Research Article

Falling Less in Kansas: Development of a Fall Risk Reduction Toolkit

Table 1

CBPR process for Falling LinKS Toolkit development.

Step 1Step 2Step 3
Needs assessment of health providers and community volunteersToolkit developmentNeeds assessment of older adultsToolkit developmentToolkit assessment by health providers, community volunteers, and older adultsToolkit development

(i) Interviews (n = 16)
(ii) Communication with representatives from Harvey County Department on Aging
(iii) Focus group (n = 11)
Objectives:
Identify…
(i) local interest
(ii) need
(iii) collaborators
(iv) infrastructure
(v) toolkit preferences for development, dissemination, and implementation
Findings:
(i) Support/interest is high
(ii) Collaborators identified
(iii) Resources are scarce
(iv) Toolkit preferences identified
Process Outcome:
(i) Content areas identified and researched:
(1) Physical activity
(2) Medications
(3) Vision
(4) Home safety
(ii) Peer-reviewed or federal agency instruments selected, adapted, and organized
(iii) Draft toolkit created
(i) Interviews (n = 16)
(ii) Focus group (n = 19)
Objectives:
Identify…
(i) local interest
(ii) need
(iii) infrastructure
(iv) toolkit preferences for development, dissemination, and implementation
(v) perspectives on falls and fall prevention
(vi) naming strategies for the toolkit
Findings:
(i) Support/interest is high
(ii) Resources are scarce
(iii) Toolkit preferences identified
Process Outcome:
(i) Instruments modified further
(ii) 5th grade reading level targeted
(iii) Attention to packaging, color, and readability
(iv) Toolkit modified further
(i) 2 formative focus groups with health providers and community volunteers
(ii) 3 formative focus groups with older adults
(iii) 1 summative focus group with service and health care providers
(n = 42)
Objectives:
Evaluate…
(i) materials
(ii) interest
(iii) readability
(iv) usability
Findings:
(i) Issues with eye appeal, interest, readability, and usability were identified
Process Outcome:
(i) Instruments further modified
(ii) Toolkit images enhanced
(iii) Text condensed throughout
(iv) Language changed to 1st person
(v) Final toolkit created
(vi) Toolkit disseminated to community partners
(vii) Toolkit ready for pilot testing

Interviews: key informant interviews (individual interviews with people knowledgeable about the topic of interest). Focus Groups: semistructured interviews of a group of participants guided by a facilitator to address topics of interest.