ArticleInternational journal of environmental research and public health2018
Delivery of Fall Prevention Interventions for At-Risk Older Adults in Rural Areas: Findings from a National Dissemination.
Article in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed.
- Outcomes in the Older Appalachian Trauma Population After Falls Caused by Dogs: Who Let the Dogs Out?Cureus · 2026Article
- A scoping review on the implementation dynamics of scaling up a community-based health promotion and exercise program for older adults: opportunities and challenges.BMC public health · 2025Article
- Falls Prevention Among Older Adults in Rural Communities: Protocol for a Scoping Review.JMIR research protocols · 2025Article
- Adoption, Implementation, and Maintenance of Evidence-Based Falls Prevention Programs.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025Article
- The Association of Socioeconomic Status (SES) with Procedural Management and Mortality After Percutaneous Coronary Intervention (PCI): An Observational Study from the Pan-London PCI (BCIS) Registry.Journal of cardiovascular development and disease · 2025Article
- Development and Implementation of Strong Foundations, a Digitally Delivered Fall Prevention Program: Usability and Feasibility Pilot Exercise Cohort Study.JMIR formative research · 2025Article
- A 5-year examination of CAPABLE implementation using RE-AIM and CFIR frameworks.Frontiers in public health · 2025Article
- Evaluating the effectiveness of evidence-based falls prevention programs: a study on participant risk levels and program congruency.Frontiers in public health · 2025Article
- Factors Associated With Incident and Recurrent Falls Among Men Enrolled in Evidence-Based Fall Prevention Programs: An Examination of Race and Ethnicity.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024Article
- Navigating Aged Care Services with GIS: Trends, Developments, and Future Directions.BMC geriatrics · 2024Review
- A telehealth yoga program for older adults in rural Wisconsin: intervention development and process outcomes.Journal of healthy eating and active living · 2024Article
- Effectiveness of evidence-based fall prevention programs to reduce loneliness in the United States.Frontiers in public health · 2024Article
- Multi-directional nature of falls among older adults: A rationale for prevention and management.Frontiers in public health · 2023Article
- Analyzing evidence-based falls prevention data with significant missing information using variable selection after multiple imputation.Journal of applied statistics · 2023Article
- Using an academic-community partnership model to deliver evidence-based falls prevention programs in a metropolitan setting: A community case study.Frontiers in public health · 2023Article
- Impact of 10-Week Evidence-Based Falls Prevention Program on Outcomes Related to Falls Risk in Community-Dwelling Older Adults.International journal of exercise science · 2023Article
- Fall-related health service use in Stepping On programme participants and matched controls: a non-randomised observational trial within the 45 and Up Study.Age and ageing · 2022Observational
- Remotely Delivered Exercise to Rural Older Adults With Knee Osteoarthritis: A Pilot Study.ACR open rheumatology · 2022Article
- Dissemination and Implementation of Evidence-Based Falls Prevention Programs: Reach and Effectiveness.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022Article
- Recording of Falls in Elderly Fallers in Northern Greece and Evaluation of Aging Health-Related Factors and Environmental Safety Associated with Falls: A Cross-Sectional Study.Occupational therapy international · 2022Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Falls incidence rates and associated injuries are projected to increase among rural-dwelling older adults, which highlights the need for effective interventions to prevent falls and manage fall-related risks. The purpose of this descriptive study was to identify the geospatial dissemination of eight evidence-based fall prevention programs (e.g., A Matter of Balance, Stepping On, Tai Chi, Otago Exercise Program) across the United States (U.S.) in terms of participants enrolled, workshops delivered, and geospatial reach. These dissemination characteristics were compared across three rurality designations (i.e., metro areas; non-metro areas adjacent to metro areas; and, non-metro areas not adjacent to metro areas). Data were analyzed from a national repository of 39 Administration for Community Living (ACL) grantees from 2014⁻2017 (spanning 22 states). Descriptive statistics were used to assess program reach, delivery-site type, and completion rate by rurality. Geographic information systems (GIS) geospatially represented the collective reach of the eight interventions. Of the 45,812 participants who attended a fall prevention program, 12.7% attended workshops in non-metro adjacent areas and 6.6% attended workshops in non-metro non-adjacent areas. Of the 3755 workshops delivered (in over 550 unique counties), most were delivered in senior centers (26%), residential facilities (20%), healthcare organizations (13%), and faith-based organizations (9%). On average, the workshop attendance/retention rates were consistent across rurality (~70%). Findings highlight the need to diversify the delivery infrastructure for fall prevention programs to adequately serve older adults in rural areas. Ongoing efforts are needed to offer sustainable technical assistance and to develop scalable clinical-community referral systems to increase fall prevention program participation among rural-dwelling older adults.
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