Positive Steps in Ayrshire and Arran

Rebekah Wilson - Falls Lead

Objectives

1. Shift balance of care from reactive to proactive approach

2. Develop new ways to keep older people well and healthy

3. Increase our capacity to raise awareness about falls

Positive Steps...Aim to raise awareness of the factors which can help reduce falls

• Factors which impact on the risk of falling

• How to plan for a fall• What to do if you have

a fall• How to feel safer and

secure at home and when out.

5Dr. H Hall 5

Positive Steps Learning resource box:• Hand held teaching aids • Laminated slides• Training script

• Provides positive messages about the steps to take to avoid falls

• Delivered by Sheltered Housing Wardens as part of a cascade training programme– in informal settings, promoted conversations about falls prevention

• Participants encouraged and empowered to make small changes to lessen their risk of a fall e.g. – plan for the winter– take regular health and eyesight checks– stay active– eat a healthy diet

Dr. H Hall

Development of Positive Step resource:

Partnership Steering group and sector meetings:– Delivery model of the “Positive Steps” programme– Content of script, hand held slides – external critical and quality

review– Format: semi-structured, informal, interactive, positive, fun– Source supportive material and compile the resource boxes– Launch (Osteoporosis Day, Oct 2010)

Evaluation

• Staff evaluation, Questionnaire and focus group.

• 57 questionnaires returned from training participants and 8 female residents engaged in the focus groups.

• Positively received• Residents liked the informal

style and enjoyed sharing and hearing other peoples experiences of falls

• Several weeks post training, a high majority of the residents were able to recall key actions to avoid falls and most importantly had altered their behaviour and had made personal choices in respect of home environment and lifestyles.

Award winning...

• Winners of the Chartered Society of Physiotherapy national “Dragons Den” award in Liverpool prize £5000 (2011)

• Advancing Healthcare awards Programme 2012.

• Additional local support provided funding• Funding used to develop a marketable

aesthetically robust product.

Next Steps...

• 2013 with new resources the pack was redeveloped wider partners and wide range of professionals

• Health Information Standards for resource development Public Health Department

• Tested new prototype of the pack with people who would be delivering the positive steps awareness sessions and people who are at risk of falls.

• Focus group discussion to ascertain amendments to the resource

Pretest

• Pretesting took place between 27th Jan and 12 Feb 2014 to six different groups throughout Ayrshire.

• Number of participants was varied in each group 38 people in total

• a range of 10 different trainers

• Feedback on content of the box

• The information booklet• Amount and size of text• Additional information

on local services• Suggestions for

improvement welcomed

So what is in the pack...• Carry case with A3 binder with

training slides • DVD• Positive Steps Booklets• Trainers booklet with training

notes• Example shoe• Example of a worn out ferrule• Alcohol measuring cup• Double sided board games with

Eatwell plate and stay safe hazard games

• Instruction and food cards for Eatwell plate

• DVD – Invigor8 (4mins)• How to get up safely after a fall

(2mins)• Facing up to Falls (15mins)• Activities:• Bartender Game• Eatwell plate game• Hunt the hazards game• Health and Lifestyle checklist• Your Falls plan• Evaluation questionnaire for

participants and training session plan

Launched in June 2014

Examples of use...

Thank you!

Questions?