Professional Documents
Culture Documents
III
Preface
Preventing falls is a community-wide problem. Assistive devices are
tools to help people stay independent and safe while taking part
in the activities of everyday living. Some assistive devices such as
canes and bathtub grab bars may prevent falls or reduce the risk of
injuries in the event of a fall. While convention would suggest that
the promotion of assistive devices is up to the health professional,
businesses too can be involved in increasing access to, and
awareness of, assistive devices.
Tools for Living Well is designed to help communities:
increase awareness of, and access to, assistive devices;
encourage local businesses to promote assistive devices;
educate seniors and their caregivers to make informed
choices about assistive devices and to use them correctly;
and
support a shift in social norms from assistive devices as
tools for persons with disabilities to assistive devices as
tools for independent living.
Tools for Living Well is intended for use by individuals or organizations
interested in tackling the problem of falls among older adults in the
community. Information and strategies included might be of interest to:
local coalitions, seniors groups, business associations, legions, home
care programs, and others.
Tools for Living Well promotes bathtub safety devices, canes and hip
protectors. It will help you help the businesses in your community to
contribute to fall prevention and support independent aging.
Tools for Living Well focuses on three business domains - retailers,
homebuilders, and hoteliers. However, the strategies and approaches
presented here could also be used with other businesses.
The program provides a variety of materials or tools to help
promote these assistive devices, including:
IV
Preface
Acknowledgements
Tools for Living Well was co-written and produced by the Community
Health Research Unit (CHRU) at the University of Ottawa and the
Canadian Association of Occupational Therapists (CAOT).
Funding for the development of this Toolkit was provided by the
Health Canada/Veterans Affairs Canada Fall Prevention Initiative.
The Toolkit was produced and developed by the University of
Ottawa and CAOT. Contributions to the development of the Toolkit
were made by:
Donna Lockett
Community Health Research Unit, University of Ottawa
Nancy Edwards
Community Health Research Unit, University of Ottawa
Mary Lou Boudreau
National Project Coordinator, Tools for Living Well
Darene Toal Sullivan
Canadian Association of Occupational Therapists
Heidi Sveistrup
University of Ottawa
Claudia von Zweck
Canadian Association of Occupational Therapists
Christy-Ann Drouin
Project Coordinator of Operations,
University of Ottawa
Judith Wilson provided consultation on approaching businesses.
Graphics were done by Meghan Thomas.
Appreciation is extended to our National Program Advisory Team,
who gave us their benefit of their expertise:
Ginette Asselin
City of Ottawa Seniors Health and Caregiver Support
Doris Pringle
Senior,
City of Ottawa Falls Prevention Coalition
VI
Acknowledgements
Helen Allard
Royal Canadian Legion, Ottawa
Bill Turney
Active Living Coalition for Older Adults (ALCOA)
Dr. Jan Polgar
University of Western Ontario,
School of Occupational Therapy
Brent Cliff
New Brunswick Homebuilders Association
Tom Parker
Canada Mortgage and Housing Corporation (CMHC)
Brian Stowe
Canadian Pharmacists Association
Mary Frances Laughton
Industry Canada,
Assistive Devices Industry Office
Deborah Finn
Industry Canada,
Assistive Devices Industry Office
Jane Stewart-Grey
Canadian Physiotherapy Association
Mario Giannetti
Preston Hardware, Ottawa, Ontario
Scott Puddicombe
Puddicombe Access Solutions, Inc.,
Ottawa, Ontario
A big thanks to our five Site Coordinators who piloted the programs in
their own communities:
VII
Terms of use
The Tools for Living Well Toolkit was created by the Community
Health Research Unit (CHRU), University of Ottawa and the
Canadian Association of Occupational Therapists (CAOT) with
funding from the Health Canada/Veterans Affairs Canada Falls
Prevention Initiative. The views expressed herein do not necessarily
represent the official policies of the CHRU, University of Ottawa,
CAOT, or its funders or partners.
Not medical advice: The information provided in the Toolkit is intended for educational purposes only. It is not and should not be taken as
advice or treatment from a doctor or health care professional. Never
disregard professional medical or health care advice or delay in seeking it because of something you have read in this Toolkit.
Copyright and permission to use: All materials in Tools for Living
Well are protected by Canadian copyright law. The Content of Tools
for Living Well may be used without specific permission for noncommercial or educational purposes. No part of this information may
be reproduced for any other purpose without the written permission
of the CAOT (CAOT, CTTC Building, Suite 3400, 1125 Colonel By
Dr., Ottawa Ontario, K1S 5R1, www.caot.ca) or CHRU (CHRU,
University of Ottawa, 451 Smyth Road, Ottawa, Ontario, K1H 8M5).
Limitation of Liability: In no event shall the Community Health
Research Unit, University of Ottawa, the CAOT, Health Canada
or Veterans Affairs Canada, its directors, employees, agents, or
licensors be liable for damages of any kind arising from the use of
information in Tools for Living Well.
Disclaimer of warranties: The Toolkit and the content are provided
as is. While we endeavour to provide content that is correct, accurate
and timely, no representations or warranties are made regarding
the Tools for Living Well Toolkit. By using the Toolkit, the users
acknowledge and agree they are using it at their own risk and liability.
Referencing this Toolkit: Please use the following reference:
Lockett, D., Edwards, N., Boudreau, ML, Toal-Sullivan, D.,
Sveistrup, H., and von Zweck, C. (2004). Tools for Living Well:
Assistive Devices to Prevent Falls among Seniors and Veterans.
University of Ottawa and Canadian Association of Occupational
Therapists. Ottawa, Ontario, Canada.
Tools for Living Well
VIII
Table of Contents
Chapter ONE - Introduction ................................................................................ 1
1.
2.
3.
4.
5.
Canes.................................................................................................................................. 11
Hip protectors ..................................................................................................................... 15
Grab bars ............................................................................................................................ 17
Bathtub and shower seats .................................................................................................. 20
Non-slip bathtub and shower mats ..................................................................................... 21
IX
References ......................................................................................................... 47
Appendix ONE - An Overview of the Tools for Living Well Pilot Program with
Lessons Learned ............................................................................................... 49
Purpose and scope of this overview ....................................................................................... 49
The Pilot Sites ......................................................................................................................... 50
The Site Coordinators ............................................................................................................. 50
A) Overview of variability of program implementation in each site .............................................51
B) Recommendations based on lessons Learned ................................................................. 57
Summary ................................................................................................................................. 60
Appendix TWO - Other Resources That You Might Find Useful .................. 61
1:
2:
3:
4:
5:
6:
7:
8:
9:
Table of Contents
1
Chapter ONE
Introduction
Falls are a significant problem for older adults. Many factors
contribute to falls. This program aims to support independent living
and reduce the rate of fall injury by promoting the appropriate use of
selected assistive devices.
Tools for Living Well is designed to help communities:
increase awareness of, and access to, assistive devices;
encourage local businesses to promote assistive devices;
educate seniors and their caregivers to make informed choices about assistive devices and to use them correctly; and
support a shift in social norms from assistive devices as
tools for persons with disabilities to assistive devices as
tools for independent living.
1. Why retailers?
Accessing assistive devices can be a problem. Research has
shown that seniors are discouraged from purchasing assistive
devices because they dont know where to buy them and dont
know how to select an appropriate device.1 Seniors may also
decide not to use assistive devices because they believe only
frail or disabled people need them.1 This program is designed
to promote assistive devices in mainstream stores as a way of
normalizing their use and increasing their availability. It also
provides information required by retailers and customers for the
proper fitting and use of devices.
3. Building on precedence
Stereotyped views of assistive devices need to be replaced with
more open views. This program aims to begin the process of
reshaping social norms and shifting stereotypes, which surround the
use of assistive devices.
There are many examples of protective devices and assistive
devices that have successfully been integrated, even legislated, into
everyday life. For example:
4. Looking forward
As norms shift, it is expected that the products will no longer be
viewed as optional, but rather necessary and welcomed tools.
Activities outlined in this Toolkit can lay the groundwork for more
sustainable initiatives, such as:
Approach and
support retailers, hoteliers,
homebuilders
to promote
assistive
devices
Changes to policy
Greater acceptance of
assistive devices
Other fall
prevention
initiatives
Increase in
public demand
for greater
access and
choices
Increase community
demand (sales) and
informed choices for
ADs by seniors and
veterans
Increased proper
use of ADs among
seniors and
veterans
Enhance
independent living,
lower risk and
severity of falls
4
Chapter ONE - Introduction
5
Chapter TWO
Preventing Falls
Most of us have slips and trips with no serious consequences.
However, among older adults, falls are more common and often
result in serious injuries. The costs of falls are high for those who
fall, their family, and their community. The good news is that older
adults can reduce their risk of falling. This chapter will provide an
overview on the prevalence and costs of falls, risk factors for falls,
and some key strategies to prevent falls.
a) Injuries
b) Fear of falling
Seniors who fall may limit their activities for fear of falling again. By
limiting their activities, they are less physically active and begin to
loose strength and flexibility. This can increase the risk of falling.7
Tools for Living Well
d) Death
This fictional story of Tom and Mary is, unfortunately, not uncommon. It highlights how falls are often
the result of an interaction between the individual and the environment. Notice the reasons given for
Toms fall. They illustrate how several risk factors can be at play in one incident.
Tom is 75. He has experienced many of the natural changes that occur with aging. He does not
hear as well as he used too. He has poorer vision. He used to walk on a regular basis but now
believes that exercising is not needed at his age and walks only infrequently. As a result, he has
experienced loss of muscle, reduced strength, and poorer balance. Although he was told by his
doctor that he should use his cane, especially when he walks around outside, he does not feel he is
old enough to use a cane, so he leaves it at home.
One day Tom was out walking with his friend Mary. Mary has experienced losses in vision and
hearing similar to Tom, but she has continued to walk daily and has retained her strength and
balance. She uses a cane to help keep her balance when she is on her walks.
Tom and Mary were enjoying their walk, chatting as they made their way down the sidewalk.
Although they had only been walking a few minutes, Tom was feeling a little fatigued. Suddenly, they
both stumbled on a crack in the sidewalk. Neither had seen it because of their visual challenges. The
fact that they were so busy chatting also contributed to their not seeing the crack. Mary was able to
use her cane to steady herself. She regained her balance and did not fall.
Tom was not so lucky. He lost his balance and fell. He was not able to get up on his own. Mary called
for help. When they examined Tom at the hospital, they discovered that he had broken his hip. Tom
never really recovered from the fall. He became fearful of falling and did even less outside of the
home. His strength deteriorated even more. That was last year. Today, Tom is in a nursing home.
stairs that are not well marked, poor snow or ice removal
are examples of these risks.
c) Activity-related factors:
Personal
Health
Poor balance
Behaviour
Not using a cane
ed
at
l
e
Lifestyle
Being inactive
Taking a bath
Walking outside
in winter
Env
iro
n
Indoors
No grab bars in tub
tal
en
m
Activit
yR
Outdoors
Uneven sidewalks,
Poor snow removal
10
11
Chapter THREE
1. Canes
Research has found that cane use is associated with improved
confidence and functional ability.16 By compensating for difficulties
with balance or weakness, a cane may also prevent a fall. Some
people may need to use a cane if they are weak on one side of
their body. People with balance problems may also need to use a
cane. A cane may also help with fatigue and/or reduce pain when
walking. Brochure 2 is a handout on canes that you can share with
your community and businesses.
a) Types of canes
There are many kinds of canes. Most are made of metal, wood, or
plastic. Canes come in many different sizes and can be adjusted in
length to fit the users height. It is important that the height of the
cane be correct. The 3 most common types of canes are:
Standard canes: This type of cane is usually made of
wood or metal. These canes are typically between 34 to 42
inches (86 to 107 cm) long and often have a rounded crook
Choosing a
cane:
If heavy support is needed,
the broad based quad
cane is the best one. If
the cane is needed for
balance or light to medium
support, the standard and
straight handled canes work
well. The best approach is
for the user to try out the
two styles, and see which
one he or she finds more
comfortable.
12
handle. These canes are easy to use and are typically the
least expensive. A cane with a wooden or plastic handle is
often preferred to one with a metal handle. A metal handle
may slip from the users hand if the hand sweats. In cold
weather the metal handle may get too cold to touch.
Straight-handled canes: This cane may also be called a
T-handle cane and is usually made of wood, plastic, or
metal. This type of handle works well if the users hand is
weak. Using a T-handle cane may offer more stability than a
standard cane.
Broad-based canes: This is a lightweight metal cane with
4 short legs coming out of the bottom. They are sometimes
called quad canes because of the four small feet. These
legs provide more support than other canes. The legs also
allow the cane to stand-up when not in use. This type of cane
is recommended when a lot of support is needed to maintain
balance or if the user has a disability (e.g. after a stroke).
b) Sizing a cane
Canes must be fitted to the user. There are two methods recommended to measure a cane. Either will do.
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3.
4.
Weaker leg
Going up stairs
Using
* Some of the nformation and graphics on pages 11-14 were adapted from
Cherish Your Independence, City of Ottawa, Public Health Branch, Fall
Prevention Program
13
14
The end of the cane should have a non-skid rubber tip to prevent it from slipping. Rubber tips
should be inspected and worn rubber tips replaced.
Canes should be equipped with an ice pick for outdoor use in winter months. These should be
raised or removed when walking around indoors.
Floors should be checked to be sure they are safe for using the cane. Floors should be dry,
well lit and clutter free. Throw rugs should be removed as they slide easily and can cause a
trip or slip. Loose carpet edges should be taped down.
When walking with a cane, look straight ahead to avoid running into or tripping over
something.
Heavy objects or loads should not be carried when using a cane as they may compromise
balance. If things need to be carried, using a backpack or carry bag is safer.
2. Hip protectors
In 1993/94, there were 23,375 hip fractures reported in Canada.
With our aging population, it has been projected that this number
will increase almost fourfold, to 88,124 annually by the year 2041.17
Ninety percent of fractures among people over age 70 are the result
of a fall.18
Hip protectors are pads that are worn over the hip area. Although
hip protectors will not prevent a fall, research suggests that they will
decrease the risk of a hip fracture when a fall occurs.19
Hip protectors reduce the risk of a hip fracture by:
distributing the impact of a force in the hip area, especially
where it is most vulnerable to breaking, in the neck of the
femur; and
absorbing some of the force associated with the fall onto
the hip.
Brochure 3 is a handout on hip protectors that you can share with
your community and businesses.
15
16
3. Grab bars
Difficulty using the bathtub or shower is a common problem among
older adults.1
Bathtub and shower grab bars can compensate for the effects of
age-related changes that increase the risk of falling while bathing.
A grab bar, made of stainless steel, aluminum, or plastic, firmly
fixed in the wall of the bathtub or shower stall, allows the user
to steady him/herself while stepping into or out of the bathtub or
shower, and while raising or lowering him/herself into the bathtub.
Brochure 4 is a handout on grab bars that you can share with your
community and businesses.
17
18
Ceramic tiles are a concern when installing grab bars as they can
crack very easily. However, a professional tradesman should be able
to install grab bars through ceramic tiles.
If seniors are purchasing moulded bathtubs or shower stalls (e.g.
fibreglass), they should ask whether or not grab bars can be
installed in these units.
All wall mounted grab bars be installed by a professional with experience in installing them.
Installation height: the Canadian Standard Association recommend that a wall mounted grab
bar be installed at a height of 18-28 cm above the rim above the rim of the bathtub.
If a bar is horizontally mounted on a wall, it should have wall clearance of only approximately
3.5 to 4.5 cm (1 3/8 to 1 inches) from the wall where the grab bar is mounted. This is a
safety feature. If the individual slips and grabs the bar, he or she wont catch his or her arm in
the gap between the wall and the bar.
Grab bars must be mounted to the wood framing (studs) behind the ceramic tile of a bathtub
or shower stall.
19
20
Example of a bath/shower
seat
Everybody is vulnerable to
slipping, so we recommend
that everyone use non-slip
mats for inside and outside
bathtubs and shower stalls.
21
22
We DO NOT recommend non-slip strips or decals as an alternative to non-slip bath or shower mats.
With time, the rubber that safety treads are made from dries out and no longer provides sufficient
stability for the user. In addition, it is difficult to tell when safety treads need to be replaced and
therefore can become dangerous to the user.
Thus, someone with safety treads already installed on the bathtub or shower floor should still use a
non-slip mat.
23
Chapter FOUR
24
You may also wish to involve volunteers in approaching and supporting businesses. We will refer to these people as Program
Volunteers. Adults of any age can be Program Volunteers, but there
may be some special advantages in recruiting seniors to fill this role,
as we did in our pilot programs (see Appendix 1).
Some volunteers may wish to take on both roles, participating on
the CAT and interacting with businesses. Others may wish to take
on only one of these roles. It is important to be clear about the
requirements and the time commitments for the two roles when
recruiting volunteers. This will allow each individual to choose the
role he or she prefers.
A Community Advisory
Team can be vital to the
success of your program.
b) Program Volunteers
Tips:
Do not exclude key people
in the community whose
knowledge and skills would
be beneficial to the program
but who do not have the
time to commit to regular
meetings.
A list of contacts who
are willing to come to
one meeting to address
a specific issue (e.g.
an architect) or who will
meet with you from time
to time to answer specific
questions (e.g. someone
from the municipal by-law
enforcement office) may
also be valuable.
25
26
Engaging community members in this process promotes community ownership of the problem and the program activities. By
actively participating in planning and implementing of the programs,
Program Volunteers will promote community control and ownership
of the program.
It is important to know that the job requires a number of skills and
some training is required. Engaging volunteers requires fewer program dollars but does require support and coordination.
The number of Program Volunteers you recruit will depend, in
part, on the geographic size and population of your community, and
the amount of time each of these volunteers is able to give. In estimating the number of Program Volunteers to recruit, you will need
to consider the following:
How quickly does the work need to be done?
How much time, in an average week, can the Program
Volunteers devote to the program?
How many businesses will your Program Volunteers need
to visit?
What transportation services are available to reach these
businesses?
How many of your Program Volunteers are likely to be
away or unable to participate for periods of time during your
program implementation? (Ex. Summer holidays)
How long will Program Volunteers continue with the
program?
When selecting Program Volunteers, consider people who:
show an interest in community service in the area of falls
prevention and an ability to understand the problem of
falls. They dont need to know much about the topic if they
demonstrate a willingness to learn;
have an interest in or knowledge of assistive devices, and
have a positive attitude towards their use in the general
community;
are able to convey ideas enthusiastically and have the time
and energy to commit to the program;
know the community well;
are comfortable approaching both people they know and
dont know; and
have good communication skills for the business community.
Tips:
Personal phone calls and
meetings over coffee with
friends and people who are
referred to you by your CAT
members or other contacts
are particularly effective
strategies for recruiting
volunteers.
27
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Tips:
Involving volunteers to
work with businesses has
advantages and challenges.
You should decide if using
Program Volunteers to work
with businesses makes
sense for your community.
Tips:
When preparing presentations, it is important to keep in mind the target audience. For example,
when presenting to business groups you may emphasize the value of meeting the senior
consumers needs. But when presenting to seniors or veterans groups, it might be more
beneficial to highlight the benefits of assistive devices.
Identify the two or three key messages you want them to take away.
Provide your audience with stories and ideas that they can easily transmit to others. Youll be
invited to meetings where you have 5 minutes to speak, others where youre the main speaker,
and may be requested to speak for 30 or 45 minutes. Be prepared for a variety of situations.
Tips:
You may wish to approach
some community
organizations and partner
with them in running these
events.
For example, a local church
group might partner with
you to run a fashion show,
or a student group might
assist with the assembly
and sales of the Christmas
baskets.
a) Community events
You may wish to run some community events to increase awareness
around the issue of falls and assistive devices and to highlight this
program and the businesses who support the program. Examples
include:
Tips:
Many large organizations (e.g.
public health departments)
will have a communications
department with professionals
who are skilled in media
relations.
Individuals working in a
communications department
in a public health department
may be potential partners for
the program if they have the
time to assist with some of the
media advocacy work.
Be sure to find out
about these important
communication resources
as you complete your
Community Profile.
29
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5. Media Advocacy
Media advocacy involves working with mass media (television, community and regional newspapers, radio) to raise awareness of the
issues the program is tackling. Media are a way to reach the public, organizations and politicians. In the short-term, effective media
coverage shapes public opinion and expectations, and begins to
mobilize community support around an issue. In the longer term,
sustained media coverage can set the stage for policy change.
Working successfully with media is a skill honed over time. If
you have little experience working with media, you might want to
consider approaching someone with solid media experience to
assist you.
Tips:
Brief stories of falls may be useful. Success stories related to falls prevention are also potentially
powerful.
Avoid using stories that embarrass, humiliate, or make organizations and/or individuals look like
the bad guy.
Always use sound professional judgement to ensure appropriate anonymity for individuals or
organizations that are the basis for a story.
31
Chapter FIVE
32
which businesses you will work with in the short term. This does
not preclude working with other businesses at a later time, but it
does mean setting priorities, based on your available resources
and anticipated impacts. It may be most efficient to target
businesses that you know might be sensitized to the issue of falls
prevention first, then slowly work your way to those that may be
more resistant. The more businesses you have on board, the
easier it may be to engage others that may have been resistant at
the beginning of the program.
Setting priorities is best done with a group of people who know the
community well, such as your Community Advisory Team (CAT)
and Program Volunteers. Although this is not an exact science, the
exercise in Program Tool 3 should at least give you a basis to get
you started in selecting target businesses.
33
Chapter SIX
Program Tools 8-10 outline specific information that you may want to
share with homebuilders, hoteliers, and retailers, respectively.
1. Approaching businesses
Step 1: Making the initial contact
34
Tips:
Businesses are more likely
to respond positively to an
approach that emphasizes
mutual benefit and
collaboration.
Sharing information on
the issue of falls and the
role that assistive devices
could play in reducing falls,
and offering assistance to
them should they choose to
promote assistive devices is
more likely to be successful
than using an aggressive
sell approach.
a) Handling concerns
Some of the businesses may have objections to the suggestion
that they should do more (or anything!) to promote assistive devices. It is important to hear and understand their concerns. The table
below lists some of the common concerns or objections that might
be raised by businesses and suggested ways of handling these.
Concerns
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36
Tips:
You may wish to emphasize that devices such as bathtub bars or non-slip mats are useful for
all ages, including the small child stepping over the side of the tub, the pregnant woman whose
balance may be compromised or sleepy adult who may be a bit unsteady on his or her feet, etc.
Dont be disappointed or surprised if the business representative doesnt show for the meeting or
cancels at the last minute. In competitive businesses, customers and sales always come first.
Tips:
There are times of the year
that are demanding for
different businesses and
they are less likely to have
the time to meet with you
or consider new programs.
Spring and summer, for
example, are very busy
times for construction and
homebuilders. Consider
approaching them in winter
months. Retailers are
very busy during the preChristmas season.
* These stages were adapted from the Stages of Change Theory20 and
Rogers Diffusion of Innovation theory.21
37
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Tips:
It may not be appropriate
or feasible to expect all
businesses to progress at
the same rate.
For example it may not
be feasible to expect all
retailers to carry a variety of
assistive devices once they
are on board.
For some, simply beginning
to carry one brand may be
success.
Similarly, the notion of
providing grab bars as a
standard amenity to new
homebuyers may be quite
novel to homebuilders and
you will not likely be able to
convince them all, but you
may have success in getting
them to begin displaying
bars in their model homes.
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Chapter SEVEN
Evaluation consists of
setting a goal, collecting
feedback while you work,
gathering information on
your results, and learning.
42
Tips:
Businesses are more likely
to respond positively to an
approach that emphasizes
mutual benefit and
collaboration.
Sharing information on
the issue of falls and the
role that assistive devices
could play in reducing falls,
and offering assistance to
them should they choose to
promote assistive devices is
more likely to be successful
than using an aggressive
sell approach.
Two strategies can help evaluate the success of the program: interviews with business representatives and an environmental scan.
Tips on interviewing:
The following strategies may help you to fine tune your interviewing skills:
Create a friendly and safe atmosphere by maintaining a non-judgemental and calm appearance.
Probe or ask for clarification when the respondent gives you inadequate, redundant, or irrelevant
information. You can probe by:
Repeating the question verbatim. If the respondent misheard or misunderstood the question
the rst time, hearing the question again will be useful and allow them to answer the question.
Questions should be repeated as a probe the rst time the respondent asks for clarication.
Staying quiet after the respondent appears to have nished. This lets the respondent know you
expect more in the answer and gives the respondent time to collect their thoughts.
Repeating the respondents reply. By repeating the respondents reply the respondent may
hear that they have only partly answered the question. They will often expand and explain their
answer.
Asking neutral questions. Neutral questions such as: Anything more? Do you have any other
reasons? How does that work? Could you explain a bit more? Could you give me an example?
Asking for clarication. Do you mean.... (summarize what you think has been said).
Tools for Living Well
43
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Remind the business representative that the information collected during the scan is confidential
and will in no way be released to the public or anyone else. Emphasize that there will be no
identifying information associated with the scans (e.g., business or personnel names). There are
no right or wrong responses to the scan.
Do not interfere with other patrons or business transactions when completing the environmental scan.
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Tips
If youre considering an evaluation strategy that challenges your resources or skill level, consider
where you might look for help. Your Public Health department may be able to offer some
suggestions. Also, if you have a local community college or university, contact them. They may
have faculty members who teach evaluation in education, social work, law, public health or other
disciplines who are looking for real world projects for their students. There may be a graduate
student who is willing to give you some advice along the way.
47
References
1. Aminzadeh, F., Edwards, N., Lockett, D., & Nair, R. (2001).
Patterns of bathing, device utilisation and acceptability of
bathroom safety devices among community living older adults.
Technology and Disability, 13 (2), 95-103.
2. Sveistrup, H., Lockett, D., Edwards, N., & Aminzadeh, F. (2004).
Optimal grab bar placement for seniors. BC Injury Prevention
Conference, Richmond, BD, April 9-11. (poster presentation).
3. Tinetti, M.E., Speechley, M. (1989). Prevention of falls among the
elderly. New England Journal of Medicine, 320(16), 1055-1059
4. Raina, P., Dukenshire, S., Chambers, L., Toivonen, D., & Lindsay,
J. (1997). Prevalence, risk factors, and health care utilization for
injuries among Canadian seniors: An analysis of the 1994 National
Population Health Survey (IESOP Research Report No. 15).
Hamilton, ON: McMaster University.
5. Zuckerman, J.D. (1996). Hip fracture. New England Journal of
Medicine, 334(23), 1519-1525.
6. National Osteoporosis foundation.(2001). Disease Statistics.
Retrieved from http://www.nof.org/osteoporosis/stats.htm
7. Tinetti, M.E., Mendes de Leon, C.F., Doucette, J.T., Baker,
D.I.(1994). Fear of falling and fall-related efficacy in relationship
to functioning among community-living elders. Journal of
Gerontology, 49(3),M140-7
8. Rawsky, E. (1998). Review of the literature on falls among the
elderly. Image - The Journal of Nursing Scholarship, 30(1),47-52.
9. Wilkins, K. (1999). Health care consequences of falls for seniors.
Health Reports,10(4). Statistics Canada, Catalogue 82-003.
10. Asche, C., Gallagher, E., & Cotote, P. (2000). Economic impact
of falls among Canadian Seniors. Unpublished manuscript,
University of Toronto, Department of Health Administration,
Faculty of Medicine
Tools for Living Well
48
References
11. Tinetti, M.E., Speechley, M., 7 Ginter, S.F. (1988). Risk factors
for falls among elderly persons living in the community. New
England Journal of Medicine, 320(16), 1055-1059.
12. Berg, W.P., Alessio, Mills, E.M., & Tong, C. (1997). Circumstances
and consequences of falls in independent community-dwelling
older adults. Age and Aging, 26, 261-268.
13. Connell, R.B, & Wolfe, S.L., for the Atlanta FISCIT Group. (1997)
Environmental and Behavioral Circumstances Associated with
falls at home among healthy elderly individuals. Archives Physical
Medicine Rehabilitation, 78, 179-186.
14. Health Canada (2001) Health Canadas Best Practice Guidelines
for Falls Prevention (2001),Prepared on behalf of the Federal/
Provincial/Territorial Committee of Officials (Seniors) for the
Ministers Responsible for Seniors, http://www.hc-sc.gc.ca/seniorsaines/pubs/best_practices/bp_toc_e.htm
15. Merriam Webster On-Line Dictionary, retrieved from http://
www.m-w.com/cgi-bin/dictionary?book=Dictionary&va=tool&x=
15&y=18
16. Dean, E., & Ross., J, 1993 , Relationships among cane fitting,
function and falls. Physical Therapy, 73 (8), 494-500.
17. Papadimitropoulos,E.A., Coyte,P.C., Josse,R.G., Greenwood,C.
E.(1998). Current and projected rates of hip fracture in Canada.
CMAJ Canadian Medical Association Journal,158(7),870-1
18. Conner-Kerr,T. (2002).Forgetting the apple: a hip protector a
day keeps the doctor away. Wandering/Fall Prevention, 8-10
19. Parker, M.J., Gillespie, L.D., Gillespie, W.J. (2002). Hip
protectors for preventing hip fractures in the elderly: The
Cochrane Library, http://www.cochrane.org/cochrane/revabstr/
ab001255.htm
20. Prochaska, J.O., & DiClemente, C.C. (1982).Transtheoretical
therapy toward a more integrative model of change
Psychotherapy: Theory, Research and Practice, 19(3), 276-287.
21. Rogers EM. Diffusion of innovations. New York: The Free Press;
1995.
Tools for Living Well
49
Appendix ONE
50
Appendix ONE - An Overview of the Tools for Living Well Pilot Project with Lessons Learned
Primary language
Average income
Pilot Site #1
32,531
13%
English
$21,802
Pilot Site #2
136,000
8%
English
$27,171
Pilot Site #3
228,052
10.1%
French
$23,259
Pilot Site #4
904,987
9%
English
$32,804
1 In site#4, the Site Coordinator position began as part time, had a gap of four
months, and then changed to a full-time position for the last three months.
Appendix ONE - An Overview of the Tools for Living Well Pilot Project with Lessons Learned
Site Coordinator
Pilot Site #1
Pilot Site #2
programs
Pilot Site #3
Pilot Site #4
o
o
o
51
52
Appendix ONE - An Overview of the Tools for Living Well Pilot Project with Lessons Learned
home care
a seniors day program
Pilot Site #2
Pilot Site #3
a local legion
home care
a local pharmacy
a local seniors centre
a day hospital
occupational therapy
a local hotel
Appendix ONE - An Overview of the Tools for Living Well Pilot Project with Lessons Learned
CAT Members
Pilot Site #4
Program Volunteers
Pilot Site #1
Pilot Site #2
4 seniors recruited by July 31, 2003 (1 senior expressed an interest, but became ill
and had to drop out)
Pilot Site #3
0 (1 senior expressed an interest, but became ill and had to drop out)
Pilot Site #4
53
54
Appendix ONE - An Overview of the Tools for Living Well Pilot Project with Lessons Learned
In both cities where Program Volunteers were used, the CAT and
the Program Volunteers met as one team once the work with
businesses began.
Pilot Site #2
Pilot Site #3
Sent a letter to all businesses that might be interested then made a follow-up
phone call
Appendix ONE - An Overview of the Tools for Living Well Pilot Project with Lessons Learned
Participating Businesses
Pilot Site #1
18 businesses:
8 pharmacies
1 medical supply store
5 hardware or building supply stores
1 department store
2 hotels
1 bed & breakfast
Pilot Site #2
5 businesses:
2 pharmacies
1 hardware store
1 department store
1 hotel
Pilot Site #3
11 businesses:
7 pharmacies
1 department store
1 hardware store
1 hotel and
1 builder *
Pilot Site #4
9 businesses:
4 pharmacies and 1 home health care businesses
1 department store
1 hardware store
2 hotels
* The Site Coordinator approached a salesperson at an open house for a new seniors condo that was
being built and, with the salespersons help, was able to contact the developer. The developer agreed to
be part of the program. After getting information from our Site Coordinator, the builder reinforced all bathtub
and shower walls in the complex to allow for retrofitting of grab bars and offered free grab bar installation to
buyers who requested it. To date, 27% of the condos have been sold with grab bars installed.
55
56
Appendix ONE - An Overview of the Tools for Living Well Pilot Project with Lessons Learned
Pilot Site #2
Pilot Site #3
Pilot Site #4
* The health fair was held, with permission of the local mall manager, at the local mall. It included
display tables with information, demonstrations, and draw prizes that were obtained from participating
businesses. Five other organizations participated in the event.
Appendix ONE - An Overview of the Tools for Living Well Pilot Project with Lessons Learned
B) Recommendations based on
lessons Learned
The pilot projects highlighted some key issues and useful strategies
for implementing and supporting the project in different communities.
We invite you to consider these as you prepare to implement Tools
for Living Well in your community.
57
58
Appendix ONE - An Overview of the Tools for Living Well Pilot Project with Lessons Learned
Appendix ONE - An Overview of the Tools for Living Well Pilot Project with Lessons Learned
59
60
Appendix ONE - An Overview of the Tools for Living Well Pilot Project with Lessons Learned
Summary
The goal of this Overview is to provide you with a sense of how
Tools for Living Well was implemented in four distinct and varied
communities across Canada. What we hope you take away from this,
is that every community is unique. As such, you will need to tailor
the Tools for Living Well program in consideration of your unique
community needs and capacity. Flexibility and creative problem
solving will help you make the program your own.
Congratulations on your desire to promote assistive devices in your
community. You are embarking on a very important endeavour. We
wish you success as you bring this program to your community.
61
Appendix TWO
can
can
can
can
can
can
can
can
prevent
prevent
prevent
prevent
prevent
prevent
prevent
prevent
These are available from the Health Canada web site (http://www.
hc-sc.gc.ca/seniors-aines/index_pages/publications_e.htm#injury),
or by contacting Health Canada directly at 1-800-O-Canada (1-800622-6232).
Poster for
Measuring Canes
This poster was developed
by the Tools for Living Well
program as an easy display for
measuring the correct length
of cares and illustrating correct
cane use. The poster pictured
here is available on a cost
recovery basis by contacting
CAOT at 1-800-434-2268, or
through the otworks.ca website.
Inches
Inches
62
60
60
59
59
58
58
57
57
56
55
54
56
WALKING UP STAIRS
54
53
52
51
51
50
50
53
52
49
49
weaker leg
48
48
47
1. Stand with your back facing the poster, arms at your sides.
47
46
2. Bend your hands upwards towards the ceiling, palms facing the floor. If you have trouble
bending your wrists, use your wrist watch as a guideline and take the measurement from
the centre of the watch face.
46
45
44
3. Your cane should measure the distance from the floor to where your hand bends at your
wrist or to the centre of the face on your watch. Ex. The person demonstrated on this poster
should have a cane that measures 39 inches long.
43
Note: You should take the reading from the hand that is on the side of your stronger leg (the
hand that you will hold your cane in).
45
44
43
42
42
41
41
40
40
39
39
38
38
37
37
36
36
35
35
34
34
33
33
32
32
31
31
30
30
29
28
27
26
25
29
Assistive Devices to Help Prevent Falls.
A joint venture between the University of Ottawa
and the Canadian Association of Occupational
Therapists (CAOT).
For more information please visit our website at
www.otworks.ca
Some information was adapted from Cherish
Your Independence, City of Ottawa,
Public Health Branch.
Funding provided by Health Canada/Veterans
Affairs Canada Falls Prevention Initiative.
The views expressed herein do not necessarily
represent the official policies of
Health Canada, Veterans Affairs Canada, the
University of Ottawa and the Canadian
Association of Occupational Therapists (CAOT).
The information in this bochure is current as of
2004.
55
28
27
26
25
63
Evaluation Tools
Contents
Evaluation Tool 1: Retailer Initial Interview ......................................................................................... 65
Evaluation Tool 2: Retail Store Environmental Scan ......................................................................... 69
Evaluation Tool 3: Retailer Follow-Up Interview...................................................................................71
Evaluation Tool 4: Hotelier Initial Interview ......................................................................................... 75
Evaluation Tool 5: Hotel/Motel Environmental Scan ........................................................................... 79
Evaluation Tool 6: Hotelier Follow-up Interview ..................................................................................81
Evaluation Tool 7: Homebuilder Initial Interview ................................................................................. 83
Evaluation Tool 8: Model Home Environmental Scan ..........................................................................87
Evaluation Tool 9: Homebuilder Follow-up Interview .......................................................................... 89
64
Evaluation Tools
Evaluation Tools
Location/Address: ___________________
Store type (e.g. Pharmacy, home improvement, department, medical specialty) _________________
1. Approximately what percentage of your customers are older adults (over the age of 60)?
_____ % _____ Dont know
2. Most of your customers speak:
___ English
___ French
3. Is your store:
___ Other
____ A franchise
____ Privately owned and managed
____ Other, please specify___________________________
No
Yes
Comments
Cane
Grab bar
Bath Bench
Non-slip bath mat
for outside the
tub/shower
Non-slip bath mat
for inside the tub/
shower
Hip protectors
65
66
Evaluation Tools
Evaluation Tool 1
Know nothing
about it
Have heard of it
but never seen
one
Have used or
demonstrated
use before
Cane
Grab bar
Bath Bench
Non-slip mat for
outside the tub/
shower
Non-slip mat for
inside the tub/
shower
Hip protectors
6. How confident are you that you could help your customer select the right device (features, size,
etc)?
Check column that best represents stated level of confidence for each.
Assistive Device
Not at all
confident
Cane
Grab bar
Bath Bench
Non-slip mat for
outside the tub/
shower
Non-slip mat for
inside the tub/
shower
Hip protectors
A little confident
Quite confident
Totally confident
Evaluation Tools
Evaluation Tool 1
7. Do you have brochures or information sheets that you can share with your customers on each of the
following?
Assistive Device
No
Yes
Dont
know
Cane
Grab bar
Bath Bench
Non-slip mat for
outside the tub
/shower
Non-slip mat for
inside the tub/
shower
Hip protectors
8. What would be most helpful to your store if you were to increase your promotion of assistive devices?
Please check all that apply.
Assistive
Device
Information
on what it is
Information on
how to help
clients select
correct one
Information
Supplier
to share with list
customers
Cane
Grab bar
Bath Bench
Non-slip
bath mat for
outside the
tub/shower
Non-slip
bath mat for
inside the
tub/shower
Hip
protectors
67
68
Evaluation Tools
Evaluation Tools
Assessment:
Initial___
Follow-up___
Location/Address: ___________________
Store type (e.g. Pharmacy, home improvement, department, medical specialty) _________________
PART A
Assistive
Device
Does the
If yes, are
store sell
different
the device? options/sizes
available?
Are
accessories
sold for
devices, such
as ice picks for
canes?
Are
information
brochures
available for
customers?
Cane
Grab bar
Bath Bench
Non-slip bath
mat for outside
the tub/shower
Non-slip bath
mat for inside
the tub/shower
Hip protectors
69
70
Evaluation Tools
Evaluation Tool 2
PART B
Please provide comments related to types of devices sold, brochures available, location of device in
store, for support, etc.:
1. Comments related to canes:
Evaluation Tools
No
Yes
Comments
Cane
Grab bar
Bath bench or seat
Non-slip bath mat
for outside the tub/
shower
Non-slip bath mat
for inside the tub/
shower
Hip protectors
71
72
Evaluation Tools
Evaluation Tool 3
3. Do you think that your knowledge about the following has changed?
Assistive Device
Yes
No
Cane
Grab bar
Bath bench or seat
Non-slip bath mat for outside the tub/shower
Non-slip bath mat for inside the tub/shower
Hip protectors
4. Has your confidence about your ability to help your customer select the right device (features, size,
etc) changed?
Assistive Device
Yes
No
Cane
Grab bar
Bath bench or seat
Non-slip bath mat for outside the tub/shower
Non-slip bath mat for inside the tub/shower
Hip protectors
5. Do you have brochures or information sheets that you can share with your customers on each of the
following?
Assistive Device
No
Cane
Grab bar
Bath bench or seat
Non-slip bath mat
for outside the tub/
shower
Non-slip bath mat
for inside the tub/
shower
Yes
Dont
know
Evaluation Tools
Evaluation Tool 3
6. Have you had any comments from your customers on any of the brochures that you have available?
Assistive Device
No
Yes
Dont know
Cane
Grab bar
Bath bench or seat
Non-slip bath mat
for outside the tub/
shower
Non-slip bath mat
for inside the tub/
shower
7. Have you noticed an increase in sales in the following items?
Assistive Device
No
Yes
Dont know
Cane
Grab bar
Bath bench or seat
Non-slip bath mat
for outside the tub/
shower
Non-slip bath mat
for inside the tub/
shower
73
74
Evaluation Tools
Evaluation Tool 3
8. Are there any other comments that you would like to make about the Tools for Living Well program?
Assistive Device
No
Cane
Grab bar
Yes
Dont
know
Evaluation Tools
___Other
___Dont know
____ A franchise
____ Privately owned and managed
____ Other, please specify___________________________
No
Yes, in all
rooms
Yes, in certain
rooms or upon
request
Comments
75
76
Evaluation Tools
Evaluation Tool 4
Know
nothing
about it
Have heard of it
but never seen
one
Have used or
demonstrated
use before
Grab bars
Bath bench or seat
Non-slip bath mat
for outside the tub/
shower
Non-slip bath mat
for inside the tub/
shower
6. What would be most helpful to your establishment if you were to increase your promotion of assistive
devices?
Please check all that apply.
Assistive
Device
Information
on device
Grab bar
Bath bench or
seat
Non-slip bath
mat for outside
the tub/shower
Non-slip bath
mat for inside
the tub/shower
Information
on where
to obtain or
purchase
Information
on
installation
Information
for
customers
on proper
use
Ideas for
promoting
that we
offer these
Other
ways
we can
support
you?
Evaluation Tools
Evaluation Tool 4
_____
___Dont know
9. Have you ever received requests for rooms equipped with the following bath safety devices?
a) Bath grab bars:
___Yes
___No
___Dont know
___Yes
___No
___Dont know
___Yes
___No
___Dont know
___Yes
___No
___Dont know
10. Have you had any reported falls on your premises the past year?
___No
___Yesif yes, did any of these take place while your client was taking a bath or shower (e.g.
getting in or out of the bathtub, during a shower or bath)
___No ___Yes ___Dont know
77
78
Evaluation Tools
Evaluation Tools
Assessment:
Initial___
Follow-up___
Location/Address: ___________________
Business type (e.g. hotel, motel, bed and breakfast, other) ________________________________
PART A
NOTE: ASK TO SEE A STANDARD ROOM
Assistive
Device
Available
in
standard
room?
Available
in fully
access
room
only?
Available
upon
request?
Advertised
in
promotional
or guest
services
material?
If available, is device
in safe, working
order? (e.g. if grab
bar, well secured,
if bench, non-slip
tips on feet, if mats,
still provide anti-slip
protection)
Are devices
inspected
on a
regular
basis?
Grab bar
(indicate
number
available per
bathtub, as
well)
Bath bench
or seat
Non-slip
bath mat for
outside the
tub/shower
Non-slip
bath mat for
inside the
tub/shower
79
80
Evaluation Tools
Evaluation Tool 5
PART B
Please provide comments related to types of devices sold, brochures available, location of device in
store, for support, etc.:
1. Comments related to grab bars:
Evaluation Tools
Location/Address: ___________________
Business type (e.g. hotel, motel, bed and breakfast, other) ________________________________
1. Approximately what percentage of your customers that you deal with are older adults (over the age of
60)?
_____ %
___Dont know
2. Most of your customers speak:
___English
___French
___Other
___Dont know
___Dont know
No
Comments
81
82
Evaluation Tools
Evaluation Tool 6
6. Do you think that your knowledge about the following has changed?
Assistive Device
Yes
No
Comments
Grab bar
Bath bench or seat
Non-slip bath mat for
outside the tub /shower
Non-slip bath mat for
inside the tub / shower
7. In the past 6 months, have you received requests for rooms equipped with the following bath safety
devices?
a) Bath grab bars:
___Yes
___No
___Dont know
___Yes
___No
___Dont know
___Yes
___No
___Dont know
___No
___Dont know
8. Have you had any reported falls on your premises in the past year?
___No
___Yesif yes, did any of these take place while your client was taking a bath or
shower (e.g. getting in or out of the bathtub, during a shower or bath)
___No ___Yes ___Dont know
9. Do you have any other comments about the Tools for Living Well program?
Evaluation Tools
__Dont know
____ A franchise
____ Privately owned and managed
____ Other, please specify___________________________
Know nothing
about it
Have heard of it
but never seen
one
Have seen
one but never
personally used
or demonstrated
use before
Have used or
demonstrated
use before
Grab bar
Non-slip bath mat
for outside the tub
/shower
Non-slip bath mat
for inside the tub /
shower
83
84
Evaluation Tools
Evaluation Tool 7
No
Yes, in some
Yes, in all
Comments
Grab bars in
bathtubs and
showers (please
list how many per
bath area)
Non-slip bath mat
for outside the tub/
shower
Non-slip bath mat
for inside the tub/
shower
6. Are bathtub and shower stall areas in your new homes equipped with grab bars?
___ Nogo to number 7
___ Yes, if yes.please tell us:
a) Grab bars are:
__ Standard in all of our new homes
__ Standard in some of our new homes please specify which ones
(i.e. townhomes, single family homes) __________________________
__ Available at the customers request
b) On average, how many grab bars are there per tub/shower stall area? ________
7. Do bathtub and shower areas in new homes incorporate, as standard, wall studs or reinforcements
that are designed to accommodate future installation of grab bars?
___No
___Yes, if yes.please tell us:
__ In some but not all new homes approx. % :_____
__ In all new homes
__ Available at the customers request
Comments:
Evaluation Tools
Evaluation Tool 7
8. What would be most helpful to your establishment if you were to increase your promotion of assistive
devices?
Please check all that apply.
Assistive
Device
Information
on device
Information
on where
to obtain or
purchase
Information
on
installation
Information
for
customers
on proper
use
Ideas for
promoting
that we offer
these
Other
ways
we can
support
you?
Grab bar
Non-slip
bath mat for
outside the
tub/shower
Non-slip
bath mat for
inside the
tub/shower
85
86
Evaluation Tools
Evaluation Tools
Assessment:
Initial___
Follow-up___
PART A
NOTE: ASK TO SEE A STANDARD MODEL HOME
Assistive Device
Available
in all
bathrooms?
Available
Advertised in If available, is device in safe,
in some?
promotional working order? (e.g. if grab bar,
bathrooms? materials?
well secured, if bench, nonslip tips on feet, if mats, still
provide anti-slip protection)
PART B
Please provide comments related to types of devices sold, brochures available, location of device in
store, for support, etc.:
1. Comments related to grab bars:
87
88
Evaluation Tools
Evaluation Tool 8
Evaluation Tools
Know nothing
about it
Have heard of it
but never seen
one
Have seen
one but never
personally used
or demonstrated
use before
Have used or
demonstrated
use before
Grab bar
89
90
Evaluation Tools
Evaluation Tool 9
No
Yes, in some
Yes, in all
Comments
Grab bars in
bathtubs and
showers(please
list how many per
bath area)
Non-slip bath mat
for outside the tub/
shower
Non-slip bath mat
for inside the tub/
shower
4. Are bathtub and shower stall areas in your new homes equipped with grab bars?
___ Nogo to question 5
___ Yes, if yes.please tell us:
a)
Grab bars are:
__Standard in all of our new homes
__Standard in some of our new homes please specify which ones
(i.e. townhomes, single family homes) __________________________
__Available at the customers request
b) On average, how many grab bars per tub / shower stall area?__
5. Do tub and shower areas in new homes incorporate, as standard, wall studs or reinforcements that
are designed to accommodate future installation of grab-bars?
___Nogo to question 6
___Yes, if yes.please tell us:
__In some but not all new homes approx. % :_____
__In all new homes
__Available at the customers request
Comments:
Evaluation Tool 9
Evaluation Tools
6. Have you used any of the informational brochures provided by Tools for Living Well with your
customers?
Yes___ No ___
Do you have any comments about the Tools for Living Well brochures?
7. Do you have any other comments that you would like to make about the Tools for Living Well
program?
91
92
Evaluation Tools
93
Program Tools
Contents
Program Tool 1: Community presentation (on disk)...................................................................................95
Program Tool 2: Community profile............................................................................................................99
Program Tool 3: Priority setting exercise .................................................................................................109
Program Tool 4: Strategic planning exercise ........................................................................................... 115
Program Tool 5: Sample introductory letter to businesses ...................................................................... 117
Program Tool 6: Sample script for follow-up call to businesses ............................................................. 119
Program Tool 7: Sample thank you letter for businesses ........................................................................ 121
Program Tool 8: What you should know before you approach homebuilders .........................................123
Program Tool 9: What you should know before you approach hoteliers .................................................125
Program Tool 10: What you should know before you approach retailers ................................................ 127
Program Tool 11: Staged interventions for working with businesses .......................................................129
Program Tool 12: Program Summary ........................................................................................................133
94
Program Tools
Program Tools
Slide 2
Slide 3
Slide 4
Slide 5
Slide 6
95
96
Program Tools
Program Tool 1
Slide 7
Slide 8
Slide 9
Slide 10
Slide 11
Slide 12
Program Tools
Program Tool 1
Slide 13
Slide 14
Slide 15
Slide 16
Slide 17
Slide 18
97
98
Program Tools
Slide 19
Program Tool 1
Slide 20
Program Tools
99
100
Program Tools
Program Tool 2
find out what falls prevention and other relevant programs are currently offered in your region;
assess current knowledge and capacity for promoting assistive devices in your community;
let potential stakeholders know about the Tools for Living Well program;
identify potential collaborations and ensure that redundancy is minimized;
identify potential members for your CAT and Program Volunteers;
obtain information on your community, e.g. number of seniors; and
identify strategies to working with your community that are mostly likely to be successful.
Community contacts:
Name of program, organization,
contact information
Local legions
Senior centers
Program Tool 2
Program Tools
Printed Press
Radio
Television
Other contacts
101
102
Program Tools
Program Tool 2
Websites:
Website Address
City
Public Health
Chamber of Commerce
Other websites
Program Tool 2
Program Tools
Population statistics
This space allows you to gather statistics about your community that will be useful for:
educating the community about the need for fall prevention; and
convincing the retailers that there is a market for the assistive devices that you are
recommending.
Total population
% of population over 65 yrs
% of home ownership
let local businesses know about the problem of falls and this program Tools for Living Well
identify potential businesses to target in the program
become more familiar with current availability of assistive devices in your region
get a sense of businesses current knowledge and capacity for promoting assistive devices
identify challenges or barriers that will need to be addressed when working with the businesses
in your region to promote assistive devices; and
identify potential members for your CAT.
Tools for Living Well
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104
Program Tools
Program Tool 2
Retail Stores
Hardware stores
Store
Comments
Comments
Program Tools
Program Tool 2
Pharmacy/Drug Stores
Store
Comments
Comments
105
106
Program Tools
Program Tool 2
Department Stores
Store
Comments
Comments
Program Tools
Program Tool 2
Homebuilders
Company
Comments
107
108
Program Tools
Program Tools
Step 2:
Rate each business along a 3-point scale on the basis of:
Ability: Is this business in a position to make the decisions about stock necessary to participate
in the program? Is this business in the position to have an impact on the community? (e.g. In a
neighbourhood with a lot of older residents? In an area that is easy to get to?)
Inclination: Has this business shown any inclination to support seniors or community programs
in the past? Do they offer senior discounts, or special programs?
Connection: Do we have a personal connection with anyone at this business? Have any
of your Program Volunteers worked with them, or know them personally? Does anyone on
the Community Advisory team work with them, and can they introduce the program to them
personally before sending in the Program Volunteer?
Rating guide:
Ability: Is this
business in a position
to make the decisions
about stock necessary
to participate in the
program? Is this
business in the position
to have an impact on
the community (e.g. in
a neighbourhood with
a lot of older residents?
In an area that is easy
to get to?)
This business is a
franchise that gives
its local managers no
control over advertising,
or probably unable to
participate for other
reasons.
109
110
Program Tools
Program Tool 3
Connection: Do we
have a connection
with anyone at this
business?
Nobody on the
committee has any
connection with anyone
in this business.
Someone on the
committee knows the
people who work there
on a casual basis, or
knows people not in
power positions who
could at least introduce
us or help identify
the correct person to
approach.
Step 3:
Sum the scores for each business that you rated. The 5 businesses within each business type with the
highest total scores are those that you likely want to target in this program.
Program Tools
Program Tool 3
Ability
Inclination
Connection
TotalScore
Comments
Tuesday
Retailers
The Old Time
Hardware
Seniors
Some contact
Standard
Plumbing
Supplies
Average Mall
Pharmacy
No contacts
No known
support of local
events
Seniors
discounts
Carry assistive
devices
No contacts
etc
etc
Decision:
It would appear, from this exercise, that your best bet would be to target the Old Time Hardware Store.
Targeting Average Mall Pharmacy would also seem to be worth your efforts. You would likely want to
delay approaching Standard Plumbing Supplies until you have successfully created momentum in your
region for this program.
111
112
Program Tools
Program Tool 3
Ability
Inclination
Connection
Total
Comments
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Program Tools
Program Tool 3
Hotels/motels
Business Name
Ability
Inclination
Connection
Total
Comments
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
113
114
Program Tools
Homebuilders
Business Name
Ability
Inclination
Connection
Total
Comments
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Program Tools
Relevant information
Strategic Approach
No contacts
115
116
Program Tools
Program Tool 4
Relevant information
Strategic Approach
Program Tools
117
118
Program Tools
Program Tool 5
Program Tools
119
120
Program Tools
Program Tools
121
122
Program Tools
Program Tools
123
124
Program Tools
Program Tool 8
Brochure
Brochure
Brochure
Brochure
Brochure
Brochure
Program Tools
125
126
Program Tools
listing their business when we publicize those who are participating in our program;
providing ideas of how they can make small changes to increase customer access to assistive
devices in their hotel/motel;
informing them of community events or public displays where we will be promoting the assistive
devices;
provide information on suppliers of assistive devices; and
providing brochures on falls safety for travellers that can be shared with guests.
Program Tool 9
Brochure
Brochure
Brochure
Brochure
Brochure
Brochure
Brochure
Program Tools
127
128
Program Tools
o
o
Program Tool 10
help to ensure ongoing independence and quality of life for seniors in your community (we
will ALL grow older!); and
become a trend setter among your peers.
Brochure
Brochure
Brochure
Brochure
Brochure
Brochure
Brochure
Brochure
Brochure
Brochure
Program Tools
Precontemplation or
contemplation
Early action
129
130
Program Tools
Program Tool 11
Action to maintenance
Diffusion of innovation
The business would promote
the use beyond its own site with
support.
Precontemplation or
contemplation
Program Tools
Program Tool 11
Early action
Action to maintenance
Diffusion of innovation
Precontemplation or
contemplation
131
132
Program Tools
Program Tool 11
Action to maintenance
Diffusion of innovation
Program Tools
Why are we promoting bathtub/shower grab bars, bath seats & nonslip mats?
The 1997 Canadian Hospital Injury Reporting and Prevention Program statistics showed that
almost 50% of falls among seniors and veterans occur in the home. Among falls in bathrooms,
half occur while bathing and over 70% result in an injury.
Hip protectors are a relatively new assistive device and less commonly known by the general
population. Research indicates that they reduce the injury if a fall does occur.
increase awareness of, and access to, assistive devices in your community;
encourage retailers, hoteliers and homebuilders to promote assistive devices in stores, hotels/
motels, and new homes;
educate seniors and their caregivers to make informed choices about assistive device and to
use them correctly; and
support a shift in social norms from assistive devices as tools for persons with disabilities to
assistive devices as tools for independent living.
133
134
Program Tools
Program Tool 12
Visit the web site at www.otworks.ca and follow the links to Tools for Living Well.
This program was developed with funding provided by the HC/VAC Falls Prevention Initiative, and cosponsored by the University of Ottawa and Canadian Association of Occupational Therapists.
135
Brochures
Contents
Brochure 1: Seniors are Good for Business! .....................................................................................137
Brochure 2: Use a cane! ................................................................................................................... 139
Brochure 3: Wear hip protectors! ......................................................................................................141
Brochure 4: Use grab bars! ............................................................................................................... 143
Brochure 5: Use a bath seat! ........................................................................................................... 145
Brochure 6: Use non-slip mats in your bathroom! ............................................................................147
Brochure 7: Invest in your Independence! ........................................................................................ 149
Brochure 8: Avoid falls while travelling! .............................................................................................151
Brochure 9: Have a safe home and lifestyle! .................................................................................... 153
Brochure 10: Protect yourself from falls! ........................................................................................... 155
Brochure 11: Hip Protector Supplier List ............................................................................................157
136
Brochures
Brochures
Seniors Are
Good for Business!
10 North County Times (2002, Nov 20). Boomers buying second and third homes.
Baldwin, A. http://www.nctimes.net/news/2002/20021120/51416.html
12 Foot, D. K. & Stoffman, D.(1996). Boom, Bust & Echo. Toronto: Macfarlane,
Walter & Ross.
11 Foot, D. K. & Stoffman, D.(1998). Boom, Bust & Echo 2000. Toronto: Macfarlane,
Walter & Ross.
137
138
Brochures
Use a cane!
Brochures
2: Use a cane!
139
CHOOSING A CANE
Figure 1
Figure 2
140
Brochures
Brochures
141
142
Brochures
Belt
Hip Protector
Warning: Hip protectors are effective only if
worn properly. Carefully follow the wearing
instructions provided by the manufacturer.
Hip Protector
Brief
Figure 3
INSTALLATION
2) Faucet wall:
Brochures
143
(see figure 1)
Faucet wall
Figure 2
Figure 1
Back wall
144
Brochures
Brochures
145
146
Brochures
Brochures
in your bathroom!
147
148
Brochures
Brochures
Invest in your
independence!
Assistive Devices to Help Prevent Falls.
A joint venture between the University of
Ottawa and the Canadian Association of
Occupational Therapists (CAOT).
For more information please visit our
website at www.otworks.ca
Funding provided by Health Canada/Veterans
Affairs Canada Falls Prevention Initiative.
149
150
Brochures
BANK LOANS
Home improvement loans are available at
most banks. If you do not qualify for funding
under any other program you may qualify for
a loan at your local bank.
Brochures
Avoid falls
while travelling!
151
152
Brochures
ACCOMMODATIONS
TOURING
TRAVELING BY BUS
OTHER PRECAUTIONS
Brochures
153
STAIRS
KITCHEN
LIVING ROOM
BATHROOM
154
Brochures
Brochures
Protect yourself
from falls!
Falls are the leading cause of fatal injuries
among Canadian seniors.
Nothing to lose, everything to gain!
155
156
Brochures
FACTS ON FALLS
Seniors' falls result in a loss of
independence. Seniors are more likely to be
admitted to hospital from an injury as a result
of a fall than any other age group. In fact,
over half (56%) of all admissions due to falls
occurred in persons 65 years of age or over.2
One in 5 older adults will die within
12 months of suffering a hip fracture.
Most of those who survive will end up in a
nursing home, using a walking aid, and/or
with restricted abilities.4
Seniors who fall are 3 times as likely of
being admitted to a long-term facility
such as a nursing home, than those
who do not fall.6
20% of deaths among seniors related to
injury can be traced back to a fall.7
NOTE:
With a restricted budget, it can be hard to find the
money for exercise classes or home improvements
such as grab bars or assistive devices. Veterans
should contact their nearest Veterans Affairs
Canada District Office to find out about programs
and services they may be eligible to receive that
can improve their well-being and help them to stay
in their home and community. Seniors can contact
the municipality, the local health centre or their local
Seniors' organization to obtain information on
services available at reduced cost or free of charge.
*You can obtain these publications free of charge
by calling 1-800-O-Canada (1-800-622-6232)
Safe Hip
underwear
Hip Saver
underwear
Energy
Shunting
&
Energy
Absorbing
SEWN IN
SOFT Shell
(Does not
sell to
retailers)
$59.99
$110
$75
$59
Approx.
Purchase
Price
Energy Shunting
SEWN IN
Energy Shunting
SEWN IN
Energy Shunting
HARD Shell
Belt
N/A
Not
Available
$115
$105
Suggested
Retail Price
Help Mates
Karen Brown, President
Phone: 1-888-771-0977
www.hipsaver.ca
kbrown@helpmates.on.ca
Hip Guard
Anne Kovin, President
Phone: 1-800-299-8892
www.hipguard.net
info@hipguard.net
Hip Guard
Anne Kovin, President
Phone: 1-800-299-8892
www.hipguard.net
info@hipguard.net
Contact Information
Brief
Safe Hip
underwear
Hip Protector
Characteristics of hip protectors were drawn from supplier information and have not been objectively evaluated by our team.
Brochures
157
HIPS
Belt
Energy
Shunting
&
Energy
Absorbing
REMOVABLE
SOFT Shell
$55.65
$110
$110
(Discount
may
apply)
$65
Approx.
Purchase
Price
Energy Shunting
&
Energy Absorbing
REMOVABLE
Energy Shunting
REMOVABLE
Energy Shunting
REMOVABLE
HARD Shell
$79.50
Not
Available
Not
Available
$95
Suggested
Retail Price
D.R. Mdical
1-888-268-0778
www.dr-medical.com
ERP Group
Maria Di Pasquo
Phone: 1-800-361-3537
www.erp.ca
Contact Information
Pro-Hips
Hip Protection
System
HIPS
Hip Shield
Hip Protection
System
Brief
Hip Protector
Characteristics of hip protectors were drawn from supplier information and have not been objectively evaluated by our team.
158
Brochures
Belt
Energy
Absorbing
SEWN IN
Energy
Absorbing
REMOVABLE
SOFT Shell
$86.75
$48.00
$54.20
$55.00
Approx.
Purchase
Price
Energy Shunting
REMOVABLE
Energy Shunting
&
Energy Absorbing
SEWN IN
HARD Shell
$115
Not
Available
$93.50
Not
Available
Suggested
Retail Price
(Item #00979)
Contact Information
Impactwear
Hip Protectors
Gerihip brief
Posey Hipsters
Brief
Hip Protector
Characteristics of hip protectors were drawn from supplier information and have not been objectively evaluated by our team.
Brochures
159
Briefs
Belt
Energy
Shunting
SEWN IN
OR
REMOVABLE
Energy
Shunting
REMOVABLE
HARD Shell
Energy
Absorbing
SEWN IN
OR
REMOVABLE
SOFT Shell
$118
Suggested
Retail Price
HIProtector
1-800-930-9255
www.hipprotector.com
Contact Information
$79.00
Approx.
Purchase
Price
Hornsby
Healthy Hips
KPH Hip
Protector
http://www.raunomo
.fi/index.htm
Safety Pants
Hip Protector
Characteristics of hip protectors were drawn from supplier information and have not been objectively evaluated by our team.
160
Brochures