Abstract
Through a process of participatory action research involving a telephone hotline, the STEPS project compiled data over a nine month period on the location and nature of 791 pedestrian slips, trips, falls and potential hazards in the Capital Regional District of British Columbia. Of the 533 people who reported a slip, trip or fall, the majority (80%) were female, and the average age was 65.27 years. Thirty-five percent (n=186) had some type of physical disability and many (n=106) reported using a mobility aide at the time of their accident. Most callers (75%) said they had suffered an injury, and of these 55% required medical attention. The most frequently reported fall locations were sidewalks and crosswalks. Major recommendations from the study include the need for municipal priority-setting for repairs with input from key user groups, including the elderly and people with disabilities.
Résumé
Au moyen d’une recherche-action participative incluant une ligne téléphonique de secours, le projet STEPS a compilé des données pendant une durée de neuf mois relativement à la localisation et à la nature de 791 glissades, faux pas, chutes et dangers possibles pour les piétons dans le district régional de la capitale de la Colombie-Britannique. Des 533 personnes qui ont déclaré une glissade, un faux pas ou une chute, la plupart (80 %) était des femmes, et l’âge moyen était 65.27. Trente-cinq p. 100 (n =186) avaient un handicap physique quelconque et plusieurs (n = 106) ont déclaré qu’elles utilisaient un moyen de déplacement lors de l’accident. La plupart des appelants (75 %) ont déclaré avoir subi des blessures qui, dans 55 % des cas, ont nécessité un examen médical. Les endroits mentionnés le plus souvent étaient les trottoirs et les passages pour piétons. On retrouve parmi les recommandations principales de l’étude la nécessité pour les municipalités d’établir des priorités de réparations avec une consultation auprès des groupes d’usagers principaux, y compris les personnes âgées et les personnes qui ont un handicap.
Footnotes
Funding for the project was received from Health Canada Seniors Independence Program, the federal government Disabled Persons Participation Program, Capital Regional District Health, and the BC Ministry of Skills, Training and Labor.
References
- 1.Gallagher E, Scott V. The STEPS Project: A Project to Reduce Falls in Public Places Among Seniors and Persons with Disabilities. (Monograph) Victoria, BC: University of Victoria, School of Nursing; 1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Morris EV, Isaacs B. The prevention of falls in a geriatric hospital. Age Ageing. 1980;9:1981–85. doi: 10.1093/ageing/9.3.181. [DOI] [PubMed] [Google Scholar]
- 3.Orlando T. The meaning of falling for elderly community-dwelling individuals [thesis] Vancouver, BC: University of British Columbia; 1988. [Google Scholar]
- 4.Statistics Canada. Canada Year Book 1988. Ottawa, Ontario: The Bryant Press Ltd.; 1985. [Google Scholar]
- 5.Mahoney J, Sager M, Cross Dunham N, Johnson J. Risks of falls after hospital discharge. J Am Geriatr Soc. 1994;42(3):269–274. doi: 10.1111/j.1532-5415.1994.tb01750.x. [DOI] [PubMed] [Google Scholar]
- 6.Still JM. Scientific analysis of falls. Geriatric Consultant. 1988;21:27–29. [Google Scholar]
- 7.Cummings SR, Nevitt MC, Kidd S. Forgetting falls: The limited accuracy of recall of falls in the elderly. J Am Geriatr Soc. 1988;36:613–16. doi: 10.1111/j.1532-5415.1988.tb06155.x. [DOI] [PubMed] [Google Scholar]
- 8.Neilson E. Accidents Among Seniors: Can They Be Prevented?; 1989. [Google Scholar]
- 9.Tinetti ME, Williams TF, Mayewski R. Fall risk index for elderly patients based on number of chronic disabilities. Am J Med. 1986;30:429–35. doi: 10.1016/0002-9343(86)90717-5. [DOI] [PubMed] [Google Scholar]
- 10.Gallagher E, Brunt H. Head over heels: A program to reduce falls among the elderly. Can J Aging. 1996;15(1):84–96. doi: 10.1017/S0714980800013301. [DOI] [Google Scholar]
- 11.Patterson C, Torresin W. Falls in the frail elderly—keep your patient’s feet on the ground. Geriatrics. 1989;4:15–25. [Google Scholar]
- 12.Gross YT, Shimamoto Y, Rose CL, Frank B. Why do they fall? Monitoring risk factors in nursing homes. J Gerontol Nursing. 1990;16(60):20–25. doi: 10.3928/0098-9134-19900601-08. [DOI] [PubMed] [Google Scholar]
- 13.Perry BC. Falls among the elderly living in high-rise apartments. J Fam Pract. 1982;14(6):1069–73. [PubMed] [Google Scholar]
- 14.Rousseau P. Geriatric Consultant. 1987. Evaluation and treatment of falls; pp. 22–24. [Google Scholar]
- 15.Eriksson SV, Lindgren JU. Outcome of falls in women: Endogenous factors associated with fractures. Age Ageing. 1989;18:303–8. doi: 10.1093/ageing/18.5.303. [DOI] [PubMed] [Google Scholar]
- 16.Craven R, Bruno P. Teach the elderly to prevent falls. J Gerontol Nursing. 1986;12(8):27–33. doi: 10.3928/0098-9134-19860801-08. [DOI] [PubMed] [Google Scholar]
- 17.Davis A. Traffic Engineering and Control. 1992. Livable streets and perceived accident risk: Quality of life issues for residents and vulnerable road users; pp. 374–79. [Google Scholar]
- 18.Remplar JA. Hazards, Barriers, Problems and the Law. Atlanta, GA: Georgia Institute of Technology, College of Architecture; 1978. [Google Scholar]
- 19.Sjogren H, Bjornstig U. Injuries to the elderly in the traffic environment. Accid Anal Prev. 1991;23(1):77–86. doi: 10.1016/0001-4575(91)90037-6. [DOI] [PubMed] [Google Scholar]
- 20.Green LW, George MA, Daniel M, et al. Study of Participatory Research in Health Promotion. Vancouver, BC: Institute of Health Promotion Research, University of British Columbia, and the BC Consortium for Health Promotion Research; 1994. [Google Scholar]
- 21.ITE Technical Council Committee. Design and Safety of Pedestrian Facilities. Washington, DC: Institute of Transportation Engineers; 1995. [Google Scholar]
- 22.Gallagher E, Scott V. Taking Steps: A Manual to Reduce Falls in Public Places. Victoria, BC: School of Nursing, University of Victoria; 1996. [Google Scholar]
- 23.Scott V, Gallagher E. Stepping Out. Video produced by Griffon Productions. Victoria, BC: School of Nursing, University of Victoria; 1996. [Google Scholar]
- 24.Comstock D, Fox R. Participatory research as critical theory: The North Bonneville, U.S.A. experience. In: Park P, Brydon-Miller M, Hall B, Jackson T, editors. Voices of Change: Participatory Research in the United States and Canada. Westport, Conn: Bergin & Garvey; 1993. [Google Scholar]