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Optimizing and Implementing a Community-Based Group Fall Prevention Program: A Mixed Methods Study

Author

Listed:
  • Maaike van Gameren

    (Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences Research Institute, Vrije Universiteit Amsterdam, 1081 BT Amsterdam, The Netherlands)

  • Paul B. Voorn

    (Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences Research Institute, Vrije Universiteit Amsterdam, 1081 BT Amsterdam, The Netherlands
    Centre of Expertise Urban Vitality, Faculty of Health, Amsterdam University of Applied Sciences, 1105 BD Amsterdam, The Netherlands)

  • Judith E. Bosmans

    (Department of Health Sciences, Faculty of Science, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, 1081 BT Amsterdam, The Netherlands)

  • Bart Visser

    (Centre of Expertise Urban Vitality, Faculty of Health, Amsterdam University of Applied Sciences, 1105 BD Amsterdam, The Netherlands)

  • Sanne W. T. Frazer

    (Consumer Safety Institute (VeiligheidNL), 1062 XD Amsterdam, The Netherlands)

  • Mirjam Pijnappels

    (Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Amsterdam Movement Sciences Research Institute, Vrije Universiteit Amsterdam, 1081 BT Amsterdam, The Netherlands)

  • Daniël Bossen

    (Centre of Expertise Urban Vitality, Faculty of Health, Amsterdam University of Applied Sciences, 1105 BD Amsterdam, The Netherlands)

Abstract

Falls and fall-related injuries among older adults are associated with decreased health. Therefore, fall prevention programs (FPPs) are increasingly important. However, the translation of such complex programs into clinical practice lacks insight into factors that influence implementation. Therefore, the aim of this study was to identify how to optimize and further implement a widely used group-based FPP in the Netherlands among participants, therapists and stakeholders using a mixed methods study. FPP participants and therapists filled out a questionnaire about their experiences with the FPP. Moreover, three focus groups were conducted with FPP participants, one with therapists and one with other stakeholders. Data were analysed according to the thematic analysis approach of Braun and Clarke. Overall, 93% of the 104 FPP participants were satisfied with the FPP and 86% (n = 12) of the therapists would recommend the FPP to older adults with balance or mobility difficulties. Moreover, six themes were identified regarding further implementation: (1) recruiting and motivating older adults to participate; (2) structure and content of the program; (3) awareness, confidence and physical effects; (4) training with peers; (5) funding and costs; and (6) long-term continuation. This study resulted in practical recommendations for optimizing and further implementing FPPs in practice.

Suggested Citation

  • Maaike van Gameren & Paul B. Voorn & Judith E. Bosmans & Bart Visser & Sanne W. T. Frazer & Mirjam Pijnappels & Daniël Bossen, 2024. "Optimizing and Implementing a Community-Based Group Fall Prevention Program: A Mixed Methods Study," IJERPH, MDPI, vol. 21(2), pages 1-17, January.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:2:p:162-:d:1330519
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    References listed on IDEAS

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    1. Fuzhong Li & K. John Fisher & Peter Harmer & Edward McAuley & Nicole L. Wilson, 2003. "Fear of Falling in Elderly Persons: Association With Falls, Functional Ability, and Quality of Life," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 58(5), pages 283-290.
    2. Sanne W. T. Frazer & Rozan van der Veen & Anneloes Baan & Mariëlle E. W. Hermans & Branko F. Olij, 2021. "Evaluation of Implementing TOM: A Group-Based Fall Prevention Programme among Community-Dwelling Older Adults in The Netherlands," IJERPH, MDPI, vol. 18(12), pages 1-13, June.
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