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Fall Prevention Mobile Clinic: A Novel Fall Prevention Program for Community-Dwelling Older Adults

  • Sonia Singh (a1) (a2), Ashley Kwon (a1), David G. T. Whitehurst (a3) (a4), Kathleen Friesen (a1), Vicky Scott (a5), Samar Hejazi (a1) and Fabio Feldman (a1) (a3)...


Causes of falls in older adults are common, multifactorial, and can lead to significant injury. This before-and-after study evaluated the benefits of a Fall Prevention Mobile Clinic (FPMC) in reducing the risk of falling in older adults in British Columbia, Canada. Four hundred seventy-six participants (average age of 83.6 years) enrolled in the study and were followed for 12 months after attending the FPMC. At 12-month follow-up, the mean percentage uptake of fall prevention recommendations was 48.8 per cent (SD = 25.7%), the Timed Up and Go mobility measure improved from a median of 19.04 seconds to 17.45 seconds and the number of participants falling decreased from 64.8 per cent (in the 12 months before attending the clinic) to 55.6 per cent (in the 12 months after attending the clinic) (p = .012). After attending the FPMC, participants acted on recommendations, improved mobility and decreased their risk of future falls.

Chez les personnes âgées, les chutes sont associées à des causes courantes et multifactorielles, et peuvent provoquer des blessures importantes. Cette étude avant-après a évalué les impacts d’une clinique mobile de prévention des chutes (Fall Prevention Mobile Clinic [FPMC]) pour la réduction du risque de chutes chez des personnes âgées de Colombie-Britannique (Canada). Quatre cent soixante-seize participants, dont l’âge moyen était de 83,6 ans, ont pris part à cette étude et ont été suivis pendant 12 mois après leur passage à la FPMC. À leur rendez-vous de suivi de 12 mois, le pourcentage moyen d’adoption des recommandations pour la prévention des chutes était de 48,8 % (ÉT : 25,7 %), la performance au test Timed up and Go (une mesure de mobilité) s’était améliorée, passant d’une médiane de 19,04 s à 17,45 s, et le nombre de participants ayant chuté a diminué, passant de 64,8 % (dans les 12 mois précédant le premier RDV à la clinique) à 55,6 % (au cours des 12 mois suivant le premier RDV à la clinique ; p = 0,012). Le FPMC évalué dans cette étude a fourni des recommandations qui ont été prises en compte par les participants; et qui ont amélioré leur mobilité et diminué leur risque de chutes dans l’année suivante.


Corresponding author

La correspondance et les demandes de tirés-à-part doivent être adressées à : / Correspondence and requests for offprints should be sent to: Sonia Singh Peace Arch Hospital 15221 Russell Ave. White Rock, BC V4B 2R4 <>


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Conflict of interest: Sonia Singh has received small amounts of speaker funding over the last 5 years from Amgen and Novartis pharmaceutical companies totaling less than $5,000. She has also received an unrestricted grant in aid of $10,000 for a research project in 2014. She has no other financial or personal conflicts of interest. All other authors have no financial or personal conflicts of interest.

Author contributions: Sonia Singh is the research project lead and was involved in all aspects of the project from the proposal development, protocol development and implementation, data collection, and analysis. Fabio Feldman was involved in the proposal development, creation of the Fall Prevention Mobile Clinic (FPMC) intervention, protocol development and implementation, data collection, and analysis. Ashley Kwon was involved with the protocol development and implementation, data collection, and analysis. David Whitehurst was involved with data collection and analysis. Kathleen Friesen was the primary knowledge user for the project and was involved in the proposal development, protocol development and creation, and implementation of the FPMC intervention. Vicky Scott was involved with the proposal development, protocol development, data collection, and analysis. Samar Hejazi was involved with the data collection and was the primary data analyst. All authors contributed to the writing and editing of the manuscript and approved the final version for submission.

Sponsor’s Role: Canadian Institute for Health Research (CIHR) was the sole financial sponsor of this project.



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Fall Prevention Mobile Clinic: A Novel Fall Prevention Program for Community-Dwelling Older Adults

  • Sonia Singh (a1) (a2), Ashley Kwon (a1), David G. T. Whitehurst (a3) (a4), Kathleen Friesen (a1), Vicky Scott (a5), Samar Hejazi (a1) and Fabio Feldman (a1) (a3)...


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