Older participants perceptions of a community based falls intervention programme and its effect on social and functional participation in the longer term : an exploratory pilot study

Background: Evidence supports multi-factorial interventions in reducing falls in older people in the community (Gillespie 2003). Research evaluating the impact of falls prevention programmes has generally focused on the quantitative outcomes of falls. Limited research exists into older participants' perspectives about falls prevention programmes, particularly long term. Additionally the perceived effects this may have on social or functional participation has yet to be explored. Objectives: To explore older people's perceptions of a falls prevention program ≥ 6 months post intervention and determine if the intervention had and continues to have meaningful outcomes for the participant's functionally, socially and psychologically. Methods: 31 participants ≥65 years old from the "Steady On" programme held at St. Joseph's Hospital, Ennis, ≥6months previously were contacted by post via a "gate keeper". 4 respondents participated. The focus group was audio-taped, transcribed verbatim and thematic analysis was performed. Results: Four main themes emerged: Knowledge, confidence, activity participation and programme process. Knowledge and confidence were highlighted in terms of primary outcomes. Activity participation and programme process were other areas perceived as important. Conclusion: Participants of a falls programme retained a positive attitude toward the programme long term. Participants inclined towards the exercise component when reflecting on the most beneficial aspects of the programme. Despite outlining many benefits of the programme the majority of participants did not directly attach meaning to social or functional activity. Results cannot be generalised as the sample is too small. Further in-depth research investigating older people's perceptions of a falls prevention programme long term is warranted.