A public health approach to fall prevention among older persons in Canada

Clinics in Geriatric Medicine

Volumn 26, Issue 4, 2010, Pages 705-718

  Scott, Vicky ^a,b,c,d   Wagar, Brandon ^e   Sum, Alison ^b   Metcalfe, Sarah ^a   Wagar, Lori ^b  

^a British Columbia Injury Research and Prevention Unit   (Canada)

^b Ministry of Healthy Living and Sport   (Canada)

^c CENTRE FOR HIP HEALTH AND MOBILITY   (Canada)

^d UNIVERSITY OF BRITISH COLUMBIA   (Canada)

^e Canadian Institute for Health Information Western Canada   (Canada)

Author keywords

Aging; Canada; Fall; Injury; Prevention; Seniors

Indexed keywords

ACCIDENT PREVENTION; AGING; CANADA; CLINICAL PROTOCOL; ELDERLY CARE; EVIDENCE BASED MEDICINE; FALL RISK ASSESSMENT; FALLING; GERIATRIC ASSESSMENT; HEALTH CARE COST; HEALTH CARE NEED; HEALTH CARE PLANNING; HEALTH CARE POLICY; HEALTH PROGRAM; HIGH RISK POPULATION; HUMAN; INFORMATION DISSEMINATION; OUTCOME ASSESSMENT; PREVENTIVE MEDICINE; PUBLIC HEALTH PROBLEM; PUBLIC HEALTH SERVICE; REVIEW; STRATEGIC PLANNING;

ACCIDENTAL FALLS; AGED; AGING; CANADA; EVIDENCE-BASED PRACTICE; HOSPITALIZATION; HUMANS; POLICY MAKING; PUBLIC HEALTH; RISK ASSESSMENT;

EID: 77957735957     PISSN: 07490690     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.cger.2010.06.003     Document Type: Review

References (51)

1. Segui-Gomez M., MacKenzie E.J. Measuring the public health impact of injuries. Epidemiol Rev 2003, 25:3-19.
2. Centres for Disease Control and Prevention, National Centre for Injury Prevention and Control, Division of Violence Prevention Available at:, Accessed March 10, 2010. http://www.cdc.gov/violenceprevention/overview/publichealthapproach.html.
3. Scott V., Lockhart S., Gallagher E., et al. Canadian falls prevention curriculum (CFPC) 2007, BC Injury Research and Prevention Unit, Vancouver (Canada).
4. SMARTRISK The economic burden of injury in Canada 2009, SMARTRISK, Toronto.
5. Gallagher E.M., Scott V. The STEPS project: participatory action research to reduce falls in public places among seniors and persons with disabilities. Can J Public Health 1997, 88(2):129-133.
6. Health Canada, Division of Aging and Seniors Falls prevention initiative, health Canada/veterans affairs Canada: summaries of funded projects, 2000-2004 2003, Minister of Public Works and Government Services Canada, Ottawa (Canada), Available at:, Accessed February 17, 2010. http://www.phac-aspc.gc.ca/seniors-aines/publications/pro/injury-blessure/funded-subventionnes/falls_vac-eng.php.
7. Accreditation Canada. Patient safety area 6: falls prevention Available at:, Accessed March 10, 2010. http://www.accreditation.ca/uploadedFiles/falls%20prevention.pdf.
8. Accreditation Canada. 2009 Canadian health accreditation report: a focus on patient safety Available at:, Accessed January 26, 2010. http://www.accreditation.ca/uploadedFiles/CHAR-2009-EN.pdf.
9. Public Health Agency of Canada, Division of Aging and Seniors Report on seniors' falls in Canada 2005, Minister of Public Works and Government Services Canada, Ottawa (Canada).
10. Scott V., Pearce M., Pengelly C. Technical report: injury resulting from falls among Canadians age 65 and over. On the analysis of data from the Canadian Community Health Survey, Cycle 2.1 as presented in: report on seniors' falls in Canada Ottawa (Canada): Public Health Agency of Canada. Available at:, Accessed February 17, 2010. http://www.phac-aspc.gc.ca/seniors-aines/publications/pro/injury-blessure/falls-chutes/tech/injury-blessures-eng.php.
11. Scott V., Pearce M., Pengelly C. Technical report: hospitalizations due to falls among Canadians age 65 and over. An analysis of data from the Discharge Abstract Dataset as presented in: report on seniors' falls in Canada (section 2.2) Ottawa (Canada): Public Health Agency of Canada. Available at:, Accessed February 17, 2010. http://www.phac-aspc.gc.ca/seniors-aines/publications/pro/injury-blessure/falls-chutes/tech/hospital-eng.php.
12. Scott V., Pearce M., Pengelly C. Technical report: hospitalizations due to falls among Canadians age 65 and over living in residential care facilities. An analysis of data from the Discharge Abstract Database as presented in: report on seniors' falls in Canada (section 2.3) Ottawa (Canada): Public Health Agency of Canada. Available at:, Accessed February 17, 2010. http://www.phac-aspc.gc.ca/seniors-aines/publications/pro/injury-blessure/falls-chutes/tech/residential-eng.php.
13. Scott V., Pearce M., Pengelly C. Technical report: deaths due to falls among Canadians age 65 and over. An analysis of data from the Canadian Vital Statistics as presented in: Report on Seniors' Falls in Canada (section 2.4) Available at:, Accessed February 17, 2010. http://www.phac-aspc.gc.ca/seniors-aines/publications/pro/injury-blessure/falls-chutes/tech/deaths-deces-eng.php.
14. Scott V., Wagar L., Elliott S. Falls and related injuries among older Canadians: fall-related hospitalizations and prevention initiatives. A report for the Public Health Agency of Canada, Division of Aging and Seniors 2010, Victoria Scott Consulting, Victoria (Canada).
15. Canadian Institute for Health Information (CIHI) Available at:, Accessed February 17, 2010. http://www.cihi.ca.
16. American Geriatrics Society, British Geriatrics Society & American Academy of Orthopedic Surgeons Panel on Falls Prevention Guideline for the prevention of falls in older persons. J Am Geriatr Soc 2001, 49:664-672. 2010. Update Available at:, Accessed March 12, 2010. http://www.americangeriatrics.org/education/prevention_of_falls.shtml.
17. Scott V., Votova K., Scanlan A., et al. Multifactorial and functional mobility assessment tools for fall risk among older adults in community, home support, long-term and acute care settings. Age Ageing 2007, 36(2):130-139.
18. Wagner LM, Scott V, Silver M. Current approaches to fall risk assessment in long term care homes, in press.
19. Morris J.N., Belleville-Taylor P., Berg K., et al. interRAI Clinical Assessment Protocols (CAPs): for use with community and long-term care assessment instruments 2008, Canadian Institute for Health Information, Ottawa (Canada).
20. Poss J., Scott V. Risk factors for falls in residential care: evidence from RAI MDS 2.0 assessment data 2009, Residential Care Summit: Fall & Injury Prevention Research into Action Presentation, Victoria (Canada).
21. Canadian Institutes of Health Research Available at:, Accessed February 10, 2010. http://www.cihr-irsc.gc.ca.
22. Robinovitch S. Video capture of the mechanisms of real-life falls in older adults: an update from the CIHR team in the cause and prevention of falls in residential care 2010, Canadian Fall Prevention Conference Presentation, Vancouver (Canada).
23. Laing A.C., Robinovitch S.N. Low stiffness floors can attenuate fall-related femoral impact forces by up to 50% without substantially impairing balance in older women. Accid Anal Prev 2009, 41(3):642-650.
24. Feldman F. Comparison of the biomechanical performance of 26 different types of commercially available hip protectors 2010, Canadian Fall Prevention Conference Presentation, Vancouver (Canada).
25. Mansfield A., Maki B.E. Are age-related impairments in change-in-support balance reactions dependent on the method of balance perturbation?. J Biomech 2009, 42(8):1023-1031.
26. Zettel J.L., Mcilroy W.E., Maki B.E. Effect of competing attentional demands on perturbation-evoked stepping reactions and associated gaze behavior in young and older adults. J Gerontol A Biol Sci Med Sci 2008, 63(12):1370-1379.
27. Cheng K.C., McKay S.M., King E.C., et al. The moveable handhold: a new paradigm to study visual contributions to the control of balance-recovery reactions. Gait Posture 2009, 29(2):339-342.
28. Perry S.D., Radtke A., Mcilroy W.E., et al. Efficacy and effectiveness of a balance-enhancing insole. J Gerontol A Biol Sci Med Sci 2008, 63(6):595-602.
29. Centre of Excellence on Mobility, Fall Prevention and Injury in Aging (CEMFIA) Available at:, Accessed February 15, 2010. http://www.hiphealth.ca/CEMFIA.htm.
30. U.S. National Center for Injury Prevention and Control, Division of Unintentional Injury Prevention Available at:, Accessed February 15, 2010. http://www.cdc.gov/homeandrecreationalsafety/falls/index.html.
31. Fall Prevention Centre of Excellence, California Available at:, Accessed February 15, 2010. http://www.stopfalls.org/index.shtml.
32. Falls and Balance Research Group, New South Wales, Australia Available at:, Accessed February 15, 2010. http://www.powmri.edu.au/research/facilities/falls-and-balance-research-group.
33. Falls Free Coalition, Center for Healthy Aging, National Council on Aging Available at:, Accessed February 15, 2010. http://www.healthyagingprograms.org/content.asp%3Fsectionid%3D113.
34. Prevention of Falls Network Europe (ProFANE) Available at:, Accessed February 15, 2010. http://www.profane.eu.org/.
35. World Health Organization WHO global report on falls prevention in older age 2008, World Health Organization, Geneva (Switzerland), Available at:, Accessed September 10, 2010. http://www.who.int/ageing/projects/falls_prevention_older_age/en/index.html.
36. Scott V., Gallagher E., Brussoni M., et al. Environmental scan: seniors and veterans falls prevention initiatives in British Columbia 2005, BC Injury Research and Prevention Unit, Vancouver (Canada).
37. Alberta Centre for Injury Prevention and Control. Finding Balance Alberta Available at:, Accessed February 5, 2010. http://www.findingbalancealberta.ca/.
38. Community Links Nova Scotia. Preventing falls together Available at:, Accessed February 5, 2010. http://www.nscommunitylinks.ca/preventingfalls/index.php%3Fpage%3Dpreventfalls.
39. Scott V.S., Peck S., Kendall P. Prevention of falls and injuries among the elderly: a special report from the Office of the Provincial Health Officer 2004, B.C. Ministry of Health Planning, Victoria (Canada).
40. Herman M., Gallagher E., Scott V. The evolution of seniors' falls prevention in British Columbia 2006, British Columbia Ministry of Health, Population Health and Wellness Division, Victoria (Canada).
41. BC Fall and Injury Prevention Coalition, BC Injury Research and Prevention Unit Available at:, Accessed February 10, 2010. http://www.injuryresearch.bc.ca/index.aspx.
42. Scott V., Bawa H., Feldman F., et al. Promoting active living (PAL): best practice guidelines for fall prevention in assisted living 2008, BC Ministry of Healthy Living and Sport, Victoria (Canada).
43. Scott V., Votova K., Gallagher E. Falls prevention training for community health workers: strategies and actions for independent living (SAIL). J Gerontol Nurs 2006, 32(10):48-56.
44. Singh S. Can a mobile falls prevention clinic reduce the risk of falls in seniors? 2010, Clinical Epidemiology Rounds Presentation, Vancouver (Canada).
45. VIATeC Brandon hall gives nod to TM newmedia for Canadian falls prevention course. News release Available at:, Accessed February 15, 2010. http://www.viatec.ca/News.aspx%3Fid%3D4106.
46. University of Victoria, Division of Continuing Studies Available at:, Accessed February 15, 2010. http://www.continuingstudies.uvic.ca.
47. Campus Saint Jean, University of Alberta Available at:, Accessed February 15, 2010. http://www.csj.ualberta.ca/cerf.
48. Scott V., Dukeshire S., Gallagher E., et al. An inventory of Canadian programs for the prevention of falls among seniors living in the community 2001, FPT Ministries Responsible for Seniors Fall Prevention Initiatives, Ottawa (Canada).
49. Public Health Agency of Canada Listing of initiatives for falls prevention among seniors living in the community. Based on the Inventory of Canadian programs for the prevention of falls among seniors living in the community, prepared for the 2001 FPT Committee of Officials for the Ministers Responsible for Seniors 2003, Public Health Agency of Canada, Ottawa (Canada).
50. Public Health Agency of Canada Inventory of fall prevention initiatives in Canada-2005 2005, Division of Aging and Seniors, Public Health Agency of Canada, Ottawa (Canada).
51. Elliott S. Fall prevention education-an evaluation of the Canadian Falls Prevention Curriculum 2010, Canadian Fall Prevention Conference Presentation, Vancouver (Canada).