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Adoption, Implementation, and Maintenance of Evidence-Based Falls Prevention Programs.

Gardenia A Juarez1, Jennifer Tripken2, Subashan Perera3

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|September 25, 2024
PubMed
Summary

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.

Keywords:
accident preventioncommunity-based organizationsevidence-based programsfalls preventionolder adult health

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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.