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Submission Date

8-5-2025

Document Type

Entry Level Capstone

Degree Name

Doctor of Occupational Therapy (OTD)

First Mentor

Hillary Scruggs, OTR/L

Second Mentor

Stephanie Cone, MOTR/L

Abstract

The purpose of this doctoral capstone project was to develop and implement a falls prevention program within a community-based organization to help reduce fall risk and maintain independence in activities of daily living (ADLs) and instrumental activities of daily living (IADLs), among older adults. The project focused on assessing fall risk using evidence-based tools, including the Timed Up and Go (TUG) and 4-Stage Balance Test, which identified all participants as being at risk for falls. Individualized treatment sessions were then implemented, emphasizing balance, posture, and the safe performance of ADLs and IADLs. The Otago Exercise Program was adopted and integrated into the intervention strategy for fall-risk participants. Additionally, two educational brochures were developed to provide participants and caregivers with fall prevention strategies and recommended interventions. To promote program sustainability, the rehabilitation team was equipped with assessment tools, intervention ideas, and program resources. After completion of the experience, it was concluded that integration of structured assessments, individualized interventions, and educational resources in a community-based setting effectively enhances fall awareness in older adults.

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