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.
Int J Environ Res Public Health. 2024 Jan 31;21(2):162. doi: 10.3390/ijerph21020162.
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.
老年人跌倒及相关伤害与健康状况下降有关。因此，预防跌倒计划（FPP）变得越来越重要。然而，将此类复杂的计划转化为临床实践缺乏对影响实施因素的深入了解。因此，本研究旨在使用混合方法研究确定如何优化和进一步实施荷兰广泛使用的基于小组的 FPP，使其在参与者、治疗师和利益相关者中得到应用。FPP 参与者和治疗师填写了一份关于他们对 FPP 体验的问卷。此外，还与 FPP 参与者、治疗师和其他利益相关者分别进行了三次焦点小组讨论。根据 Braun 和 Clarke 的主题分析方法对数据进行分析。总体而言，104 名 FPP 参与者中有 93%对 FPP 感到满意，86%（n=12）的治疗师会向有平衡或行动困难的老年人推荐 FPP。此外，还确定了进一步实施的六个主题：（1）招募和激励老年人参与；（2）计划的结构和内容；（3）意识、信心和身体影响；（4）与同龄人一起培训；（5）资金和成本；以及（6）长期持续。本研究为优化和进一步实施 FPP 提供了实用建议。
