Abstract
Currently, Thailand has more than 20% of its population aged 60 years and above. One in three
elderly people in Thailand experiences falls, leading to physical and psychological consequences. The
treatment after falls incurs considerable economic losses for the country. Therefore, fall prevention in
the elderly is an important strategy for addressing this issue. This pilot study aimed to analyze the
clinical outcomes and feasibility of health promotion services focusing on mobility and fall prevention
for the elderly, operated by the physical therapy centers or clinics in Bangkok area. The study used a
mixed method, combining quantitative and qualitative approaches. Secondary data on clinical outcomes
from the health promotion project on fall prevention for the elderly, by the Physical Therapy Association
of Thailand in the fiscal year 2024, and in-depth interviews with relevant stakeholders, were used. The
data from 313 participants (266 low-fall risk and 47 high-fall risk) were analyzed. The results showed
significant improvements in lower limb performance, arm strength, leg strength, as well as an increase
in cognitive ability and a reduction in fear of falling in low-fall risk group. For the high-fall risk group,
there were significant improvements in lower limb performance, leg strength, and a reduction in fear of
falling. Additionally, the physical therapy service units were ready to provide fall prevention and health
promotion services for the elderly, but involvement from government agencies or health policy-related
entities was needed. The suggestions were that physical therapy health promotion services can help the
elderly to improve physical performance and reduce the risk of falls. While physical therapists and
clinics were ready for sustainable service delivery, greater involvement from government agencies in
terms of data sharing and service accessibility of clients was essential.
