1. Otago Home Exercise Programme (OEP) to prevent falls LEADERSHIP TRAINING

2. Introductions Tutors Tutors Candidates Candidates –Who are you? Name Name Profession Profession

3. Otago Exercise Programme Partnerships Prof John Campbell, Dr Clare Robertson, NZ Prof John Campbell, Dr Clare Robertson, NZ Dr Julie Whitney, UK Dr Julie Whitney, UK Developed an LLT “How to Teach Manual” Developed an LLT “How to Teach Manual” Pilot 4 day course Dudley May 2006 Pilot 4 day course Dudley May 2006 Running in UK, now trained over 1500 OEP Leaders Running in UK, now trained over 1500 OEP Leaders Across Europe - ProFouND – Evaluating a Cascade Trainer Model for increasing reach of effective falls prevention exercise across Europe Across Europe - ProFouND – Evaluating a Cascade Trainer Model for increasing reach of effective falls prevention exercise across Europe

4. Course Aim To provide underpinning knowledge and evidence for effective falls prevention exercise to a wide range of appropriate professionals/ individuals Ultimately, to increase the ‘reach’ of evidence based practice to older people (in groups and one to one) This can be achieved across a range of settings and models of implementation when organisations/health professionals work in partnership to establish clear guidance for the assessment of suitability for frailer older people undertaking the programme

5. Course Objectives On completion of the course the OEP leader will be able to: Identify the incidence, location and consequences of falls in older people Identify the incidence, location and consequences of falls in older people Identify the aims, components, progressions and support strategies of the OEP and the principles of programming and leading exercise for frailer older people Identify the aims, components, progressions and support strategies of the OEP and the principles of programming and leading exercise for frailer older people Identify older people populations (the over 65’s) according the CMO guidelines 2011 Identify older people populations (the over 65’s) according the CMO guidelines 2011 Demonstrate competency in the necessary skills to deliver the OEP to individual and groups of frailer older people Demonstrate competency in the necessary skills to deliver the OEP to individual and groups of frailer older people Identify, through tutor, peer and self evaluation, the practical leading skills and competencies he/she has achieved and those that still need to be improved; draw up an action plan to address these in consultation with the OEP tutor Identify, through tutor, peer and self evaluation, the practical leading skills and competencies he/she has achieved and those that still need to be improved; draw up an action plan to address these in consultation with the OEP tutor Identify how qualifications and skill sets inform decision of suitability for participation in the OEP Identify how qualifications and skill sets inform decision of suitability for participation in the OEP

6. Certification

7. Timetable Day 1

8. Purpose of Manuals Why two manuals? Why two manuals? –Otago Home Exercise Programme (OEP) Manual –Later Life Training (LLT) ‘How to Instruct’ Handbook

9. An evidence based exercise continuum for strength and balance (fall prevention), where the OEP ‘fits in’ Chair Based Exercise (CBE) Otago (OEP) FaME (PSI) Postural Stability Instructor Seated exercise Seated & standing strength & balance 7 Components inc floor based exercises

11. Home based exercise programme OTAGO Chair Based Exercise Class (Community based) Exercise Referral Scheme 12 weeks Balance and Safety Group/OTAGO (PSI/Rehab based) 12 weeks Community based classes for older people OTAGO exercise classes (Community based) October 2007 Falls Assessment Identification of a falls problem and screening to determine risk factors * Service Model Example: Cambridgeshire Falls Prevention EXERCISE PATHWAY Motivation Pathway * Carried out by appropriate person

12. Not all OEP Leaders are the same!: 1 A training framework exists to ensure appropriate levels of knowledge and expertise are ‘matched’ to the client/patient group The OEP is evidenced as a therapy led intervention and should be an agreed and coordinated intervention The OEP is evidenced as a therapy led intervention and should be an agreed and coordinated intervention L2, and L3 GP referral trained fitness instructors with an OEP Leader qualification should ideally be working within primary prevention services and as part of an agreed pathway with suitability for entry agreed and identified by physiotherapy service leads, and in partnership with L4 PSI’s L2, and L3 GP referral trained fitness instructors with an OEP Leader qualification should ideally be working within primary prevention services and as part of an agreed pathway with suitability for entry agreed and identified by physiotherapy service leads, and in partnership with L4 PSI’s

13. A L4 PSI is qualified to work in secondary prevention as part of an agreed referral pathway from physiotherapy A L4 PSI is qualified to work in secondary prevention as part of an agreed referral pathway from physiotherapy A L4 PSI is trained to a higher level in order to provide tailored exercise from the FaME programme and is able to assess suitability for entry, and individually tailor for a range of co-morbidities A L4 PSI is trained to a higher level in order to provide tailored exercise from the FaME programme and is able to assess suitability for entry, and individually tailor for a range of co-morbidities A L4 PSI is qualified to deliver the OEP programme to individuals and groups A L4 PSI is qualified to deliver the OEP programme to individuals and groups Not all OEP Leaders are the same!: 2

14. Lets get started……. Handouts Handouts –OEP Manual –LLT Manual –LLT website passwords –OHPs of all sessions