Background Falls are a threat to the health of older adults and can reduce their ability to remain independent. Falls are common, costly and can be deadly. One out of four older adults fall each year . In 2018, adults over the age of 65 reported more than 35 million falls and over 8 million reported a fall-related injury. Additionally, an estimated 3 million older adults were treated in emergency departments for falls injuries and more than 950,000 of these patients were hospitalized . In 2015, the total medical costs for falls totaled more than $50 billion . Since the beginning of the COVID-19 pandemic, more than one out of three people age 50+ reported being less physically active. More than 25% reported that they are in worse physical condition than before the pandemic. From March 2020 to January 2021, 25% of older adults experienced a fall . Lack of movement can lead to lower body weakness which is a condition that contributes to falls . Fortunately, falls are preventable and do not have to be an inevitable part of aging. Research has shown that falls and fall risks can be addressed through risk identification and targeted intervention, including a combination of clinical intervention and community-based programs . When implemented as a part of a results-oriented, comprehensive strategy, community-based programs play a critical role in reducing falls and falls risk among older adults and adults with disabilities across the nation. These programs have been proven to reduce falls and/or falls risk factors , as well as provide a positive return on investment . ACL’s AoA has built an infrastructure to increase access to, and the sustainability of, evidence-based disease prevention and health promotion programs, including falls prevention programs. Between 2014 and 2021, ACL/AoA awarded 80 discretionary grants to states, community-based organizations, and tribal organizations to implement evidence-based falls prevention programs. Between September 1, 2014 and September 1, 2021 over 136,000 individuals participated in an AoA-supported evidence-based falls prevention program. For more information about ACL’s Falls Prevention Program, including profiles of current grantees, please visit: https://www.acl.gov/programs/health-wellness/falls-prevention. Purpose This funding opportunity has two goals: Goal 1: Develop or expand capacity to significantly increase the number of older adults and adults with disabilities, particularly those in underserved areas/populations, who participate in evidence-based falls prevention programs to empower them to reduce their risk of falls. Goal 2: Enhance the sustainability of evidence-based falls prevention programs through the implementation of robust sustainability strategies. Applicants for this funding opportunity must propose to deliver two or more evidence-based falls prevention programs. These programs must be on the list of pre-approved interventions found in Appendix A. All applicants must propose to implement at least one program that can be delivered in a remote format, i.e., by video conference or some other modality that does not involve an in-person component. The National Council on Aging (NCOA) maintains a website that tracks remote program guidance (https://www.ncoa.org/news/ncoa-news/center-for-healthy-aging-news/track-health-promotion-program-guidance-during-covid-19/). All applicants should contact the program administrator(s) for any program(s) they are interested in delivering remotely to confirm that: 1) the programs are allowed for remote delivery; and 2) that training is readily available for applicants who need it. Note that the NCOA website includes programs on the pre-approved list in Appendix A, as well as other programs not on the list. For this funding opportunity, applicants may ONLY propose programs on the pre-approved list in Appendix A. All applicants who do not have adequate existing capacity for any in-person and/or remote program(s) they are proposing must include a letter from the program administrator(s) in their application indicating that they will be able to get training in the programs no later than three months after the start date of the grant (if selected for funding). Related Federal Activities This opportunity does not duplicate nor overlap with existing Federal efforts related to falls prevention. It aligns with current efforts to maximize the impact of this funding. Some examples of existing national, state, and local falls prevention efforts that could be leveraged include: The Centers for Disease Control and Prevention’s (CDC) National Center for Injury Prevention and Control uses data to report the latest burden and health implications for various injuries including falls, the leading cause of both fatal and nonfatal injuries among older adults. Using this data, CDC is building partnerships with health systems, providers of health care, and those who pay for health care services. These partnerships will improve what is known about the burden of falls and the integration of effective fall prevention strategies and patient care. The CDC’s Stopping Elderly Accidents, Deaths & Injuries (STEADI) initiative provides resources and tools for health care providers. These tools include online trainings, screening tools, case studies, videos and information on how to conduct functional assessments, and patient educational materials. CDC is also working with suppliers of electronic health records systems to facilitate the adoption and use of the STEADI tools in the clinic setting. CDC supports opportunities to broaden and improve the linkage between primary care providers and evidence-based community falls prevention programs supported by ACL. Related resources include: CDC STEADI Initiative CDC Facts on Older Adult Falls CDC Compendium of Effective Fall Interventions: What Works for Community- Dwelling Older Adults The ACL-funded National Falls Prevention Resource Center (NFPRC), based at the National Council on Aging, works to increase public awareness about the risks of falls and how to prevent them, support the implementation of evidence-based falls prevention programs, and serve as a national clearinghouse of tools and best practices. The NFPRC also leads the Falls Free® Initiative, a national effort to address the growing public health issue of falls, fall-related injuries, and deaths. The initiative includes 70 national organizations and a 43-member State Coalition on Falls Prevention Workgroup charged with collaboratively promoting effective strategies to address falls. Related resources include: FallsFree CheckUp National Falls Prevention Resource Center Webpage Falls Free® Initiative Falls Prevention Awareness Week 2015 Falls Free® National Action Plan Fall Prevention Facts Resources for Older Adults and Caregivers Evidence-Based Fall Prevention Programs Address a Significant Public Health Issue: Funding for Falls Prevention Programs REFERENCES  U.S Centers for Disease Control and Prevention. (2016). Facts About Falls. Accessed October 6, 2021 from http://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html.  Moreland B, Kakara R, Henry A. Trends in Nonfatal Falls and Fall-Related Injuries Among Adults Aged ≥65 Years — United States, 2012–2018. MMWR Morb Mortal Wkly Rep 2020; 69:875–881. DOI: http://dx.doi.org/10.15585/mmwr.mm6927a5external icon. https://www.cdc.gov/mmwr/volumes/69/wr/mm6927a5.htm  U.S Centers for Disease Control and Prevention. (2016). Facts About Falls. Accessed October 6, 2021 from http://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html.  Malani P, Kullgren J, Solway E, Hoffman G., Singer D., Kirch M. National Poll on Healthy Aging Physical Functioning and Falls During the COVID-19 Pandemic, August 2021, https://deepblue.lib.umich.edu/bitstream/handle/2027.42/168424/0239_NPHA-Falls-report-FINAL-08022021.pdf?sequence=4&isAllowed=y  U.S Centers for Disease Control and Prevention. (2016). Facts About Falls. Accessed October 6, 2021 from http://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html  U.S. Centers for Disease Control and Prevention. (2015). Compendium of Effective Fall Interventions: What Works for Community-Dwelling Older Adults, available at: https://www.cdc.gov/homeandrecreationalsafety/pdf/falls/cdc_falls_compendium-2015-a.pdf  Fuzhong L, Harmer P, Fisher JK, Mcauley E. (2004) Tai Chi: Improving Functional Balance and Predicting Subsequent Falls in Older Persons. Med Sci Sports Exerc. 36 (12): 2046-2052.  Clemson L, Cumming RG, Kendig H, Swann M, Heard R, Taylor K. (2004) The Effectiveness of a Community-Based Program for Reducing the Incidence of Falls in the Elderly: A Randomized Trial. J Am Geriatr Soc., 52 (9): 1487–1494.  Healy, T.C., Peng, C., Haynes, P., McMahon, E., Botler, J., & Gross, L. (2008). The feasibility and effectiveness of translating A Matter of Balance into a volunteer lay leader model. Journal of Applied Gerontology, 27(1): 34-51.  Carande-Kulisa, V., et al. (2015), A cost–benefit analysis of three older adult fall prevention interventions, Journal of Safety Research, Accessed January 4th, 2016 from: http://www.scien cedirect.com/science/article/pii/S0022437514001170.
2022 Empowering Communities to Deliver and Sustain Evidence-Based Falls Prevention Programs
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State governments,County governments,City or township governments,Special district governments,Independent school districts,Public and State controlled institutions of higher education,Native American tribal governments (Federally recognized),Public housing authorities/Indian housing authorities,Native American tribal organizations (other than Federally recognized tribal governments),Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education,Private institutions of higher education
Additional Information on Eligibility
Foreign entities are not eligible to compete for, or receive, awards made under this announcement. Faith-based and community organizations that meet the eligibility requirements are eligible to receive awards under this funding opportunity announcement.
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