Falls affect approximately 30% of community-dwelling adults aged 65 years and older each year, and this number is expected to increase with global population aging. Beyond their serious physical, psychological, and social consequences, falls impose a health issue. Falls are often the result from multiple interacting risk factors, such as mobility limitations, cognitive decline, poor nutrition, and environmental hazards. Evidence shows that multidomain fall prevention interventions (FPIs) – tailored combinations of interventions across two or more domains such as exercise-based fall rates. However, the systematic implementation of FPIs in community settings remains limited.
The complex and multifactorial nature of falls, demands effective interprofessional collaboration among various health and social care professionals (HSCPs) across sectors, settings and organizations – yet achieving such collaboration in practice remains challenging. Furthermore, participation of older adults in exercise based fall prevention programs is often low, underscoring the need for strategies that enhance engagement. This dissertation addresses these challenges by developing, implementing, and evaluating tailored implementation strategies to improve the implementation of fall prevention interventions in the community and increase participation of community dwelling older adults in community-based fall prevention.
