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20090718 太平洋アジア保健教育学会~ A case of fall prevention program
based on the Safe Community Model ~○ Yoko SHIRAISHI, Mature Life Institute/Ritsumeikan University
Yumiko SATO, Kyoto Prefecture Nantan Public Health Center The movement of SC originated frominjury prevention program in acommunity , Sweden in 1970’s.
 The potential effect of ‘Safe Community(SC)’ become
becomess to draw attention fromlocal governments
governments, academics andpractitioners in Japan.
Æ especially since the designation ofKameoka City in March 2008.
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 Features of SC which differ from othersafety and health related programs are;zTo focus on Prevention of injuries; healthhazards
zTo apply evidence-based approaches incross-sectional collaboration
Concept of SC;
Accidents and injuries which harm our healthand affect on our well-being are preventable.
3

 The Nantan Public Health Center(NPHC)

developed a fall prevention program in
2004, then introduced to communities
within jurisdiction of the NPHC.
 In 2007, NPHC evaluated the efficacy ofthe exercise on 112 certified residents
as leaders of implementation of theexercise .
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20090718 太平洋アジア保健教育学会

 Efficiency was found on improvement ofphysicalpycondition and QOL amonggparticipants who cirified as a juniortrainers.
 But impediment to diffusion of theexercise has been also found indifficulty in;zFinding proper space for the exercise
zFinding participantszImprovement of their training skill
5 Because of its conprehensivenessconprehensiveness,,“S f Cit ” can blt tto“SafeCommunity”
be relevant
various fields including;health promotion,promotion, crime prevention etc..
To see impact of the SC model on
programs relevant to health promotion
by studying the case of Nantan fall
prevention excersize.
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 Qualitative research was applied to see

the effect on scheme of injury
prevention
ti program ffor th
the elderly
ld l Participative Observation at a pilot

community of SC program in Kameoka City(2006～(2006～2009）2009） Interview survey （May 2009）2009）
z Groups or leaders of the fall prevention exercise
z The President of the neighborhood self- governingassociation of Shino-cho7

 Based on the procedure of SC model,ShinoShino-Cho came up with 3 agendas forsafety promotion<Safe Children> <Safe Elderly> <Traffic Safety>
 the exercise was appointed as aprogram which works for fall prevention84

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20090718 太平洋アジア保健教育学会

9 as a communication tool by police officers,

fire fighters, and volunteers. They realizedthat the exercise can be used as a triggerof communication when they visit withelderly who need special attention to keep
their life safe in terms of crime prevention,
fire prevention and so on. Sharing theprogram with different sectors results inprovidingidi more opportunities
t iti off exercise
i tto
the elderly, especially those who cannot go
out for exercise because of their physicalcondition105

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 With spreading the exercise through more

devices, elderly can receive more care forsafety promotion as well as opportunity for
health promotion.
 this safety promotion would also result inmaintain their good health as well.
 Another few years of continuous
implementation is expected to result inaccumulating enough data to see affect ofapplying this SC program in number ofinjuries from falling among the elderly.
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 A “Safe Community” can be a: Municipality; aCounty; a City or a District of a City working withsafety promotion, InjuryInjury-, ViolenceViolence- and Suicide
Suicideprevention and prevention of the consequences(human injuries) related to Natural Disaster,covering all age groups, gender and areas and is apart of an international network of accredited
programs. Communities can be designated when
they meet 6 indicators which WHO Collaborating
Center on Community Safety Promotion sets upup.
 http://www.phs.ki.se/csp/who_indicators_en.htm

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