Stepping On: Building Confidence and Reducing Falls

A Community-Based Program for Older People

Lindy Clemson and Megan Swann

Regular price $80.00 Sale

Format: paperback
Edition: Third edition
314 pages
ISBN: 9781743326640

Publication: 01 Nov 2019

Publisher: Sydney University Press

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For supplementary materials, please see the Table of Contents tab below.

For American customers, please contact the Wisconsin Institute of Healthy Aging.

The Stepping On program is a community-based falls-prevention program that shows participants how to reduce falls, increase confidence and maintain personal independence. Originally developed in Australia, based on research and scientifically proven to work, the Stepping On program is now internationally recognised as best practice in falls prevention.

The Stepping On manual is aimed at health workers with a passion for aged care. It offers a step-by-step guide to running the seven-week group program, plus essential background information. Topics covered include understanding the risk of falls, identifying home hazards, the role of vision in causing and preventing falls, staying safe in public places, strength and balance exercises, and much more. The manual includes a guide to useful resources, handouts for group participants, and suggestions for recruitment and evaluation.

This new edition has been thoroughly revised and redesigned to incorporate cutting-edge research, professional feedback, and over fifteen years’ experience of running of the program. As well as the latest fall-prevention research, the revised manual contains an expanded section on working with culturally and linguistically diverse groups, simplified exercises for participants to do at home, and new stories and illustrations.

‘This is an invaluable manual incorporating the latest evidence for falls prevention in the community.’ Professor Lyn March AM, University of Sydney and Royal North Shore Hospital, Sydney

‘This new Stepping On manual will be a wonderful resource for many health professionals like myself who work with patients who have had falls and fractures. It is definitely my “go-to” resource in our very busy clinic!’ Lillias Nairn, North Shore Ryde Health Service

A range of handouts and supplementary materials are available for download. Please click on the Table of Contents tab for links to download the supplementary materials.

Lindy Clemson is a specialist in public health research on ageing and an occupational therapist with a PhD in epidemiology. Her work has influenced both policy and practice, and her publications are highlighted in Cochrane Reviews and Australian and US national fall prevention practice guidelines.

Megan Swann is an occupational therapist with 35 years’ experience working in geriatric rehabilitation. She has trained and mentored Stepping On facilitators and run more than 250 Stepping On programs across Australia. She is widely respected in clinical aged care services.


1. Context

The underpinning concepts: making decisions, learning and improving confidence
Stepping On group work, and the facilitator as a catalyst for change
Key elements for delivery of Stepping On
ecognising culture
Marketing and recruitment

2. Stepping On program

Stepping On overview
Preparing and planning for the program
Delivery of sessions

Session 1: Introduction, overview and risk appraisal
Session 2: Exercise and moving about safely
Session 3: Home falls hazards
Session 4: Community safety and footwear
Session 5: Vision, transportation safety, vitamin D and calcium
Session 6: Medication management, sleeping better and mobility mastery experiences
Session 7: Reviewing and planning ahead
Session 8: Three-month booster session

3. Resources

Works cited

Supplementary materials
Please click on the links below to download each document.

Session 1
Outline of the program
Shopping list

Session 2
Getting up after a fall
Moving about safely
Walking stick safety

Session 3

Home falls hazards screening
Slippery surfaces
Safe clothing
Guidelines when using a ladder
Home Hazzards - Slides

Session 4
Moving about safely - outdoor walking
Moving about safely - Winter mobility
Safe footwear
Shoe audit
What is a comfortable shoe?
Safe shoe award

Session 5
Airline travel safety
Bus travel safety
Light rail travel safety
Train travel safety
Calcium checklist
Sun time checklist
Vision and falling
Vitamin D and calcium

Session 6

Falls prevention and managing medicines
Personal medication record
Sleeping Better

Session 7
Maintaining momentum after Stepping On
Graduation Certificate

Session 8

Resources/handouts in languages other than English

Balance and strength manual
Fridge Magnet

Format: paperback
Size: 254 × 178 × 18 mm
314 pages
24 b&w tables and 35 b&w illustrations
Copyright: © 2019
ISBN: 9781743326640
Publication: 01 Nov 2019