Hostname: page-component-76fb5796d-9pm4c Total loading time: 0 Render date: 2024-04-25T07:45:55.765Z Has data issue: false hasContentIssue false
  • English
  • Français

Évaluation de Marche vers le futur, un programme novateur de prévention des chutes offert par videoconference

Published online by Cambridge University Press:  17 July 2018

Jacinthe Savard ,
Sophie Labossière ,
Dominique Cardinal ,
Bernard Pinet  and
Caroline Borris
Jacinthe Savard*
Affiliation:
École des sciences de la réadaptation, Université d’Ottawa, Ottawa, Ontario
Sophie Labossière
Affiliation:
Centre régional de traitement (Ontario) de Service correctionnel Canada, Bath, Ontario
Dominique Cardinal
Affiliation:
Consortium national de formation en santé – Volet Université d’Ottawa, Ottawa, Ontario
Bernard Pinet
Affiliation:
Consortium national de formation en santé – Volet Université d’Ottawa, Ottawa, Ontario
Caroline Borris
Affiliation:
Consortium national de formation en santé – Volet Université d’Ottawa, Ottawa, Ontario
*
†Correspondence and requests for reprints should be sent to / La correspondance et les demandes de tirés-à-part doivent être adressées à : Jacinthe Savard, Ph. D., Erg. Aut. Professeure agrégée École des sciences de la réadaptation, Université d’Ottawa 451, chemin Smyth, pièce 3071 Ottawa, ON K1H 8M5 (jsavard@uottawa.ca)
Get access Rights & Permissions [Opens in a new window]

Abstract

Several fall prevention programs have been implemented to reduce falls among seniors. In some rural areas or in French-speaking minority communities, the availability of such programs is limited. The objectives of this paper are to: (a) describe the Fall Prevention Program Marche vers le futur, offered in French, by videoconference; and (b) present the results of the evaluation of the program objectives. Results demonstrate that participants have improved their physical abilities, gained knowledge, adopted new behaviors and lifestyle habits. In short, Marche vers le futur reduces fall risk factors in a manner equal or superior to other programs. Marche vers le futur has made possible the provision of services in French in communities where availability of French-language resources is very limited, therefore fostering equity in access to health services.

Résumé

Plusieurs programmes de prévention des chutes ont été implantés afin de réduire les chutes chez les aînés. Dans certaines régions rurales ou dans les communautés francophones en situation minoritaire, l’offre de tels programmes est limitée. Les objectifs de cet article sont de : (a) décrire le programme de prévention des chutes Marche vers le futur, offert en français, par vidéoconférence et (b) présenter les résultats de l’évaluation de l’atteinte des objectifs du programme. Les résultats démontrent que les participants ont amélioré leurs capacités physiques, acquis des connaissances, adopté de nouveaux comportements et habitudes de vie. En somme, Marche vers le futur réduit les facteurs de risque de façon équivalente ou supérieure aux autres programmes. Marche vers le futur a rendu possible l’offre de services en français dans des communautés où les ressources en français sont peu accessibles et favorise donc l’équité en matière d’accès aux services de santé.

Keywords

Fall preventionvideoconferenceprogram evaluationbalancebehavior changeFrench-speaking minorityPrévention des chutesvidéoconférenceévaluation de programmeéquilibrechangements comportementauxcommunautés francophones en situation minoritaire
Type
Article
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 37 , Issue 4 , December 2018 , pp. 363 - 376
Copyright
Copyright © Canadian Association on Gerontology 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

*

Le programme Marche vers le futur a été rendu possible grâce à l’appui financier du CNFS. Cette initiative est financée par Santé Canada dans le cadre de la Feuille de route pour les langues officielles du Canada 2013-2018 : éducation, immigration, communautés. Les opinions exprimées ici ne reflètent pas nécessairement celles de Santé Canada.

Nous exprimons notre gratitude à tous les participants qui ont permis que leurs données soient recueillies pour l’évaluation du programme, ainsi qu’aux thérapeutes, étudiants et surveillants de site qui ont participé à l’animation du programme ou à l’évaluation des participants pendant la phase d’expérimentation.

References

Références

Agence de la santé publique du Canada (2014). Chutes chez les aînés au Canada - Deuxième rapport. Repéré à http://www.phac-aspc.gc.ca/seniors-aines/publications/public/injury-blessure/seniors_falls-chutes_aines/assets/pdf/seniors_falls-chutes_aines-fra.pdfGoogle Scholar
Agrément Canada, Institut canadien d’information sur la santé et Institut canadien pour la sécurité des patients. (2014). Prévention des chutes: des données probantes à l’amélioration des soins de santé au Canada [PDF]. Repéré à https://accreditation.ca/sites/default/files/falls-joint-report-2014-fr.pdfGoogle Scholar
Albert, S. M., King, J., Boudreau, R., Prasad, T., Lin, C. J., & Newman, A. B. (2014). Primary prevention of falls: Effectiveness of a statewide program. American Journal of Public Health, 104(5), e77–e84. doi: 10.2105/AJPH.2013.301829CrossRefGoogle ScholarPubMed
Auchincloss, A. H., Van Nostrand, J. F., & Ronsaville, D. (2001). Access to health care for older persons in the United States: Personal, structural, and neighborhood characteristics. Journal of Aging and Health, 13, 329–354.CrossRefGoogle ScholarPubMed
Barnett, A., Smith, B., Lord, S. R., Williams, M., & Baumand, A. (2003). Community-based group exercise improves balance and reduces falls in at-risk older people: A randomised controlled trial. Age and Ageing, 32(4), 407–414.CrossRefGoogle ScholarPubMed
Berg, K., Wood-Dauphinee, S., Williams, J. I., & Gayton, D. (1989). Measuring balance in the elderly: Preliminary development of an instrument. Physiotherapy Canada, 41, 304–311.CrossRefGoogle Scholar
Bohannon, R. W. (2006a). Reference values for the five-repetition sit-to-stand test: A descriptive meta-analysis of data from elders. Perceptual and Motor Skills, 103(1), 215–222.CrossRefGoogle Scholar
Bohannon, R. W. (2006b). Single limb stance times: A descriptive meta-analysis of data from individuals at least 60 years of age. Topics in Geriatric Rehabilitation, 22(1) 70–77.CrossRefGoogle Scholar
Bowen, S. (2015). Impact des barrières linguistiques sur la sécurité des patients et la qualité des soins. Repéré à http://santefrancais.ca/wp-content/uploads/SSF-Bowen-S.–-tude-Barri–res-linguistiques.pdf0Google Scholar
Buatois, S., Perret-Guillaume, C., Gueguen, R., Miget, P., Vançon, G., Perrin, P., & Benetos, A. (2010). A simple clinical scale to stratify risk of recurrent falls in community-dwelling adults aged 65 years and older. Physical Therapy, 90(4), 550–560.CrossRefGoogle ScholarPubMed
Coben, J. H., Tiesman, H. M., Bossarte, R. M., & Furbee, P. M. (2009). Rural–urban differences in injury hospitalizations in the US, 2004. American Journal of Preventive Medicine, 36(1), 49–55.CrossRefGoogle Scholar
Day, L., Fildes, B., Gordon, I., Fitzharris, M., Flamer, H., & Lord, S. (2002). Randomised factorial trial of falls prevention among older people living in their own homes. BMJ, 325(7356), 128.CrossRefGoogle ScholarPubMed
de Moissac, D., Savard, S., Ba, H., Zellama, F., Benoit, J., Giasson, F., & Drolet, M. (2014). Le recrutement et la rétention de professionnels de la santé et des services sociaux bilingues en situation minoritaire. Université de Saint-Boniface et Université d’Ottawa. Repéré à: http://www.grefops.ca/uploads/7/4/7/3/7473881/recrutement_et_rtention_des_professionnels_bilingues_2014.pdfGoogle Scholar
Donoghue, D., & Stokes, E. K. (2009). How much change is true change? The minimum detectable change of the Berg Balance Scale in elderly people. Journal of Rehabilitation Medicine, 41(5), 343–346. doi: 10.2340/16501977-0337CrossRefGoogle ScholarPubMed
Faure, K. (2012). Un programme régional de prévention des chutes des personnes âgées en Bretagne: le programme Equilibreizh. NPG Neurologie – Psychiatrie – Gériatrie, 13(73), 4–9. doi: 10.1016/j.npg.2012.07.015CrossRefGoogle Scholar
Filiatrault, J., Parisien, M., Laforest, S., Genest, C., Gauvin, L., Fournier, M., … Robitaille, Y. (2007). Implementing a community-based falls-prevention program: From drawing board to reality. Canadian Journal on Aging, 26(3), 213–226. doi: 10.3138/cja.26.3.213CrossRefGoogle Scholar
Fitzharris, M. P., Day, L., Lord, S. R., Gordon, I., & Fildes, B. (2010). The Whitehorse NoFalls trial: effects on fall rates and injurious fall rates. Age and Ageing, 39(6), 728–733. doi: 10.1093/ageing/afq109CrossRefGoogle ScholarPubMed
Freiberger, E., Häberle, L., Spirduso, W. W., & Rixt Zijlstra, G. A. (2012). Long-term effects of three multicomponent exercise interventions on physical performance and fall-related psychological outcomes in community-dwelling older adults: A randomized controlled trial. Journal of the American Geriatrics Society, 60(3), 437–446.CrossRefGoogle ScholarPubMed
Green, I. W., & Kreuter, M. W. (1999). Health promotion planning: An educational and ecological approach (3rd ed.). Mountain View, CA: Mayfield Pub.Google Scholar
Howe, T. E., Rochester, L., Neil, F., Skelton, D. A., & Ballinger, C. (2011). Exercise for improving balance in older people. Cochrane Database of Systematic Reviews, Issue 11. Art. No.: CD004963. doi: 10.1002/14651858.CD004963.pub3.CrossRefGoogle ScholarPubMed
Hurvitz, E. A., Richardson, J. K., Werner, R. A., Ruhl, A. M., & Dixon, M. R. (2000). Unipedal stance testing as an indicator of fall risk among older outpatients. Archives of Physical Medicine and Rehabilitation, 81(5), 587–591. doi: 10.1016/S0003-9993(0090039-X)CrossRefGoogle ScholarPubMed
Institut national de prévention et d’éducation pour la santé. (2005). Référentiel de bonnes pratiques: prévention des chutes chez la personne âgée à domicile. Repéré à http://inpes.santepubliquefrance.fr/CFESBases/catalogue/pdf/830.pdfGoogle Scholar
Johansson, E., & Jonsson, H. (2013). Thinking and acting in a new way: Influences of a falls-prevention program on participants’ everyday life. Physical & Occupational Therapy in Geriatrics, 31(4), 281–296. doi: 10.3109/02703181.2013.854858CrossRefGoogle Scholar
Latham, N. K., Anderson, C. S., Lee, A., Bennett, D. A., Moseley, A., & Cameron, I. D. (2003). A randomized, controlled trial of quadriceps resistance exercise and vitamin D in frail older people: The Frailty Interventions Trial in Elderly Subjects (FITNESS). Journal of the American Geriatrics Society, 51(3), 291–299.CrossRefGoogle Scholar
Leenders, M., Verdikj, L. B., van der Hoeven, L., van Kranenburg, J., Nilwik, R., & van Loon, L. J. C. (2012). Elderly men and women benefit equally from prolonged resistance-type exercise training. Journals of Gerontology: Biological Sciences, 68(7), 769–79. doi: 10.1093/gerona/gls241CrossRefGoogle ScholarPubMed
Lusardi, M. M., Fritz, S., Middleton, A., Allison, L., Wingood, M., Phillips, E., Criss, M., Verma, S., Osborne, J., & Chui, K. K. (2017). Determining risk of falls in community dwelling older adults: A systematic review and meta-analysis using posttest probability. Journal of Geriatric Physical Therapy, 40(1), 1–36.CrossRefGoogle ScholarPubMed
Neuls, P. A., Clark, T. L., Van Heuklon, N. C., Proctor, J. E., Kilker, B. J., Bieber, M., Donlan, A. V., Carr-Jules, S. A., Neidel, W. H., & Newton, R. (2011). Usefulness of the Berg Balance Scale to predict falls in the elderly. Journal of Geriatric Physical Therapy, 34(1), 3–10.Google ScholarPubMed
Robitaille, Y., Laforest, S., Fournier, M., Gauvin, L., Parisien, M., Corriveau, H., Trickey, F., & Damestoy, N. (2005). Vers la prévention des chutes: Une intervention offerte en milieux naturels pour améliorer l’équilibre des adultes âgés. Traduction autorisée du document “Moving forward in fall prevention: An intervention to improve balance among older adults in real-world settings”, paru dans American Journal of Public Health, 95(11), 2049–2056, Repéré à: http://www.dsp.santemontreal.qc.ca/dossiers_thematiques/autres_thematiques/thematique/prevention_des_chutes_chez_les_aines_vivant_a_domicile/documentation.htmlGoogle Scholar
Robson, E., Edwards, J., Gallagher, E., & Baker, D. (2003). Steady As You Go (SAYGO): A falls-prevention program for seniors living in the community. Canadian Journal on Aging, 22(2), 207–216. doi: 10.1017/S0714980800004529CrossRefGoogle Scholar
Rosendahl, E., Lindelöf, N., Littbrand, H., Yiffer-Lindgren, E., Lundin-Olssonm, L., Haglin, L., … Nyberg, L. (2006). High-intensity functional exercise program and protein-enriched energy supplement for older persons dependent in activities of daily living: A randomized controlled trial. Australian Journal of Physiotherapy, 52(2), 105–13.CrossRefGoogle Scholar
Sales, M., Polman, R., Hill, K. D., & Levinger, P. (2016). A novel exercise initiative for seniors to improve balance and physical function. Journal of Aging and Health, 29(8), 1424–1443. doi: 10.1177/0898264316662359.CrossRefGoogle ScholarPubMed
Schaubert, K., & Bohannon, R. W. (2005). Reliability of the sit-to-stand test over dispersed test sessions. Isokinetics and Exercise Science, 13(2), 119–122.Google Scholar
Shier, V., Trieu, E., & Ganz, D. A. (2016). Implementing exercise programs to prevent falls: Systematic descriptive review. Injury Epidemiology, 3(1):16. doi 10.1186/s40621-016-0081-8CrossRefGoogle ScholarPubMed
Smith, M. L., Ahn, S. N., Sharkey, J. R., Horel, S., Mier, N., & Ory, M. G. (2012). Successful falls prevention programming for older adults in Texas: Rural-urban variations. Journal of Applied Gerontology, 31(1), 3–27. doi: 10.1177/0733464810378407CrossRefGoogle Scholar
Springer, B. A., Marin, R., Cyhan, T., Roberts, H., Gill, N. W. (2007). Normative values for the unipedal stance test with eyes open and closed. Journal of Geriatric Physical Therapy, 30(1), 8–15.CrossRefGoogle ScholarPubMed
Teixeira, L. E., Silva, K. N., Imoto, A. M., Teixeira, T. J., Kayo, A. H., Montenegro-Rodrigues, R., Peccin, MS, Trevisani, V. F. (2010). Progressive load training for the quadriceps muscle associated with proprioception exercises for the prevention of falls in postmenopausal women with osteoporosis: A randomized controlled trial. Osteoporosis International, 21(4), 589–96.CrossRefGoogle ScholarPubMed
Timonen, L., Rantanen, T., Ryynänen, O. P., Taimela, S., Timonen, T. E., & Sulkava, R. (2002). A randomized controlled trial of rehabilitation after hospitalization in frail older women: Effects on strength, balance and mobility. Scandinavian Journal of Medicine & Science in Sports, 12(3), 186–192.CrossRefGoogle ScholarPubMed
Trommelen, R. D., Buttone, L. F., Dicharry, D. Z., Jacobs, R. M., & Karpinski, A. (2015). The use of five repetition sit to stand test (FRSTST) to assess fall risk in the assisted living population. Physical & Occupational Therapy In Geriatrics, 33(2), 152–162.CrossRefGoogle Scholar
Zhang, F., Ferrucci, L., Culham, E., Metter, E. J., Guralnik, J., & Deshpande, N. (2013). Performance on five times sit-to-stand task as a predictor of subsequent falls and disability in older persons. Journal of aging and health, 25(3), 478–492.CrossRefGoogle ScholarPubMed