On the Move clinic: A fall prevention nurse practitioner-driven model of care

Geriatr Nurs. 2021 Jul-Aug;42(4):850-854. doi: 10.1016/j.gerinurse.2021.03.019. Epub 2021 Jun 3.


Falls in older adults are common and interventions to reduce associated morbidity and mortality remain difficult to implement. This quality improvement project evaluated On the Move, a new clinic designed to provide tailored recommendations to reduce falls risk, based on an adaptation of CDC's STEADI: a falls risk screening, assessment and intervention guide. 89 participants were referred by primary care and emergency services. A nurse practitioner assessed modifiable physical, behavioral and environmental risk factors and utilized motivational interviewing and education to guide participants in developing an intervention plan. A physical therapist assessed gait/balance, the need for ongoing PT services and provided brief counseling. Participants received a 6-week phone call and 12-week follow up visit. Measurements, including 30-second chair stands, Timed Up and Go, 4-Item Dynamic Gait Index, and Activities-Specific Balance Confidence Scale all showed significant improvement. Participants made behavioral changes to reduce risk, and plans to continue exercise.

Keywords: Fall prevention; Inter-professional; Nurse practitioner; Older adult.

MeSH terms

  • Aged
  • Exercise
  • Gait
  • Humans
  • Nurse Practitioners*
  • Primary Health Care