Fellow: Evaluation and Monitoring Fall Prevention

This research project develops a solution that enables stakeholders (older adults, community sports coaches, physiotherapists, policymakers) to systematically monitor, evaluate, and improve the inflow and progression of adults aged 65 and over within the “Fall Prevention” integrated care pathway. Stakeholders needs and priorities are central throughout the process. Through close collaboration, we create a suitable and sustainable solution whose insights support local authorities in optimizing this integrated care pathway and strengthening collaboration among involved stakeholders.

Relevance

Each year, an increasing number of adults aged 65 and over visit the emergency department after a fall. To reduce this number, the national integrated care pathway “Fall Prevention” was developed. This pathway begins with a fall risk assessment, followed—when indicated—by a multifactorial fall analysis. Older adults with a moderate or high risk are referred to a physiotherapist led fall prevention exercise program, and subsequently to a long term physical activity program. Local authorities are working to monitor and evaluate this pathway, but are facing challenges in its implementation.

• A functional, practice‑based solution for monitoring and evaluating the integrated care pathway “Fall Prevention”.
• A reflective and learning‑oriented working method for professionals and policymakers to optimize participation of adults aged 65 and over in the integrated care pathway “Fall Prevention”.
• Scientific insights into effective mechanisms for monitoring and evaluating an integrated care pathway.

Using qualitative and quantitative research methods, we examine which elements are effective for monitoring and evaluating the integrated care pathway “Fall Prevention”. Drawing on principles of design‑based research, we co‑design, develop, and test a solution for local authorities. This project will be executed in close collaboration with the Public Health Service (GGD) region of Utrecht and two municipalities in the Lekstroom region. They are actively involved in the design and testing of the solution.

Fall prevention is a key topic for current and future health and social care professionals working with adults aged 65 and over. The outcomes of this research can be incorporated into fall‑prevention education within the various health and social care programs at HU University of Applied Sciences Utrecht, as well as within the Physiotherapy Science program at Utrecht University.
Bachelor’s and master’s students can contribute to the project through internships, minors, and graduation assignments. The Master’s program in Geriatric Physiotherapy and the ICT program are already participating.