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The Stepping On program offers older people a way of reducing falls and at the same time increasing self confidence in situations where they are at risk of falling.
Falls are a serious problem, but can be prevented at any age
This program, which was developed in Australia and been implemented in the USA and internationally is considered to be one of the most effective falls prevention programs available, giving people the confidence to undertake their everyday activities safely. Participation in a program like Stepping On will help older people maintain independence and give them confidence in their mobility so they are able to undertake their everyday activities safely and without the risk of falling.
The Stepping On program incorporates a group setting plus individualized follow-
If you are a Health Professional and would like to facilitate one of our Programs, please
(if you are in the USA, please click here for more information)
About the Authors of this Program
Lindy Clemson is a public health researcher on ageing and an occupational therapist
with a phD in epidemiology.She has over thirty publications and recently completed
research as the Principal Chief investigator into the effectiveness of a community-
Megan Swann has worked as an occupational therapist for almost 30 years. Megan has
run over 100 Stepping On programs in Sydney and Newcastle. Megan has facilitated
over 150 Stepping On programs and been involved in 50 train the trainer workshops
in Sydney, Melbourne and Tasmania Australia.
She works part-
Megan also acts in a private consultative capacity to offer training to new leaders. Currently this program is supported by Sydney University.
Stepping On is based on the latest Scientific Research:
“Few randomized controlled trials for falls prevention have been translated from
research to community based programs. Stepping On is one of the programs that has
been shown to be effective at reducing falls, has been translated from the original
research to a community based program, and has maintained fidelity to the original
program. When deciding on spending money for prevention, one of the main considerations
is the cost-
An effective falls prevention program should have benefit for both direct costs and indirect costs. Stepping On has 100% return on investment, meaning every dollar spent results in a dollar saved in direct medical costs.”
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The following is a testimonial from recent Stepping On workshop attendee and shows how the Stepping On program can benefit older people:
“A positive attitude to ageing is so important. There are so many grumpy people. They can bring you down and make you feel a little depressed if you let them. I try and mix with other positively minded people and limit my time with the grumpy ones.
Stepping On has helped me enormously. It has given me confidence to get out, socialise and pursue other health promotion activities. I enjoyed being part of the Stepping On poster.
I really didn’t understand how important it is to do exercises to improve my balance and prevent me from falling. I go out a lot it is so important for your mental attitude. It makes all the difference to my outlook.
The Stepping On group makes me realise I have to be strong so I can get on and off a chair and get out and about. It changed my Life” Ruth, aged 90
The Active and Healthy website identifies registered exercise programs in your local area that have specific exercises to improve balance and strength
In 2014, the Centers for Disease Control and Prevention commissioned a special report:
One of the programs analysed was Stepping On.