ArticleThe Gerontologist2023
Preventing Falls Among Older Adults in Primary Care: A Mixed Methods Process Evaluation Using the RE-AIM Framework.
Article in The Gerontologist, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Implementation science in care for older adults across healthcare settings: a scoping review.Archives of public health = Archives belges de sante publique · 2026Pooled it
- Evaluating the effectiveness of a telemedicine-based STEADI implementation in primary care on fall outcomes: the STEADI options randomized controlled trial.The Gerontologist · 2026Trial
- Integrated solutions for sustainable fall prevention in primary care: a pragmatic hybrid-type 2 mixed methods implementation and effectiveness study.Frontiers in public health · 2024Trial
- The Effect of an Intensive Geriatric Continuing Medical Education Program on the Implementation of STEADI-Based Fall Risk Screening.Journal of the American Geriatrics Society · 2026Article
- Implementing a Falls Conversation Package in General Practice: A Service Evaluation.Journal of clinical medicine · 2026Article
- Electronic Strategies for Tailored Exercise to Prevent Falls: Evaluating Implementation in Primary Care.Applied clinical informatics · 2026Article
- Beyond patient education: fall prevention knowledge, health literacy, and implementation gaps in Chinese hospitals-a patient-caregiver study.Frontiers in public health · 2026Article
- Co-developing implementation strategies to support STEADI (Stopping Elderly Accidents, Deaths, and Injuries) for older adult fall prevention in outpatient physical therapy.Innovation in aging · 2026Article
- Health Care Professionals' Views of Barriers and Facilitators for Implementing a Fall Risk Screening Tool in Clinical and Public Health Settings.Physical therapy · 2025Article
- Caregiver beliefs about older adult falls from a nationally representative U.S. sample 2022.Journal of safety research · 2025Article
- Expanding the reach of a fall prevention intervention for older adult emergency department patients through telehealth: a trial protocol.Frontiers in public health · 2025Article
- Reframing Fall Prevention and Risk Management as a Chronic Condition Through the Lens of the Expanded Chronic Care Model: Will Integrating Clinical Care and Public Health Improve Outcomes?The Gerontologist · 2024Article
- Development and Usability Testing of an Exercise-Based Primary Care Fall Prevention Clinical Decision Support Tool.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023Article
- Contextual determinants influencing the implementation of fall prevention in the community: a scoping review.Frontiers in health services · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
BACKGROUND AND
objectivesFalls are a leading cause of injuries and injury deaths for older adults. The Centers for Disease Control and Prevention's Stopping Elderly Accidents Deaths and Injuries (STEADI) initiative, a multifactorial approach to fall prevention, was adapted for implementation within the primary care setting of a health system in upstate New York. The purpose of this article is to: (a) report process evaluation results for this implementation using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework and (b) examine the utility of RE-AIM for assessing barriers and facilitators. RESEARCH DESIGN AND
methodsThis evaluation used mixed methods. Qualitative evaluation involved semistructured interviews with key stakeholders and intercept interviews with health care providers and clinic staff. Quantitative methods utilized surveys with clinic staff. Process evaluation tools were developed based on the AIM dimensions of the RE-AIM framework. The study was conducted over a 2-month period, approximately 18 months postimplementation, and complements previously published results of the program's reach and effectiveness.
resultsPrimary barriers by RE-AIM construct included competing organizational priorities (Adoption), competing patient care demands (Implementation), and staff turnover (Maintenance). Primary facilitators included having a physician champion (Adoption), preparing and training staff (Implementation), and communicating about STEADI and recognizing accomplishments (Maintenance). DISCUSSION AND IMPLICATIONS: Results revealed a high degree of concordance between qualitative and quantitative analyses. The framework supported assessments of various stakeholders, multiple organizational levels, and the sequence of practice change activities. Mixed methods yielded rich data to inform future implementations of STEADI-based fall prevention.
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