.
Methods included a needs assessment, systematic reviews, pre-post tests of learning, follow-up surveys and interviews, and descriptive reports of stakeholder involvement. The needs assessment and systematic review of existing programs indicated that there was a demand for a comprehensive, evidence-based curriculum on fall prevention and that no similar curricula existed. Pre-post test findings showed significant increases in learning and follow-up surveys showed a positive impact on practice.
Evidence shows that the most effective fall prevention efforts are those that address the multifactorial nature of fall risk, with proven interventions provided by trained clinicians. The Canadian Falls Prevention Curriculum provides evidence-based training for clinicians and community leaders using a public health approach to fall prevention that includes instruction on how to define the problem, assess the risk, examine best practices, implement the program, and conduct evaluation of the program's effectiveness.
采用分阶段、混合方法的方法，开发和评估了一个针对医疗保健专业人员和社区领袖的循证教育计划，内容是如何设计、实施和评估预防跌倒计划。阶段包括预开发、开发、试点测试和对实践的影响。评估的目标是确定加拿大跌倒预防课程是否满足目标受众的需求，并对学习和实践产生影响。
方法包括需求评估、对现有计划的系统评价、学习前后测试、后续调查和访谈，以及利益相关者参与的描述性报告。需求评估和对现有计划的系统评价表明，需要一个全面的、基于证据的预防跌倒课程，而且没有类似的课程。学习前后测试结果显示学习有显著提高，后续调查显示对实践有积极影响。
证据表明，最有效的跌倒预防措施是那些针对跌倒风险的多因素性质的措施，由经过培训的临床医生提供经过验证的干预措施。加拿大跌倒预防课程为临床医生和社区领袖提供循证培训，采用公共卫生方法预防跌倒，包括如何定义问题、评估风险、检查最佳实践、实施计划以及评估计划效果。
