Evidence map›Paper›PMID 42683822›Full record

ArticleAustralian occupational therapy journal2026

Exploring successful implementation of occupational therapy led home fall-hazard reduction interventions.

Susan Melchert, Richard Franklin, Daniel Lowrie

Abstract read
In one paragraph

Article in Australian occupational therapy journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

3 authors.

Susan MelchertCollege of Healthcare Sciences, James Cook University, Douglas, Queensland, Australia.ORCID https://orcid.org/0009-0002-6735-9192
Richard FranklinCollege of Medicine and Dentistry, James Cook University, Douglas, Queensland, Australia.ORCID https://orcid.org/0000-0003-1864-4552
Daniel LowrieCollege of Healthcare Sciences, James Cook University, Douglas, Queensland, Australia.ORCID https://orcid.org/0000-0002-4635-5718

Funding

Medical Research Future Fund (MRFF) 000068
6 · The paper itself

Abstract

introductionFalls among older adults are a major cause of death, injury, and loss of independence. High-certainty evidence demonstrates that comprehensive, occupational therapy-led home fall-hazard reduction interventions can reduce the number of falls among older adults at high risk. Despite this evidence, these interventions are not routinely implemented in practice. Current literature provides limited insight into the factors that influence successful implementation of home fall-hazard reduction interventions. This study seeks to address the following research question: 'What influences the success of occupational therapy-led, home fall-hazard reduction intervention implementation from the perspectives of academic and practising therapists with expertise and experience in this field?'

methodsUsing a descriptive qualitative design, data were gathered via two small group interviews and one individual interview with occupational therapists experienced in implementing home fall-hazard reduction initiatives. Participants were purposively sampled to ensure data collection from participants with relevant experience, either as an academic or practising therapist. Data were analysed using reflexive thematic analysis to identify factors influencing successful implementation. CONSUMER AND COMMUNITY INVOLVEMENT: There was no consumer or community involvement.

findingsFive academics and four practising therapists were interviewed. Four interconnected themes were derived from the data: (1) multiple and layered measures of implementation success; (2) foregrounding falls prevention; (3) articulating a place for home fall-hazard reduction in the falls prevention landscape; and (4) structured guidance and protocols. The interrelated nature of the themes has been illustrated in a theoretical conceptual model.

conclusionThe findings suggest that attending to the multiple measures of implementation success for home fall-hazard reduction intervention, particularly those that are context driven, may strengthen uptake across diverse practice settings. Furthermore, maximised success in implementation requires clear guidance on intervention components, improved articulation of intervention fit within the wider fall prevention landscape, and targeted support to enable occupational therapists to foreground falls prevention in practice.

Indexed as

Accidental FallsAccidents, HomeOccupational TherapyAgedAging in PlaceFemaleHumansInterviews as TopicQualitative Researchaccidental fallscommunity healthfall preventionhome fall‐hazard reduction interventionimplementation science

Identifiers

PMID42683822
PMCPMC13536500

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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.