safe for elders, safe for all...lorraine’s thoughts on tai chi “i wish more of the elders would...

Safe for Elders, Safe for All

WHAT ARE WE GOING TO SHARE TODAY?

1. Welcome

2. Background

3. Timeline

4. Research

5. Funding

6. Partnerships

7. Resources

8. Next Steps

Safe for Elders 2

yi7A tekshenwAnwenGood Morning

Safe for Elders 3

Safe for Elders 4

The Timeline

2007-2009Development of Falls Prevention

Mobile Clinic(FPMC)Study

approved to test clinic

implementation

2011Participatory

research project funded by Vancouver

Foundation

2011-2015: Participatory

research: building of partnerships,

qualitative research

2016 and beyond...CAI Convening grant-

($10,000)Vancouver Foundation

development grant –($10,000)

Timeline2013-2016

Safe for Elders-Falls prevention resource

development & home improvements –Interior

Health Funding

Safe for Elders 6

Fall Prevention Mobile Clinic• Nlaka’pamux Communities– Spuzzum – Boothroyd– Boston Bar

April 2010 - Boston Bar

Safe for Elders 7

The Research

Developing falls and injury prevention programs for Aboriginal Older Adults

using participatory research methods

Sonia  Singh  &  Fabio  Feldman

Safe for Elders 9

Falls in Aboriginal older adults• Leading cause of injury-related death[1]

• Status Indians in BC – twice as likely to be hospitalized after a fall [2]

– three times as likely to die after a fall [3]

• Lack of evidence on effective fall prevention strategies among older Aboriginal People

1. BC  Injury  Research  and  Prevention  Unit  (1992-­2002)2. Provincial  Health  Officer  20093. British  Columbia  Vital  Statistics  Agency.  2000.  Analysis  of  Status  Indians  in  British  Columbia  1991-­1998.

Safe for Elders 10

Dr. Sonia Singh

“Why was the incidence of falls

and injury so much higher

for Aboriginal seniors?”

Safe for Elders 11

Research proposal to identify gaps in supports for Aboriginal Seniors

• Dec, 2010: 3 year grant

Safe for Elders 12

The Research Team• Dr. Sonia Singh- Fraser Health (FH) physician

and lead researcher• Fabio Feldman, PhD – FH Manager for fall,

injury prevention seniors• Leslie Bonshor – Director FH Aboriginal Health• Joanie Sims-Gould, PhD – Centre for Hip

Health and Mobility, qualitative researcher

Safe for Elders 13

The Communities• Nlaka’pamux Nation

Tribal Council• Nlaka’pamux

Communities– Boston Bar First

Nation – Spuzzum First Nation– Boothroyd Band,– Oregon Jack Creek

Band– Lytton First Nation

Safe for Elders 14

Partnerships

Research team and communities engaging in participatory research.

Safe for Elders 15

Participatory research principles

• An approach to research in communities that emphasizes participation and action

• Goal is to improve lives of those involved• Community members control the entire

research process

Safe for Elders 16

Participatory research principles

• Process enables action by empowering people• People are researchers in equal partnership

with academic researchers• Academic researchers are committed learners

in a process leading to change (not as detached observers)

Safe for Elders 17

Focus on community engagement and partnership• Formed Advisory Committee:• Health authorities• First Nation Community leaders• Health providers and health managers• Older adults and families affected by falls

• Committee met quarterly and steered all aspects of project

• Hired a Community Engagement Coordinator (CEC)

Safe for Elders 18

Outcomes

• Identified priorities for action which included:

üResource developmentüExercise programsüHome improvements

Safe for Elders 19

Additional Outcomes

• Raised community awareness about falls prevention strategies

• Promoted inclusion of falls prevention in health and wellness events

• Increased comfort of communities with research processes and

• Provided research training for Community Engagement Coordinator

Safe for Elders 20

Safe for Elders 21

TheFunding

We knew Elders needed better information about falls and injury prevention…

Received a 3 year grant from Interior Health Authority to: •Develop information resources•Exercise/activity classes•Home improvements for safety

Safe for Elders 23

The Partnerships

Many contributions, many ideas!

Safe for Elders 25

The Process

Gather partners

•Spuzzum First Nation•Boston Bar First Nation•Boothroyd Band•Oregon Jack Creek Band•Lytton First Nation

•Nlaka’pamux Nation Tribal Council

Safe for Elders 27

Form Advisory Committee

•Fabio Feldman [Fraser Health] •Vicky Scott [Centre for Hip Health] •Judy Sturm [IHA] •Health Administrators •Nlaka’pamux communities •Debbie Abbott [Nlaka’pamux •Nation Tribal Council] •and others...

Safe for Elders 28

Coordinator attended Elders’ lunches and nkshAytkn gatherings, as well as providing movement classes (e.g., Tai Chi).

Hire a coordinator to engage Elders and seek their input.

Safe for Elders 29

Safe for Elders 30

The Resources

We developed resources: •BINGO game•Calendar•Brochure•Website•Local artist for illustrations•Elders modeled for portraits•Used the Nlaka’pamux language

Now creating:•Card game for children•Challenge for all 32

Safe for Elders 33

Website

Poster campaignSafe for Elders 34

Safe for Elders 35

Brochures with information about fall prevention

Inside the Brochures

Safe for Elders 36

Calendar37Safe for Elders

38Safe for Elders

A peek inside the calendar!featuring artwork by Georgia Lesley

Lorraine tells us what she thought about the calendar:

“I was glad to see that it was made out of good,

hard paper and all of the pictures in it. And to see

some of the native words in there.”

Safe for Elders 39

Sooyeon teaches Tai Chi classes

Safe for Elders 40

“I see balance improvements, and pain relief, and better mobility for the elders when they come to classes.”

Lorraine’s thoughts on Tai Chi

“I wish more of the elders would get involved. It would help them with their balance and breathing.

I think sometimes some people are shy and they think they can’t do it. Or if they have aches and pains. They don’t realize some of this Tai Chi would help them.”

Safe for Elders 41

Safe for Elders 42Fall Prevention BINGO game

Safe for Elders 43

Fall Prevention BINGO gamein action

In development:• Youth Social

Media Challenge• Passports• Card Game for

Kids

Safe for Elders 44

COMING SOON!

WHERE TO FROM HERE?Pursuing funds to identify the resources, support and services available to Elders in rural communities. Safe for Elders 45

Safe for Elders 46

quequshtAyphOO-malh

MORE QUESTIONS?

Fabio FeldmanFabio.Feldman@fraserhealth.ca

Sonia SinghSonia.Singh@fraserhealth.ca

Anne Cochranac@annecochran.ca

Lee Anne Hunsbedtftisshealth@nntc.ca

Crystal Stranaghancrystalstranaghan@me.com