‘Real world’ effectiveness of the Falls Management Exercise (FaME) programme: an implementation study

Orton, Elizabeth; Audsley, Sarah; Coupland, Carol; Gladman, John R.F.; Iliffe, Steve; Lafond, Natasher; Logan, Philippa; Masud, Tahir; Skelton, Dawn A.; Timblin, Clare; Timmons, Stephen; Ward, Derek; Kendrick, Denise

Abstract

Background
Falls incidence increases with age alongside declines in strength and balance. Clinical trials show that the Falls Management Exercise (FaME) programme improves strength and balance, which can reduce falls and improve physical functioning.

Objective
To determine if the clinical trial efficacy of FaME translates into effectiveness in non-research settings.

Design and setting
An implementation study of FaME in 10 local authorities across the East Midlands region of England.

Subjects
Adults aged 65 and over enrolled on a FaME programme.

Method
Anonymised outcome data collected by the FaME providers were compared at baseline, end of programme and 6 months follow-up using univariate and multivariate analyses.

Results
For 348 adults enrolled in programmes and analysed, the mean age was 76.8, 73% were female and 143 (41%) completed ≥75% of classes. Overall confidence in balance, fear of falling, functional reach and timed-up-and-go (all P

Citation

Orton, E., Audsley, S., Coupland, C., Gladman, J. R., Iliffe, S., Lafond, N., Logan, P., Masud, T., Skelton, D. A., Timblin, C., Timmons, S., Ward, D., & Kendrick, D. (2021). ‘Real world’ effectiveness of the Falls Management Exercise (FaME) programme: an implementation study. Age and Ageing, 50(4), 1290-1297. https://doi.org/10.1093/ageing/afaa288

• Journal Article Type: Article
• Acceptance Date: Nov 26, 2020
• Online Publication Date: Feb 3, 2021
• Publication Date: 2021-07
• Deposit Date: Dec 1, 2020
• Publicly Available Date: Feb 4, 2022
• Journal: Age and Ageing
• Print ISSN: 0002-0729
• Electronic ISSN: 1468-2834
• Publisher: Oxford University Press
• Peer Reviewed: Peer Reviewed
• Volume: 50
• Issue: 4
• Pages: 1290-1297
• DOI: https://doi.org/10.1093/ageing/afaa288
• Keywords: Aged People, Exercise Promotion, Primary Health Care, Falls, Physical Activity
• Public URL: https://nottingham-repository.worktribe.com/output/5093369
• Publisher URL: https://academic.oup.com/ageing/advance-article-abstract/doi/10.1093/ageing/afaa288/6126710?redirectedFrom=fulltext
• Additional Information: This is a pre-copyedited, author-produced version of an article accepted for publication in Age and Ageing following peer review. The version of record Orton E, Audsley S, Coupland C, Gladman JRF, Iliffe S, Lafond N, Logan P, Masud T, Skelton DA, Timblin C, Timmons S, Ward D, Kendrick D. ‘Real world’ effectiveness of the Falls Management Exercise (FaME) programme: an implementation study. Age and Ageing 2021: afaa288 [published Online First: 3 February 2021]] is available online at: https://doi.org/10.1093/ageing/afaa288