Abstract
Problem Identification: Falls represent a significant public health issue for older adults, especially women aged 75 and older who live independently. Worldwide, one in four adults over 65 suffers a fall, frequently leading to physical, psychological, and financial consequences. In Sacramento alone, 51 women aged 75 and over died from falls at home in 2022. Analysis: The Social-Ecological Model explores the intricate, multi-level factors contributing to these falls. High-level contributing factors include aging, frailty, comorbidities, home hazards, and limited access to geriatric care. A review of current fall prevention programs seeks to identify replicable elements, particularly for those living at home within the broader community.
Intervention (Solution) Proposal: The proposed 15-week Stay Strong, Steady, and Safe at Home is a collaborative effort that addresses workforce gaps through an interdisciplinary team led by a public health Program Manager and is supported by gerontology students. This program partners with UC Davis Health and local consultants to create and implement personalized, in-home fall prevention plans. Guided by the Health Belief Model, Social Cognitive Theory, Social Provisions Theory, and Diffusion of Innovation Theory, the program employs health education, health communication strategies, and transformational leadership to facilitate implementation.
Implementation and Evaluation: Both process and summative evaluations will measure program effectiveness and scalability, instilling hope for a future with fewer falls among older women in Sacramento.