ArticleBMC health services research2025
Mediators implementation and delivery: the falls management exercise programme (FaME).
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Lessons Learned in the Early Adoption of FaME Across Ireland: A Convergent Mixed-Methods Implementation Study (FaME Ireland).Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Evaluation of the Falls Management Exercise (FaME) programme implemented across three United Kingdom regions: a prospective cohort study.BMC public health · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors.
Funding
Abstract
backgroundWhen implementing multicomponent interventions, fidelity to the intervention is key for reproducible outcomes. This study investigates the main influences on the fidelity (implementation strategy fidelity and intervention delivery fidelity) of the community-based Falls Management Exercise (FaME) programmes in three different areas of England.
methodsFaME classes across Greater Manchester (GM), Devon and the East Midlands (EM) were studied between 2021 and 23 using a mixed-methodological approach. Data sources included interviews, observations of FaME classes, field notes, and communities of practice recordings.
resultsForty interviews were conducted with stakeholders, providers and class attendees. Additionally, twenty-one class observations were conducted. Triangulated quantitative and qualitative data revealed issues with fidelity to the FaME programme, especially in sites with limited oversight roles/structures and limited funding. There was a lack of understanding and clarity of essential components which impacted both implementation strategy and intervention delivery fidelity. The conceptual map developed highlights the importance of mediators of fidelity in relation to implementation and delivery, including: economic influence, organisational influence, oversight roles, fidelity evaluation, participant responsiveness, essential components and knowledge, training and professionalism.
conclusionDespite a recognised need for implementing evidence-based falls prevention programmes, a lack of sufficient funding, formalised oversight roles/structures and understanding of essential intervention components is associated with lower fidelity to the intervention. Unchecked by local monitoring, this can lead to an incremental migration of delivery away from the evidence base. We recommend: (i) providers have clarity on essential intervention components, (ii) standardised fidelity monitoring based on essential components, and (iii) effective local oversight roles and structures.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.