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State Fall Prevention Coalitions as Systems Change Agents: An Emphasis on Policy.

Ellen C Schneider1, Matthew Lee Smith2, Marcia G Ory3

  • 1University of North Carolina at Chapel Hill, NC, USA.

Health Promotion Practice
|October 27, 2015
PubMed
Summary

State coalitions are implementing evidence-based fall prevention policies, but face funding barriers. Additional resources and technical assistance are needed to support sustainable systems change in elder fall prevention efforts.

Keywords:
aging and healthcoalitionsfall prevention policyolder adult fall preventionsystems change

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Area of Science:

  • Public Health
  • Gerontology
  • Health Policy

Background:

  • Falls among older adults represent a growing public health concern requiring comprehensive strategies.
  • The National Council on Aging's Falls Free® Initiative supports statewide Fall Prevention Coalitions.
  • The State Policy Toolkit for Advancing Falls Prevention aids in adopting evidence-based fall prevention strategies.

Purpose of the Study:

  • Assess alignment of implemented policies with Toolkit recommendations.
  • Identify barriers and facilitators to policy implementation.
  • Document current and future fall prevention policy activities of Coalitions.

Main Methods:

  • A 63-item online survey was administered to State Coalition Leads.
  • Descriptive statistics were employed to analyze Coalition characteristics and activities.

Main Results:

  • Coalitions exhibited similarities in structure but varied in size and meeting frequency.
  • Key activities included partnership development, program dissemination, and pursuing policy goals.
  • Coalition Lead support was a key facilitator, while funding limitations were a major barrier.

Conclusions:

  • This study provides a national overview of Falls Coalitions' composition, goals, and activities.
  • Coalitions are actively engaged in evidence-based policy but require enhanced technical assistance and resources.
  • Findings validate Toolkit recommendations and inform future strategies for sustainable fall prevention systems change.