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Provider Perspectives on Fall Prevention Exercise Services in Ontario: A Qualitative Analysis.

Nicholas Tibert1, Jennifer Tomasone2, Areti-Angeliki Veroniki3,4

  • 1University of Waterloo, Canada.

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Summary

Community exercise programs for older adults

Keywords:
aginganalyse thématiquecommunity health servicesentraînementexercisepreventive health servicesservices de santé communautairesservices de santé préventifsthematic analysisvieillissement

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Area of Science:

  • Gerontology
  • Public Health
  • Exercise Science

Background:

  • Falls affect 30% of adults aged 65+
  • Effective fall prevention exercise delivery in communities is not well understood.
  • This study focuses on exercise providers' perspectives in Ontario.

Purpose of the Study:

  • To explore how fall prevention exercise services are delivered in community settings.
  • To identify barriers and facilitators to implementing evidence-based fall prevention programs.
  • To understand the experiences of exercise providers delivering these services.

Main Methods:

  • Qualitative study using semi-structured interviews.
  • 20 exercise providers in Ontario were interviewed.
  • Thematic analysis guided by the Consolidated Framework for Implementation Research was used.

Main Results:

  • Providers value evidence-based balance and functional training.
  • Large-group settings present challenges in tailoring and progression.
  • Providers prioritize trust, safety, and socialization for adherence.
  • Barriers include lack of resources, networking, low pay, and competition.

Conclusions:

  • Implementation support must address contextual barriers.
  • Balancing clinical tailoring with participant adherence is key.
  • Leveraging existing services and providing provider-specific support are essential for effective fall prevention exercise programs in Ontario.