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Using the RE-AIM framework to translate a research-based falls prevention intervention into a community-based

Tiffany E Shubert1, Mary Altpeter, Jan Busby-Whitehead

  • 1UNC Chapel Hill Institute on Aging, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599–1030, USA. tiffany@shubertconsulting.net

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Summary

Translating exercise programs for older adults to prevent falls in the community is challenging but achievable. Successful implementation requires partnerships and adaptations for sustainability and effectiveness.

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Area of Science:

  • Gerontology
  • Public Health
  • Exercise Science

Background:

  • Exercise interventions effectively reduce fall risk in older adults.
  • Translating research-based fall prevention programs into community settings presents significant challenges.
  • Understanding mechanisms for implementation and maintenance is crucial for widespread impact.

Purpose of the Study:

  • To assess the translatability of an effective exercise intervention for fall prevention in community-dwelling older adults.
  • To identify challenges and facilitators in the implementation and maintenance of such programs.
  • To evaluate the program's reach, effectiveness, adoption, implementation, and maintenance using the RE-AIM framework.

Main Methods:

  • Utilized the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework.
  • Assessed program attendance, adherence, compliance, and impact on falls risk factors.
  • Evaluated staff adoption, program adaptations, and long-term sustainability by community partners.

Main Results:

  • The translation process was challenging but successful.
  • Licensed professionals established infrastructure for safe and effective program delivery.
  • The program demonstrated high appeal, improved outcomes, and was adopted and maintained by the community partner.

Conclusions:

  • Partnerships between community and healthcare providers are vital for successful falls prevention.
  • Adaptations are necessary to meet community needs while maintaining core intervention elements.
  • Lessons learned can inform future translation of exercise-based fall prevention interventions.