The Development of Fall Prevention Model of The Elderly through Community Participation

Main Article Content

Wichuda Klinhom
Nongpimol Nimit-arnun
Jeuajan Wattakiecharoen
Chonlathip Thipkaew


This study aimed to develop participatory fall preventive model for community-dwelling elderly people in Ratchaburi province. The integration of community empowerment and health risk communication was applied as a study framework. The mixed-method design was applied by using among 150 participants of key persons during May-December 2019. The data were collected through quality approved instruments; including a set of open-ended questions, balancing screening test, environment risk assessment, and fall preventive behavior questionnaire. A paired t-test was used to examine the difference mean scores of quantitative data, while content analysis technique was used for qualitative data.

The findings revealed that the effectiveness of collaborative fall preventive model. The key success factors were the significant communication channel through public forum and health volunteers, towards friendly climate and active working team. This model consisted of 1) situational analysis and vision 2) multi-factorial intervention campaign 3) process evaluation and monitoring and 4) Summarization. Moreover, after joining the intervention program, the samples’ fall preventive behavior improved, as did their physical balance significantly. Thus, the suggestion is to be reinforce the community continuingly for growing up their strength of those related to fall prevention strategies development.


Download data is not yet available.

Article Details

How to Cite
Klinhom W, Nimit-arnun N, Wattakiecharoen J, Thipkaew C. The Development of Fall Prevention Model of The Elderly through Community Participation. J Royal Thai Army Nurses [Internet]. 2020Sep.4 [cited 2020Oct.21];21(2):389-9. Available from:
Research Articles


1. Foundation of Thai gerontology research and development Institute (TGRI). Situation of the Thai elderly 2018. Bangkok: Print Terry ltd.; 2019. (in Thai)

2. World Health Organization. WHO global report on falls prevention in older age. WHO Regional Office in France: Ann Field/Didyk Illustration; 2007.

3. Jin J. Prevention of falls in older adults. JAMA. 2018;319(16):1734.

4. Rubenstein LZ. Falls in older people. Geriatrics. Merck Manuals Professional Edition. Merck Sharp & Dohme Corp; 2019.

5. Kittipimpanon K, Amnatsatsue K, Kerdmongkol P. Development and evaluation of a communitybased fall prevention program for elderly Thais. Pacific Rim Int J Nurs Res.2012;16(3): 222-35. (in Thai)

6. Jitramontree N,Chatchaisucha S,Thaweeboon T,Kutintara B,Intanasak S. Action research development of a fall prevention program for Thai community-dwelling older persons. Pacific Rim Int J Nurs Res. 2015;19(1):69-79. (in Thai)

7. Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, et al. Interventions for preventing falls in older people living in the community. Cochrane Systematic Review-Intervention.12 September 2012.

8. Moncada LVV,Mile LG. Preventing falls in older persons. AM FAM PHYSICIAN. 2017;96(4): 240-7.

9. Vieira ER,Palmer RC,Chaves PHM. Prevention of falls in older people living in the community. BMJ.2016;353:i1419.

10. Lovarini M,Clemson L,Dean C. Sustainability of community-based fall prevention programs:A systematic review. J SAFE RES.2013;47:9-17.

11. Wallerstein N. Empowerment and health: the theory and practice of community change. COMMUNITY DEV J.1993;28(3):218-27.

12. Rothman AJ,Kiviniemi MT. Treating people with information: an analysis and review of approaches to communicating health risk information. Monogr Natl Cancer Inst. 1999; 25(1):44-51.

13. Nokham R,Kitisr C. Effect of square-stepping exercise on balance in older adults: A systematic review and meta-analysis. J Phys Fitness Sports Med.2017;6(3):183-90.

14. Fisseha B,Janakiraman B,Yitayeh A,Ravichandran H. Effect of square stepping exercise for older adults to prevent fall and injury related to fall: systematic review and meta-analysis of current evidences. J EXERC REH.2017;13(1) :23-9.

15. Podsiadlo D, Richardson S. The time“up and go”: a test of basic functional mobility for frail elderly persons. J AM GERIATR SOC.1991; 39(2)16. Pongaumpai P, Hoontrakul S, Roojanaveth S. The effects of family empowerment program on fall prevention capabilities of the elderly. ROYAL THAI NAVY MED J. 2018; 45(2):311-27. (in Thai)

17. Suebsoontorn W, Nimit-arnun N, Chatdokmaiprai K. The effects of self-efficacy enhancement program on fall prevention behaviors and physical capabilities of older persons in community. CHONBURI HOS J.2019;44(2): 119-28. (in Thai)

18. Yoddumnern-Attig B. et al.(Eds).Qualitative methods for population and health research. Publication Number127. IPSResearch,Mahidol University,Thailand.2001. (in Thai)

19. Nimit-arnun N,Roojanaveth S,Poopitukkul J. The health risk communication pattern of stroke diseases towards cultural perspectives of Tai Song Dam ethnic group: the case study in a community in Nakorn Pathom. J FAC NURS BURAPHA U.2019; 27(2): 80-92. (in Thai)

20. Duangjinda M, Nimit-arnun N, Roojanavech, S. The outcomes of health risk communication program amongst high risk stroke patients at sub-district health promoting hospitals in Samut Sakhon province. J. Royal Thai Army N. 2016;17(2):59-67. (in Thai)