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

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.