Native health strong steps fall prevention program for urban indigenous elders in maricopa county. - native health is a non-profit 501C3 urban indian health center providing services to the urban…

Native health strong steps fall prevention program for urban indigenous elders in maricopa county. - native health is a non-profit 501C3 urban indian health center providing services to the urban indigenous community in maricopa county. The agency proposes to deliver an evidence-based fall prevention program to the urban indigenous population age 55 and older. Arizona and maricopa county health data shows that this population at highest risk from fall-related injury and this is demonstrated from in-patient hospitalization, emergency department utilization, and death rates across the state and the county. The program proposes the use of the matter of balance fall prevention program and a train-the-trainer modality to institutionalize MOB in chronic disease and outreach program within native health. Through this program native health will achieve the following goals and objectives: by december 2030, the native health strong steps program will reduce the rate of fall-related emergency department (ED) visits among american indian/alaska native adults aged 55 and older in maricopa county by 20% through implementation and scaling of the matter of balance evidence-based program at the native health clinics. Objective 1: by december 2027, train at least 2 certified matter of balance coaches and enroll a minimum of 120 AI/an elders across two community sites in maricopa county, achieving a participant completion rate of 80% or higher. Objective 2: by december 2030, 80% of program completers will report increased confidence in managing fall risk (measured via pre/post-survey), and the fall-related emergency department visit rate for enrolled participants will decrease by at least 15% compared to baseline.