Effectiveness and Acceptability within a Skilled Nursing Facility Setting

ABSTRACT

Aims: The program evaluated the effectiveness and acceptability of the Stepping On protocol (Clemson L, Swann M, Mahoney J. (2011). Stepping On: Building confidence and reducing falls in older adults (3rd ed.). Cedar Falls, IA: Freiberg Press Inc.) in reducing fall risk in older adults when delivered in a skilled nursing facility (SNF). Method: Stepping On was delivered by an occupational therapist to participants (n = 11) over 7 weeks followed by a 3-month session (Clemson et al., 2011). Results: Through comparison of pre and post data (n = 7) and 3-month outcomes (n = 4), trends revealed an overall increase in the use of protective behaviors and self-perceived physical health. Trends showed sustained outcomes at all measures, with exception of a decline in fall efficacy. The program was well received by participants and staff at the SNF with high satisfaction rates. Conclusion: Stepping On has the potential to be an effective fall prevention program for older adults with trends towards fall prevention while providing needed support to current and past SNF residents, and community members.