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Adoption, Implementation, and Maintenance of Evidence-Based Falls Prevention Programs
Gardenia A Juarez1, Jennifer Tripken2, Subashan Perera3
1Department of Physical Therapy, University of Pittsburgh, Pittsburgh, PA, USA.
This study examined evidence-based falls prevention programs (EBFPPs) adoption and maintenance among Administration for Community Living (ACL) Grantees. Senior centers frequently adopted EBFPPs, with most programs sustained through repeat offerings.
Area of Science:
- Gerontology
- Public Health
- Program Implementation Science
Background:
- Falls are a major public health concern for older adults.
- Evidence-based falls prevention programs (EBFPPs) are crucial for mitigating fall risks.
- The Administration for Community Living (ACL) funds various EBFPPs.
Purpose of the Study:
- To evaluate the implementation of ACL-funded EBFPPs.
- To describe the adoption, participant adherence, and maintenance of EBFPPs.
- To inform policy for scaling and sustaining EBFPPs nationally.
Main Methods:
- Secondary data analysis of a national repository from 44 ACL grantees across 31 states (Sept 2014 - Dec 2019).
- Inclusion of data from over 80,000 older adult participants.
- Descriptive statistics (frequencies, percentages, means) to assess adoption, adherence, and maintenance.
Main Results:
- Senior centers were the most common adopters of EBFPPs.
- Most programs demonstrated sustainability through repeat offerings.
- 60% of programs were offered more than 10 times, indicating strong maintenance.
Conclusions:
- Findings highlight successful adoption and maintenance patterns of EBFPPs.
- Understanding program implementation is key for selecting suitable programs for diverse organizations and populations.
- This information can guide national policies for EBFPP scaling and sustainability.
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