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Stepping On - Scaling Program Delivery - Update 5/29 (Attachments, Solution with scalability)

Let's raise accessibility to the Stepping On program by including a virtual classroom.

Photo of Raheema Hemraj
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Who is your idea designed for and how does it enable older adults to live their best possible life by preventing falls?

We want older adults to remain active and participate in life to its fullest. Stepping On is an evidence based program that reduces falls by 30% by providing participants with knowledge about fall risk factors such as home environment, medications, and vision. Participants are also given balance and strength exercises and encouraged to develop habits for regular engagement. This program is for seniors who are mobile, cognitively aware and able to participate in a daily exercise program.

The details below are taken from the Wisconsin Institute for Healthy Aging's site.

About the Program:

"Stepping On is a high-level, evidence-based program proven to reduce falls and build confidence in older people. A community-based, small-group workshop, Stepping On was developed in Australia and tested in a randomized trial where it demonstrated a 31% reduction in falls.  Wisconsin developed an American version of Stepping On with support from the Centers for Disease Control and Prevention (CDC) that has been tested in the United States and shown to achieve a 50% reduction in falls. Independent researchers have concluded that the success of Stepping On is attributable to Program Leaders' adherence to the program's Key Elements."

To read more about the research done on the program, please click here: https://wihealthyaging.org/_data/files/National_Stepping_On/Clemson_JAGS_2004_-_Falls.pdf

"Stepping On is designed specifically for people who are: 

1) at risk of falling, 

2) have a fear of falling, or 

3) who have fallen one or more times. 

Participants meet for two hours a week for seven weeks.  Workshops are facilitated by trained Leaders and provide a safe and positive learning experience.

It is the process in which the program is taught that makes it effective. Classes are highly participative; mutual support and success build participants’ confidence in their ability to manage their health behaviors, reduce their risk of falls, and maintain active and fulfilling lives."

The Stepping On 7 week program includes (as noted on the SteppingOn.Com site):

Week Content
1 Introduction- Building trust, overview of program aims, sharing fall experiences, choosing what to cover and balance and strength exercises.
2 Exercises and moving about safely - Review and practice exercises, explore the barriers and benefits of exercise, moving about safely – chairs and steps, learning not to panic after a fall.
3 Home hazards - Identify hazards in and about the home and problem solving solutions.
4 Community safety and footwear - Generate strategies to get around the local community and reduce the risk of falling. Learn about the features of a safe shoe and identify clothing hazards.
5 Vision and falls and vitamin D - Recognize the influence of vision on the risk of falling. Review strategies to reduce risk of falling from dysfunction. Identify the importance of vitamin D, sunlight and calcium to protect from fall injury.
6 Medication management - Identify medication risks and falls. Explore strategies to reduce risk of falls from medication side effects or misuse. Identify behaviour and sleep alternatives to taking sedatives. Review of exercises. Strategies for getting out and about in the local community safely. Practice safe mobility techniques learned during the program in a nearby outdoor location.
7 Review and plan ahead. Graduation ceremony.


The Problem:

Currently, Stanford Healthcare offers the Stepping On program for free at various senior centers through the aid of a grant. At most, we are able to offer 5-6 sessions per year. With a maximum class size of 14 students, this does not allow for large-scale reach.

The Solution:

We are proposing a virtual class of 10-14 participants that would be offered via a Skype/Google Hangout type of service, and facilitated by a trained Stepping On leader and peer leader.  

Initially, the virtual class size would include 5-7 participants (half the amount that is number recommended for Stepping On). The trial would be kept simple, with an assistant managing the tablet in the classroom and muting/unmuting as needed to allow the virtual participants to participate in discussions.  We would be able to compare retention and satisfaction information from our virtual class to classes physically offered in our community, and make modifications before offering a second class.  

Gradually increasing the number of participants in subsequent offerings would afford us the opportunity to determine the optimal online community size.  Too few members might not allow enough interaction, and too many participants may affect sociability, cohesiveness, respect, and trust that are important when discussing sensitive fall prevention topics and developing behavioral change. 

We have chosen to maintain the group component of this program rather than design and offer an online program as we have found that being amongst a group of peers who are facing similar challenges and sharing their own fall stories and tips are powerful motivators. 

What early, lightweight experiment might you try out in your own community to find out if the idea will meet your expectations?

We have already been conducting Stepping On classes in the community and have received good feedback. Please see the attached document on user feedback.

What skills, input, or guidance from the OpenIDEO community would be most helpful in building out or refining your idea?

How would you scale this program while maintaining the fidelity of the program?

How long has your idea existed?

  • Over 1 year

This idea emerged from

  • An Individual

Tell us about your work experience:

We are both Occupational Therapists and currently working with Stanford Health Care in the Farewell to Falls Program and as instructors for Stepping On. We have several years of experience both as Occupational Therapists and working with older adults in the community.

How would you describe this idea while in an elevator with someone?

Stepping On is an evidence based program that reduces falls by 30% by providing participants with knowledge about fall risk factors and developing habits for exercises. Keys to the program’s success are education, peer interaction and support for behavioral change. We want to add an online delivery model, which would make it available to a wider number of participants.

How does your idea demonstrate our Criteria of Affordability?

The Stepping On program is provided by a variety of facilities and instructors nationwide and costs/fees for participation may vary. Currently we are providing this program through Stanford Health Care with the assistance of grants. This covers the cost of a 5-6 classes per year and allows us to offer the program for free. By including an online classroom, we are hoping to reach a wider number of participants with minimal cost increase. We would continue to offer the program for free.

How does your idea demonstrate or plan to demonstrate scalability?

Keys to this program’s success are education, peer interaction and support for behavioral change. This program is expensive to offer because of the need for a leader who understands aging, guest speakers (including a physical therapist, pharmacist, and vision specialist), and it is center-based. We want to discover if the model can be successfully transferred to an online delivery model, which would make it less expensive and available to a wider number of participants regardless of location.

How do you plan to measure the impact of your idea?

Currently participants are given a balance test at the first and then the seventh class. At the last class, they are also asked for feedback on exercise follow-through, new falls and satisfaction. With our first virtual classroom, we would compare the results of pre and post balance tests for the in-person classroom participants vs. the results of the virtual classroom participants to measure impact. The same would be done for exercise follow-through, falls, retention and satisfaction rates

What are your immediate next steps after the challenge?

The first step after the challenge would be to formally adjust the lesson plan to take into account the virtual classroom - i.e. determine what materials would need to sent and when to include virtual participants. Then we would set a date and location for the next Stepping On class and confirm that the location would agree to participate in a virtual classroom trial. If so, next steps would include training their team on how to describe and register participants for this trial program.

51 comments

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Photo of An Old Friend
Team

PLEASE READ THIS TESTIMONY CAREFULLY. I AM USING THIS OPPORTUNITY TO TELL THE WORLD THAT, GREAT MOTHER IS A GIFTED SPELL CASTER. MY HUSBAND LEFT ME FOR NO REASON. I WAS NO LONGER MY SELF AND AT A TIME, I ATTEMPTED TO COMMIT SUICIDE. BUT THANK GOD I CAME ACROSS GREAT MOTHER ONLINE. I READ GOOD REVIEWS ABOUT HER GOOD WORK AND HOW USEFUL AND HELPFUL SHE HAS BEEN TO PEOPLE. I CONTACTED HER AND TOLD HER MY PROBLEM. SHE TOLD ME THAT MY WAN WILL COME BACK TO ME. SHE TOLD ME WHAT TO DO AND I DID IT AND TO MY GREAT SURPRISE MY HUSBAND CAME BACK JUST AS GREAT MOTHER SAID. I EVEN NOTICED THAT WHEN MY HUSBAND RETURNED, HE EVEN LOVE ME MORE. THIS IS NOT BRAIN WASHING BUT GREAT MOTHER OPENED UP HIS EYES TO SEE HOW MUCH LOVE I HAVE FOR HIM AND HOW MUCH LOVE WE OUGHT TO SHARE WITH EACH OTHER. CONTACT HER NOW ON HER EMAIL:
GREATMOTHEROFSOLUTIONTEMPLE@YAHOO.COM AND YOU CAN ALSO CONTACT HER ON WHATSAPP WITH HER NUMBER: +2348078359876 SHE ALSO HAS 2 BLOGS WHICH YOU CAN ALSO USE TO REACH HER. THESE ARE THE BLOGS BELOW. YOU CAN CHECK OUT THE BLOGS TO SEE HER WORK.

GREATMOTHEROFPOWERS.BLOGSPOT.COM
GREATMOTHEROFSOLUTION.BLOGSPOT.COM

Photo of An Old Friend
Team

PLEASE READ THIS TESTIMONY CAREFULLY. I AM USING THIS OPPORTUNITY TO TELL THE WORLD THAT, GREAT MOTHER IS A GIFTED SPELL CASTER. MY HUSBAND LEFT ME FOR NO REASON. I WAS NO LONGER MY SELF AND AT A TIME, I ATTEMPTED TO COMMIT SUICIDE. BUT THANK GOD I CAME ACROSS GREAT MOTHER ONLINE. I READ GOOD REVIEWS ABOUT HER GOOD WORK AND HOW USEFUL AND HELPFUL SHE HAS BEEN TO PEOPLE. I CONTACTED HER AND TOLD HER MY PROBLEM. SHE TOLD ME THAT MY WAN WILL COME BACK TO ME. SHE TOLD ME WHAT TO DO AND I DID IT AND TO MY GREAT SURPRISE MY HUSBAND CAME BACK JUST AS GREAT MOTHER SAID. I EVEN NOTICED THAT WHEN MY HUSBAND RETURNED, HE EVEN LOVE ME MORE. THIS IS NOT BRAIN WASHING BUT GREAT MOTHER OPENED UP HIS EYES TO SEE HOW MUCH LOVE I HAVE FOR HIM AND HOW MUCH LOVE WE OUGHT TO SHARE WITH EACH OTHER. CONTACT HER NOW ON HER EMAIL:
GREATMOTHEROFSOLUTIONTEMPLE@YAHOO.COM AND YOU CAN ALSO CONTACT HER ON WHATSAPP WITH HER NUMBER: +2348078359876 SHE ALSO HAS 2 BLOGS WHICH YOU CAN ALSO USE TO REACH HER. THESE ARE THE BLOGS BELOW. YOU CAN CHECK OUT THE BLOGS TO SEE HER WORK.

GREATMOTHEROFPOWERS.BLOGSPOT.COM
GREATMOTHEROFSOLUTION.BLOGSPOT.COM

Photo of Rodney Lobo
Team

Hi Raheema Hemraj It is certainly true that a group effort would be more fruitful.

I was wondering if this is going to be only a 7 week session, or will there be any way to check if the elderly will continue to use the methods that they have learnt.

Photo of Raheema Hemraj
Team

Hi Rodney! Currently the program is designed for 7 sessions and then one booster session held 3 months after the end of class. At the booster session we ask how the participants have done with the exercises and any other take-aways that they had from the class. Usually we have some good feedback from participants - there is an attachment called 'Stepping On - User Feedback' that shows some comments from a recent session that was held. Please let me know what you think!
Raheema

Photo of Rodney Lobo
Team

Hi Raheema. It is nice to know that the participants give you good feedback. I read the attachment, and it seems that stepping-on is really helping the elderly.

I read that you can't offer more than a few session during a year at senior centers, have you considered training the seniors, who could continue offering these sessions at the centers.
I know for a fact that many seniors themselves volunteer at senior centers. Perhaps, they can help you scale the program.

Photo of eldy wullur
Team

It's interesting how your idea develops. In addition to equipment, to prevent elderly falling of course strengthens self-defense and maintain health by continuing to move outside the home.
Confinement at home will certainly make elderly become fast senile.

Photo of Raheema Hemraj
Team

Hi Eldy! Those are great points! We definitely encourage maintaining movement, inside and outside the home. Thanks for your support.
Raheema

Photo of Duncan Yorkston
Team

Hi Raheema,
Great idea that you've come up with. I notice your comments about calcium and vitamin D. As an aged care pharmacist, I too know first hand the importance of maintaining calcium and vitamin D status. Do you plan on measuring calcium and vitamin D levels as part of program? I know that inappropriate use of calcium supplements can lead to constipation in the elderly.

Photo of Raheema Hemraj
Team

Hi Duncan,
Thanks for the comments!
Unfortunately we don't measure Vitamin D and calcium levels during our class, but do speak about their importance, correct supplement levels, and symptoms from a deficiency - and also encourage participants to ask for testing from their doctor! We actually invite a Pharmacist to join during this class and speak to the participants about medication management and the Pharmacist will address calcium and Vitamin D as well. The participants always have alot of questions and seem to really appreciate this!
Raheema

Photo of An Old Friend
Team

Hi Raheema

Great idea, I'm really looking forward to see where this is going in the future! :)

Photo of Raheema Hemraj
Team

Hi Alex - Thanks for the support!

Photo of Bettina Fliegel
Team

Hi Raheema.
Thanks for sharing Stepping On! Congrats on moving into refinement.
Do participants do the exercises at every session during the program, in addition to learning about the topics shared above for each week of the program?

I think Linda Caste brings up an important point about perception of need. I also know seniors that might not take the program but could benefit from it. What might motivate those that could benefit but might not think to do it? It makes me think of defensive driving courses that people take to get a discount on their car insurance. I wonder if a financial incentive might work for a fall prevention class?
http://learn-ritedrivingschool.com/defensive.html

Photo of Raheema Hemraj
Team

Hi Bettina! I do remember taking that defensive driving class for my insurance discount! Saving money is a great motivator. I worry about using an external motivator for attendance though when the program is really most successful if the participant is motivated enough not just to attend but to do their "homework" - aka. the exercises throughout the week. Although perhaps by attending the class they can become motivated to do this?

To answer your question about the exercises - there is an opportunity to do exercises at each session, although at a few of the sessions, we might target only select exercises instead of doing the entire routine.

Thanks!

Photo of Bettina Fliegel
Team

Hi Raheema.
Thinking about how to scale the program I like Kate's suggestion in a comment below to train others to lead programs. Has your group considered that as a way to scale? I wonder if partnering with the Office of Community Health at Stanford, och.stanford.edu , might be a way to bring the program out to older adults in their communities, and to train community members to lead the program? Perhaps community leaders might suggest community members for these rolls?

Photo of Raheema Hemraj
Team

i Bettina! That is a great point about training others to lead the program. We did consider this as a way to scale and when I looked into it, I confirmed that training must be done by a 'master trainer', over a 3 day period. Unfortunately, I am not a master trainer and would not be able to provide this training. That said, it may be possible to set-up this training through WISA if there was an interest to go through it. We did not look at the Office of Community Health and that is a great idea! Perhaps we could connect the WISA trainers to community members through this office so that they could lead additional programs. I will follow-up with them on this option and keep you posted! Thanks Bettina!

Photo of Bettina Fliegel
Team

Hi Raheema. Your virtual class update sounds great! I wonder if students who participate might enjoy signing up in pairs to make it a social experience at home, or wherever they participate from?

Photo of Raheema Hemraj
Team

Thanks Bettina! That's a great idea and perhaps a good way to encourage people to sign up! I'm sure having someone else to do the program/exercises with at home would be encouraging.

Photo of Kate Rushton
Team

Hi Raheema Hemraj 

Thank you for all your hard work in this challenge and dedication.

All of the ideas posts are locked but the comments section is still open, so please feel free to look at other ideas and comment on them, seek feedback on your idea etc.

I know I have asked many ideators this question but I am asking again as some ideas pivoting in the challenge. Would you say your idea is Most Viable or Most Promising? How would the incentives associated with that Award (Most Viable/Most Promising) be helpful for you?

Photo of Raheema Hemraj
Team

Hi Kate!
I believe this idea would fall under the Most Viable category. In it's original form, the idea was about expanding the number of classes offered so that we could impact more people. With the current updates, we are still looking to expand the program, but just in a different format. Since we are building on an already existing program and one that we are already teaching to seniors, I believe it qualifies for Most Viable. The incentives offered would be very helpful in designing and implementing our pilot and determining how best to more forward after that. We would also be able to continue to offer the program at the same time.
Thank you!
Raheema

Photo of Joanna Spoth
Team

Hi Raheema Hemraj ! This sounds like an exciting initiative - I'd love to learn more. Did you see Kate's comment below?

Photo of Raheema Hemraj
Team

Hi Joanna! Thanks for the support - I just updated my post and replied to Kate's comment.
Thanks,
Raheema

Photo of Joanna Spoth
Team

Raheema Hemraj YES! so exciting to learn more about program. Do you have a sense of what you might be able to test out in the next couple of weeks? Thinking specifically about how you might update your answer to this question, "What early, lightweight experiment might you try out in your own community to find out if the idea will meet your expectations?"

Photo of Raheema Hemraj
Team

Hi Joanna! I have been brainstorming ideas with a few of my colleagues and fellow Stepping On instructors. We came up with an idea of an online model that would still allow for interaction/participation by participants, since this is considered an important component of the program. The thought was to invite participants to join in on a live class via FaceTime/Skype. We would have a 'moderator' in the classroom who could control the visuals/sound and invite our online participants to engage in the discussions. The hope was that this could perhaps double the class size by adding virtual participants. I just started a new session of Stepping On in Sunnyvale, this past Tuesday, and was really hoping to test this out. Unfortunately, the potential participants on the waitlist were either no longer available for our dates/time or said that they weren't comfortable with using technology. We are back to brainstorming an 'experiment'!
Raheema

Photo of Joanna Spoth
Team

Great insights, Raheema Hemraj ! Perhaps your end users aren't the right fit for remotely tuning in. Keep us updated on how the brainstorming goes. Perhaps you could chat with some current users of Stepping On, who are familiar with the program, and ask them what they think it would take for their friends to attend.

Photo of Raheema Hemraj
Team

Hi Joanna! I wanted to say thanks for the advice to speak with current users of Stepping On about the online program. I did do that at our last class and just included an attachment with the results. It's a small group (10 students), but it was encouraging to see that 6/10 felt that they knew someone (or multiple people in some cases) who would be interested in an online classroom Stepping On! Thanks to you and Kate Rushton for your help during the challenge! Raheema

Photo of Khuyen Bui Gia
Team

Hi Raheema,
Congratulation for making this far! Have you had the chance to work on this idea, and if so what feedback have you got? Ideas with feedback get better and more credible. I really like this program idea, esp that it is being tested.. I think it will fit in with our Viable category.

Photo of Raheema Hemraj
Team

Hello - thank you! We have been working on a prototype as a trial run of the online classroom and trying to gather feedback. We were not able to set-up the virtual classroom for the session that just began as registration had already been completed for this, but we did collect feedback from the current participants to see what they thought about a virtual classroom. I just attached a document with the results of this, but basically they showed that 6/10 participants felt that they knew someone who would be interested in an online version of Stepping On! I've also included a document with feedback from past participants of Stepping On. Thanks for the encouragement!
Raheema

Photo of Lynne
Team

I have students who may be interested in getting trained to implement this program in our local community here in Spartanburg, SC. Is this something of interest to you? There is no expectation for renumeration. This would be a part of their experience in social entrepreneurship.

Thank you,
Lynne S Mullin
Entrepreneurial Programs
Wofford College
Spartanburg, SC

Photo of Raheema Hemraj
Team

Hi Lynne!
I did look into training options and have confirmed that the Stepping On program requires training to be done by a 'Master Trainer', over a three-day period. There is a link on the Stepping On Wisconsin website which provides details on leader training opportunities and requirements for leaders. You can find that here: https://wihealthyaging.org/becoming-a-workshop-leader.
The main site also has contact information for the Stepping On Faculty trainer at WIHA - Shannon Myers - and she would be the best person to contact regarding training and brining workshops to a local community.
I think it's great that you and your students are considering this and hope that you are able to bring this program to Spartanburg! Please let me know if there is anything else that I can help with. Thanks!
Raheema

Photo of Deborah Bolding
Team

Hi, Raheema, I'm glad to be discussing the Stepping On project with you. While a small number of falls happen at night, most happen during the late morning to dinner time, when people are most active. Stepping On helps promote wellness and safe participation in everyday activities and exercise through education about the many fall risk factors. The model involves having participants share their stories and solutions and this is of great benefit in encouraging behavioral change. It would be useful to discover if this successful model can be translated from a natural world setting to the virtual world.

Photo of Raheema Hemraj
Team

Thanks Deb! It's so great to have you as part of the team!

Photo of Chris Ashford
Team

Hi Raheema Hemraj  Stepping On IS an effective tool in Fall Prevention. I would like to encourage you to continue pursuing the "video conference" approach in addition to the others. The technology is already in place and your proximity to Apple can help with getting devices in the hands of the needy. BTW - do you know Ellen Corman? Finally, when it is appropriate, I'd like to talk about getting Pre & Post Fall Risk assessments from your Stepping On participants. Here is to your continued success!

Photo of Raheema Hemraj
Team

Hi Chris! Thanks for the support! And that is a great point about Apple. Do you know if they have a specific program for providing devices for these kind of initiatives?
I do know Ellen - I'm actually part of her team in the Farewell to Falls Program! I'd be happy to chat with you about Stepping On - please reach out to me via Linkedin to connect. Thanks!

Photo of Kate Rushton
Team

Hi Raheema,

We are half-way through the refinement phase and I can’t wait to see continued updates on your idea. More information can be found in the refinement toolkit which can be found at the top of the refinement phase page.

An easy first step is to complete the refinement questions which can be found by logging into your OpenIDEO account and selecting the ‘Edit Contribution’ button on the top left hand corner.

If you scroll down to the bottom, you can see the five added questions with a character limit (including spaces) to help you focus your answer. The questions start with "How would you describe this idea while in an elevator with someone? (what's the elevator pitch for this idea?) - 400 character limit"

In addition to answering these questions it would be helpful if you could mention how your solution fits in the market in the ‘full description’ section of your post. Who are your competitors and how is your idea unique?

If you have any questions, please feel free to reach out to me, my email address is krushton@ideo.com

Hope to see you on the refinement call this Friday at 9 am PST.

Photo of Kate Rushton
Team

Hi Raheema!

Welcome to the refinement phase!

I really look forward to seeing how your idea develops and the suggestions from the community.

There are a few ideas from previous OpenIDEO challenge you might want to check out:

The incubator club from the Financial Longevity challenge has an interesting model centred around a credit union which maintains individuality but can scale. It is also a very well presented finalist idea clearly showing how the idea developed through several iterations -
https://challenges.openideo.com/challenge/financial-longevity/top-ideas/incubator-club-for-credit-union-members


"Get to Know Me" is a tablet-based display allowing families to share -- and ICU providers to learn -- longitudinally, who the patient is as a person which was an idea in our End of Life challenge - https://challenges.openideo.com/challenge/end-of-life/top-ideas/get-to-know-me-2-0-digitally-personalizing-the-icu-experience-for-patients-families-and-providers - it has a nice way of putting the individual at the center of complexity and uses digital to scale with a really simple user interface and it has a very clear user journey.

If you have any questions, please feel free to reach out to me.

Photo of Raheema Hemraj
Team

Hi Kate! Thank you for the resources! It has been very helpful to look at the previous ideas and I'm still working on how to develop this idea further. Thanks - Raheema

Photo of Serena Keith
Team

I'm 30 so it's hard for me to personally evaluate! But as a former PM, my gut was to run these ideas by my mother who's aging. This was one of her two favorites.

Photo of Raheema Hemraj
Team

Hi Serena! Sorry for the late reply, but thank you (and your mother!) for the support. I'd love to know what the other favorite idea was as well! - Raheema

Photo of eldy wullur
Team

Hello Raheema,
There are some elderly who can not leave home because of their circumstances, if you want to pee will not reach the bathroom. They pee anywhere.
But then we made the program dance competition between elderly, initially they were eager to watch
But after some time they can control the urge to pee even become competitors.
Now our association has been running for 11 years.

Eldy Jenny Wullur

Photo of Raheema Hemraj
Team

Hello Eldy! Thank you for sharing and congratulations on the success of the association! Urinary urgency can make it difficult to manage our activities. It sounds like you found a great activity that motivated people!
Raheema

Photo of Linda Caste
Team

I believe that it is a great idea. The challenge I see is convincing ageing people that they need this project. For what I see in my family, some people do not accept the fact that they are ageing and would not take part to the project because they believe that they do not need it. I think that you should find a way to engage those individuals to spread this initiative.

Photo of Raheema Hemraj
Team

Thanks Linda! You are right - acknowledging our own limitations is not easy and can be a roadblock! For the most part, we have been promoting this program through community groups and senior's centers. Most of the people who attend already recognize that they could benefit from fall prevention education and are motivated to be there. We have found that a big motivator for people who might not come on their own is if a friend refers someone to the program or if people attend together (i.e. spouses or groups of friends). Perhaps we need to focus more on this!
Thanks!

Photo of Geoff Bentham
Team

Some years ago I was in Thailand our courier took a group of us for a massage it was a tiered room numbered 1 to 50 and you picked your masseuses, years later. My granddaughter went on work experience teaching children. Have since thought that a sponsorship program with doctors surgeries to do massage for seniors and have a social aspect as the Thai ladies? learned to speak our language could be done quite cheaply would keep people fitter therefore safer and to some degree their minds active. This could bolt on to the steps program. My experience was a lot of giggling from the English ladies as well as the Thai ladies as the UK men were a lot bigger than Thai men

Photo of Raheema Hemraj
Team

Hi Geoff - thanks for sharing your experience!

Photo of Mariah Burton Nelson
Team

Sounds great. Kudos.

Photo of Raheema Hemraj
Team

Thank you Mariah!

Photo of Kate Rushton
Team

Hi Raheema!

Can you provide more information about the Stepping On program? Is it this program - http://www.steppingon.com/?

Could you train people to teach and set up their own Stepping On programs?

Could it be digitalised?

Could you provide a link to evidence that Stepping on is ‘shown to reduce the risk of falls in seniors by at least 30%’?

Is there any chance you could find an image to go along with your post? Images help grab attention and tell a story. You should be able to use the Edit Contribution button on the top of your post and follow the instructions to add images from there. Looking forward to seeing more of your inspiring insights on OpenIDEO.

Photo of Raheema Hemraj
Team

Hi Kate!
I've made some updates to my post to include some of the information that you've requested.

The original program is described at http://www.steppingon.com and the version being taught in the US can be found at https://wihealthyaging.org/stepping-on

Yes, people can be trained on the program and can set up their own Stepping On program in their community. They would have to go through a 3-day leader training program by a Certified Master Trainer. Details can be found here : https://wihealthyaging.org/becoming-a-workshop-leader

The current program is not offered in a digitalized format and the research done on the program's efficacy is based on it being a live, small-group format. That doesn't mean it couldn't be done, but would require a conversation around the licensing of the program and perhaps new research to test if a digitalized version demonstrates similar results.

Here is the study done on Stepping On - https://wihealthyaging.org/_data/files/National_Stepping_On/Clemson_JAGS_2004_-_Falls.pdf
I've included it in the description above as well.

Image added!

Thanks Kate,
Raheema

Photo of OpenIDEO
Team

Hi Raheema!

Your idea is currently unpublished, would you consider publishing it?

Photo of Kate Rushton
Team

Hi Raheema!

There are 14 hours left to submit your idea to the challenge.

We noticed your post is currently unpublished. Was this your intention? We'd love to have it be included in the challenge. You can publish it by hitting the "Publish" button at the top of your post. You can also update your post by clicking on the "Edit Contribution" on top. We're looking forward to seeing your contribution in this challenge.

Photo of OpenIDEO
Team

Hi Raheema!

Great to have you onboard! We noticed your post is currently unpublished. Was this your intention? We'd love to have it be included in the challenge. You can publish it by hitting the "Publish" button at the top of your post. You can also update your post by clicking on the "Edit Contribution" on top. We're looking forward to seeing your contribution in this challenge.

Is there any chance you could find an image to go along with your post? Images help grab attention and tell a story. You should be able to use the Edit Contribution button on the top of your post and follow the instructions to add images from there. Looking forward to seeing more of your inspiring insights on OpenIDEO.

Also, you might be interested in checking out the new OpenIDEO Achievements Program, where we’ll be awarding shareable LinkedIn credentials for different levels of accomplishments in this Challenge! http://po.st/IrBFVw