TRIPP

TRIPP – Translation of Research into Policy and Practice

ANZFPS was formed in 2006 to promote the multidisciplinary study and implementation of falls prevention in older people. An ongoing issue in falls prevention is the effective translation of the research evidence into practice in the healthcare and community settings. The Translation of Research into Practice & Policy (TRIPP) Sub-Committee has been established with the primary purpose to conduct activities that facilitate this translation of falls prevention research into practice and policy. The TRIPP committee aims to achieve this by facilitating and improving the alignment of the research and policy agendas at a state and national level through increased linkages, collaboration and communication, and reducing duplication of effort in the translation of falls prevention research.

 

For further information see the TRIPP_Terms_of_Reference

 

TRIPP NEWS: 

The ANZFPS 2014 Conference plenary lectures are available to view online. Click here or visit our YouTube channel – Australian and New Zealand Falls Prevention Society

 

Australian and State sites with information about fall prevention
Name State Link Description
The Australian Commission on Safety and Quality in Health Care AUS http://www.safetyandquality.gov.au/our-work/falls-prevention/

Hospital guidelines: http://www.safetyandquality.gov.au/publications/preventing-falls-and-harm-from-falls-in-older-people-best-practice-guidelines-for-australian-hospitals-2009/Residential aged care guidelines: http://www.safetyandquality.gov.au/publications/preventing-falls-and-harm-from-falls-in-older-people-best-practice-guidelines-for-australian-residential-aged-care-facilities-2009/Community care guidelines: http://www.safetyandquality.gov.au/wp-content/uploads/2012/01/Guidelines-COMM.pdf
The Australian Commission on Safety and Quality in Health Care assists health services to reduce the number of falls, and the resulting patient harm, through a number of national initiatives.This site includes Australia’s National Guidelines: Preventing Falls and Harm From Falls in Older People: Best Practice Guidelines for Australian Hospitals, Residential Aged Care Facilities and Community Care 2009. The guidelines provide a consistent national basis for falls prevention.
Australian and NZ Hip fracture registry AUS http://anzhfr.org/
Includes a link to the Falls and Fragility Fracture Audit Programme (UK): https://www.rcplondon.ac.uk/projects/falls-and-fragility-fracture-audit-programme-fffap
The ANZHFR sets out to achieve a number of goals including:•The development of ANZ Guidelines for hip fracture care•Defining standards of care and measurable quality indicators•Ultimately to develop a ANZ registry to allow for timely comparison of meaningful data which should be used to understand practice and trigger the case for change in places where care might possibly be improved
Community falls prevention sustainability resource package http://www.monash.edu.au/miri/research/research-areas/home-sport-and-leisure-safety/fpru/ The resources available assist organisations to sustain falls prevention activities beyond any funding periods. The package comprises guidelines and a workbook, a presentation for staff training, a supporting document which summarises the rationale for the guidelines, and a guidance sheet on how to use these materials.
Stay On Your Feet WA ® WA https://www.stayonyourfeet.com.au Stay On Your Feet WA® is a community awareness raising program which aims to promote healthy, active ageing in WA to reduce falls and the severity of fall-related injuries among seniors.
WA Falls Prevention Health Network resources WA http://www.healthnetworks.health.wa.gov.au/network/fallsprevention.cfm   The WA Falls Prevention Health Network has produced or supported the development of the following resources (see following links):

  • E-learning package for fall prevention in hospital settings
  • Falls Risk Management Tool and Audit Tool
  • Post-Fall Management Guidelines in Western Australian Healthcare Settings
  • WA Falls Prevention Model of Care

 

e-learning package for fall prevention in hospital settings WA http://www.health.wa.gov.au/education/FallsPrevention/player.html An online learning package outlining the process of assessing a patient’s risk of falls and identifying and applying appropriate prevention strategies in the hospital setting.  It takes 30-40minutes to complete.
Falls Risk Management Tool and Audit Tool WA http://www.healthnetworks.health.wa.gov.au/projects/falls_risk.cfm A falls prevention tool used for all inpatients to identify those at risk of falls, assess their risk factors and assign appropriate interventions. An audit tool to monitor its use is also available.
Post-Fall Management Guidelines in Western Australian Healthcare Settings WA http://www.health.wa.gov.au/circularsnew/circular.cfm?Circ_ID=12981 A statewide policy to enable a consistent and best-practice approach to post-fall assessment, management and follow-up in WA hospitals, health services and multi-purpose sites (MPS).
WA Falls Prevention Model of Care WA http://www.healthnetworks.health.wa.gov.au/modelsofcare/docs/Falls_Model_of_Care.pdf

 

Fall prevention strategies_2014

An overarching policy document providing a vision and direction for falls prevention activities across WA

 

Evidence for fall prevention strategies in the community, residential and hospital care settings.

Stay On Your Feet TAS® TAS http://www.dhhs.tas.gov.au/healthpromotion/stay_on_your_feet Provides falls information and resources for health professionals and the community
NSW Falls prevention network NSW http://fallsnetwork.neura.edu.au/  Shares knowledge, expertise, and resources on falls injury prevention.The NSW Falls Prevention Network activities are part of the implementation of the NSW Falls Prevention Policy funded by the NSW Ministry of Health.
Clinical Excellence Commission, NSW Falls Prevention Program NSW http://www.cec.health.nsw.gov.au/programs/falls-prevention 
Active and Healthy website NSW www.activeandhealthy.nsw.gov.au
Vic government of health VIC https://www2.health.vic.gov.au/ageing-and-aged-care/wellbeing-and-participation/healthy-ageing/falls-prevention Resources for health professionals, seniors, families and carers and others with an interest in falls prevention to help reduce the risk of falls and fall-related injuries. It includes over 90 resources many developed by organisations funded by the Victorian Government Department of Health to implement projects in residential aged care facilities and for people living independently in their own homes.
Falls prevention SA SA http://www.fallssa.com.au/  The ‘Falls Prevention in SA’ website provides a one-stop-shop of falls prevention and management information for members of the public, health professionals, General Practitioners, and carers.
Centre of Physical Activity and Ageing SA Centre for Physical Activity in Ageing (SA) The aim of the CPAA is to “Contribute to the quality of life of individuals through the provision of specialised physical rehabilitation, health promotion, scientific research and educational programs”.
The SA Health Falls Prevention Program SA Information for consumers on fall and fall prevention  Provides a large number of falls prevention resources, guidelines and tools
Queensland Stay On Your Feet QLD http://www.health.qld.gov.au/stayonyourfeet/default.asp 
LiFE Program to prevent falls in older people WA https://www.communitywest.com.au/index.php  Introduction to the Lifestyle-integrated Function Exercise (LiFE) Program to prevent falls in older adults

Current clinical trials in Australia and New Zealand evaluating falls/fall injury outcomes

Study Title Clinical Trial Registration link
RESPOND—A patient-centred program to prevent secondary falls in older people presenting to the emergency department (ED) with a fall: a multi-centre randomised controlled trial https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=366014
A randomised controlled trial of low-dose aspirin for the prevention of fractures in healthy older people: the ASPREE-Fracture sub-study https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368290
Balance Exercise and Strength Training (BEST) program for older people living at home https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=367886
Does training heath professional students on hospital placements with falls prevention simulation reduce inpatient falls? https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368564
Tailored Patient Education for Preventing Falls after Hospital Discharge https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368804
The ROC Study: A Multi-Centered, Randomized Controlled Clinical Trial comparing the effectiveness of an innovative and comprehensive new eye care model with usual care for individuals in RAC Facilities https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368551
A cluster randomised controlled trial to evaluate the effectiveness of an integrated general practice fall prevention process compared with usual care on GP practice change and the rate of falls in older people residing in the community https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368286
Standing Tall – A home-based exercise program using mobile technology for preventing falls in older people https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=367746
Does nutrition and exercise reduce falls and prevent frailty in pre-frail older adults in New Zealand? https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=366773
Active ageing: a novel dynamic exercise initiative for older people to improve health and well-being https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=366589
A night-lighting intervention to reduce inpatient falls: A stepped-wedge cluster randomised controlled trial https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=366466
Can a tailored exercise and home hazard reduction program (i-FOCIS) reduce the rate of falls in community dwelling older people with cognitive impairment or dementia? A Randomised control Trial https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=366245
Evaluation of the Fun ‘n Fitness Exercise Program (Falls Prevention Program) https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=365937
A randomised trial to evaluate the effect of an education program on fall prevention knowledge and the prescription of exercises shown to prevent falls in older people https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=364875
iStoppFalls – Information and communication technologies (ICT) based system to predict and prevent falls https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=365670
Can interventions that aim to promote physical activity and prevent falls be combined successfully to improve mobility and independence in older age? https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=365385
Is running re-education group more effective than high-level balance group in reducing falls in the elderly living in the community? https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=365359
Home-based, tailored intervention for reducing falls after stroke: the Falls After Stroke Trial (FAST) https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368847
CHERISH Collaborative for Hospitalised Elders: Reducing the Impact of Stays in Hospital https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368422
Whole body vibration for osteoporosis: Shaking up treatment options https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368962
Combatting Frailty in Older Men with multifaceted individually tailored intervention including exercise, diet and behaviour https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368482
Feasibility study of the Drug Burden Index with Home Medicine Review https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368523
Clinical trial of a take-home rehabilitation device for vestibular patients https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368372
A pragmatic approach to developing falls prevention interventions in a hospital setting https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=369834
An exercise and education-based program for the prevention of falls in older people after discharge from hospital following admission as a result of a fall https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=369603
Is it feasible to deliver a training program to reduce falls risk in adults 65 years and over with cognitive impairment and high-level gait disorders? https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=369610
Effect of a physical activity promotion and fall prevention plan on physical activity and falls in community-dwelling people aged 60+ https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=369391
Efficacy of the installation of safety features to access steps to homes in Wellington and New Plymouth https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=369510
Understanding the Falls Experience in People with Intellectual Disability in Western Australia https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368990
Tailored Patient Education for Preventing Falls after Hospital Discharge https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368804
Other useful resources
Alzheimer’s Australia: http://www.fightdementia.org.au/Enabling environments: http://www.enablingenvironments.com.au/Injury Prevention on Australia – The Department of Health: http://www.health.gov.au/internet/main/publishing.nsf/Content/health-pubhlth-strateg-injury-index.htmOsteoporosis Australia: http://www.osteoporosis.org.au/Council on the Ageing (COTA) – Australia: http://www.cota.org.au/australia/Home Modifications Clearinghouse: http://www.homemods.info/

Independent Living Centres – Australia: http://ilcaustralia.org.au/

Independent Living Centre NSW: http://www.ilcnsw.asn.au/

Macular Disease Foundation Australia: http://www.mdfoundation.com.au/

Vision Australia: http://www.visionaustralia.org/

Australian physical activity guidelines – The Department of Health: http://www.health.gov.au/internet/main/publishing.nsf/Content/health-pubhlth-strateg-phys-act-guidelines

 

Research Groups

Australian Centre for Evidence Based Aged Care (ACEBAC) – La Trobe University: http://www.latrobe.edu.au/aipca/australian-centre-for-evidence-based-aged-care

Centre for Research Excellence in Patient Safety (CRE-PS)– Monash University: http://www.med.monash.edu.au/sphpm/creps/index.html and http://www.falls6pack.monash.org/

Falls Prevention Research Unit, Monash Injury Research Institute
http://www.monash.edu.au/miri/research/research-areas/home-sport-and-leisure-safety/fpru/

Falls and Balance Research Group, Neuroscience Research Australia – University of NSW: http://www.neura.edu.au/health/falls-balance

National Ageing Research Institute (NARI) – University of Melbourne: http://www.mednwh.unimelb.edu.au/

The Joanna Briggs Institute: http://joannabriggs.org/

National Injury Surveillance Unit (NISU)– Flinders University, Adelaide: http://www.flinders.edu.au/medicine/research/centres/injury-studies/

Queensland Injury Surveillance Unit: http://www.qisu.org.au/ModCoreFrontEnd/index.asp?pageid=109

Technology for Injury Prevention in Seniors (TIPS) – Simon Fraser University (Canada): http://www.sfu.ca/tips

Centre for Hip Health and Mobility – University of British Columbia (Canada): http://www.hiphealth.ca/

 

Other International resources

Centers for Disease Control and Prevention – Older Adult Falls (USA): http://www.cdc.gov/HomeandRecreationalSafety/Falls/index.html

Preventing Falls: http://www.cdc.gov/homeandrecreationalsafety/falls/community_preventfalls.html

Cost of Falls Among Older Adults: http://www.cdc.gov/HomeandRecreationalSafety/Falls/fallcost.html

iStoppFalls Consortium: iStoppFalls involves representatives of world-leading technology and research experts from both university and industry partners in Europe and Australia. The program will strengthen collaboration between research and technology which will provide tailored solutions for the ageing society.: http://www.istoppfalls.eu/cms/front_content.php

Falls and Bone Health Community: The online Falls and Bone Health Community is a group of people in Scotland with a common interest in the prevention and management of falls and fragility fractures in older people.: http://www.knowledge.scot.nhs.uk/fallsandbonehealth.aspx

Patient Safety Division, National Health Service Englandhttp://www.nrls.npsa.nhs.uk/about-us/

PROFANE – Prevention of Falls Network Earth Community On-line – Supporting Falls Prevention Professionals Worldwide: http://profane.co/

 

Journals

SafetyLit: Provides abstracts of reports from researchers who work in the more than 30 professional disciplines relevant to preventing unintentional injuries, violence, and self-harm. http://www.safetylit.org/

Injury Prevention Online: http://injuryprevention.bmj.com/

Injury Prevention Web: http://www.injuryprevention.org/

Research Review Australia: http://www.researchreview.com.au/

 

Key publications

Sherrington C, Whitney JC, Lord SR, et al. Effective exercise for the prevention of falls: a systematic review and meta-analysis. J Am Geriatr Soc 2008;56:2234-2243: http://onlinelibrary.wiley.com/doi/10.1111/j.1532-5415.2008.02014.x/abstract

Cameron ID, Gillespie LD, Robertson MC, et al. Interventions for preventing falls in older people in care facilities and hospitals. Cochrane Database Syst Rev 2012;12:CD005465: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005465.pub3/abstract

Gillespie LD, Robertson MC, Gillespie WJ, et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev 2012;9:CD007146: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007146.pub3/abstract