mmoreno@isciii.eshttp://profound.eu.com/

Prod

uced

at th

e Gra

phics

Sup

port

Wor

ksho

p, M

edia

Servi

ces,

The U

nive

rsity

of M

anch

este

r

Pr e v e n t i o n o f Fa l l s N e t w o r k f o r D i s s e m i n a t i o n

cipcompettitiveness and innovationframework programme2007 - 2013

Institute of Health Carlos III Nursing and Healthcare Research Unit (Investén-isciii)Teresa Moreno-Casbas RN, MSc PhD FEAN

Implementing SuccessLater Life Training OTAGO Exercise Programme (OEP) in SpainThe training course and qualification, developed by Later Life Training (LLT), for physiotherapists to be a Cascade Trainer (CT) of the OTAGO Exercise Programme (OEP) Leader courses was implemented in Spain. Two Cascade Trainer courses were taught in Spain, coordinated by Investén-isciii and Fundació Salut i Envelliment UAB, with a total of 22 participants. One of them took place in Barcelona and the second in Madrid. We have agreed to distribute regions between both centres to reach at least one CT in all Spanish regions.The final objective was to roll out the OEP training in Spain by focusing on healthcare disciplines which are related to elderly care and falls prevention: mainly nursing professionals (most of them part of the Best Practice Spotlight Organizations® (BPSO®)Program involved in the imple-mentation of best practice guidelines for falls prevention), and physical therapists, among others. During 2015 and the begining of 2016, the 12 CTs trained in Madrid have trained 79 healthcare professionals as OEP Leaders in 8 healthcare settings from 7 regions. Also the regional Physical Therapists As-sociations in Spain have planned to offer one OEP Leader training course in each Spanish region.

Organization and coordination of Cascade Training Otago Exercise Programme (OEP) training (12 Madrid +10 Barcelona)

Contribution to translation of OEP Handbook and other related materials

Organization and coordination of Otago Exercise Programme (OEP) Leader courses (8 healthcare settings)

Challenges to implementationThe main challenge to implement the Cas-cade Trainer of OTAGO Exercise Programme (OEP) Leader courses was to translate all the material into Spanish and be able to find students who speak English, since the train-ing course was in English. Another challenge

was to promote the multidisciplinarity; which is not equally implemented in all healthcare settings at a national level since the Spanish National Health System is decentralised in regions. For example, there are some hospi-tals or outpatient services that enhance early mobilization related to falls prevention, and this is provided by multidisciplinary teams.Finally, the current challenge is to be able to Integrate OEP in the healthcare system clinical daily practice.

Impact Measures22 Cascade Trainers have been trained in Spain. 79 healthcare professionals from 8 hospitals have been trained as OTAGO Exercise Programme (OEP) Leaders. These hospitals are implementing falls preven-tion guidelines and their participation in OEP courses will help to promote training of older people. Most hospitals are work-ing in collaboration with primary care. All materials of Cascade Training have been translated in collaboration with Fundació Salut i Envelliment UAB.

Next steps and SustainabilityEach of the Cascade Trainers selected comes from a different region in Spain, allowing de-centralization of courses, therefore they can be replicated nationally. In the case of the courses organized by Madrid (Investén-isciii), the institutions selected for organizing the OEP courses are centers which are implementing best practice guidelines related to falls pre-vention in the elderly in a national program (BPSO® Spain), and are able to implement OEP programs to patients. The healthcare professionals selected have been multidisci-plinary teams: physiotherapists, nurses and physicians that provide education to patients in special services, such as rehabilitation, other specialized care, or primary care.