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Stakeholders' perceptions of programme sustainability: findings from a community-based fall prevention programme
1Health and Rehabilitation Sciences, Faculty of Health Sciences, The University of Western Ontario, London, ON, Canada.
Public Health
|August 2, 2011
Summary
Stakeholders in community fall prevention programs identified key actions like partnership building and community capacity enhancement for sustainability. Barriers included resource limitations and lack of physician engagement, offering lessons for future health initiatives.
Area of Science:
- Public Health
- Health Promotion
- Injury Prevention
Background:
- Sustainability of health promotion and injury prevention programs is crucial for long-term impact.
- Understanding stakeholder perspectives on sustainability is vital but often overlooked.
- Community-based fall prevention programs require specific strategies for sustained success.
Purpose of the Study:
- To explore stakeholder perceptions of facilitators and barriers to sustainability in community-based fall prevention programs.
- To identify actionable strategies for enhancing program sustainability based on stakeholder experiences.
- To provide insights for practitioners and funding bodies regarding program longevity.
Main Methods:
- Qualitative case study research design.
- Holistic multiple case study approach across three Ontario communities.
- Data collection through interviews with 45 stakeholders involved in fall prevention projects.
Main Results:
- Stakeholders reported successful sustainability actions including partnership formation, networking, and community capacity building.
- Identified barriers to sustainability encompass insufficient resources (human and financial), lack of coordination, limited physician buy-in, and volunteer reliance.
- Stakeholder perceptions directly informed recommendations for community and funding body actions.
Conclusions:
- Stakeholder insights are invaluable for understanding and improving the sustainability of health promotion and injury prevention initiatives.
- Lessons learned from this fall prevention program can guide the sustainability efforts of similar public health programs.
- Addressing identified barriers is essential for ensuring the long-term effectiveness of community-based health interventions.
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