Article Text

Download PDFPDF

Preventing falls and related injuries among seniors in assisted living residences
  1. V Scott*,
  2. H Bawa,
  3. F Feldman,
  4. J S Gould,
  5. M Leung,
  6. F Rajabali
  1. Correspondence University of BC and BC, Ministry of Healthy Living & Sport, 1515 Blanshard St 4-2 Victoria, BC V8W 3C8, Canada


Introduction The purpose of this study was to addresses a gap in the fall prevention literature with a focus on Assisted Living Residences (ALRs) – a new community housing option for a rapidly growing number of older persons that are at high risk falls. The result of the 1-year collaborative study was the development of Best Practice Guidelines for integration into routine care.

Methods A 6-month prospective, action research intervention was conducted at two ALR sites, with 161 residents. Measures included focus groups, pre/post staff and resident surveys, pre/post measures of balance and gait, and 6-month fall/injury surveillance. Interventions included staff and resident training on fall tracking, fall prevention education for staff and residents, and physical activity interventions.

Results Over 6 months, 155 falls were recorded, with 38% (N=73) of residents identified as having at least one fall and 43% (N=72) of falls resulting in injury. There was a statistically significant reduction in the rate of falls per 1000 resident days between the first and second three-month periods (X2=11.98; p=0.001). Fall risk reduction was demonstrated by a significant difference (t=3.16, p=.002) in pre/post Timed-Up-and-Go scores. Focus group findings included the need to tailor prevention to joiners and non-joiners of group intervention activities.

Conclusion The study demonstrated that fall prevention guidelines can be implemented within routine service delivery in ALRs with a positive effect on fall risk reduction.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.