ArticleBMC public health2025
Context makes a difference: a qualitative study exploring how to implement a multifactorial falls prevention intervention in the community.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Barriers and facilitators for the implementation of a nationwide falls prevention pathway for older adults in the Netherlands.Age and ageing · 2026Article
- Supporting implementation of occupational therapy led Falls Hazard Reduction at Home: A scoping review.Australian occupational therapy journal · 2026Article
- Monitoring and evaluating an implementation strategy aimed at improving interprofessional collaboration in community-based fall prevention: a mixed-methods study.Implementation science communications · 2025Article
- Belgium program Enhancing the uptake and Effectiveness of a Multifactorial falls Prevention intervention in Older community-dWElling peRsons (BE-EMPOWERed): A study protocol.BMC geriatrics · 2025Article
- The development of BE-EMPOWERed: Belgian program Enhancing the uptake and Effectiveness of a Multifactorial falls Prevention intervention in Older community-dWElling peRsons.BMC geriatrics · 2025Article
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Authors and funding
7 authors.
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Abstract
backgroundFalls are a major problem in community-dwelling older people. Multifactorial falls prevention interventions are recommended as intervention. However, poor implementation impacts successful outcomes of multifactorial falls prevention interventions. The context is critical to understand variation in implementation and clinical outcomes. This study aims to analyze and describe determinants at all levels of the context that influence the implementation of a multifactorial falls prevention intervention in the community in Flanders (Belgium).
methodsThis study consists of semi-structured interviews with 6 key persons, 3 focus group interviews with healthcare professionals (n = 16), 1 focus group with local policy makers (n = 6) and 4 semi-structured interviews and 1 focus group (n = 3) with older people. The Integrated Checklist of Determinants of Practice (TICD checklist) was used to develop the interview guide and to make sure that there was enough understanding of the contextual determinants at the different domains. The interviews and focus groups were verbatim transcribed and analyzed using the Qualitative Analysis Guide of Leuven (QUAGOL). To clarify themes, data were coded in NVivo 12™.
resultsWe identified 4 key themes related to successful implementation of a multifactorial falls prevention intervention in the community setting: (1) stakeholder involvement and participation, (2) Fostering awareness, beliefs, knowledge, and skills for falls prevention, (3) working proactively and (4) communication, collaboration, coordination and financing care. This study identified 33 determinants of the TICD checklist and all 7 domains were represented.
conclusionsUnderstanding the existing structures, norms, policies and contextual factors allows us to proactively tailor the implementation strategies and a multifactorial falls prevention intervention to the community context.
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