TY  - JOUR
PY  - 2016//
TI  - Implementing an evidence-based fall prevention intervention in community senior centers
JO  - American journal of public health
A1  - Li, Fuzhong
A1  - Harmer, Peter
A1  - Fitzgerald, Kathleen
SP  - 2026
EP  - 2031
VL  - 106
IS  - 11
N2  - OBJECTIVES: To evaluate the impact of implementing an evidence-based fall prevention intervention in community senior centers. <br><br>METHODS: We used a single-group design to evaluate the Tai Ji Quan: Moving for Better Balance (TJQMBB) program's adoption, population reach, implementation, effectiveness, and maintenance among 36 senior centers in 4 Oregon counties between 2012 and 2016. The primary outcome measure, as part of the effectiveness evaluation, was number of falls as ascertained by self-report. Trained TJQMBB instructors delivered the program to community-dwelling older adults for 48 weeks, with a 6-month postintervention follow-up. <br><br>RESULTS: TJQMBB was adopted by 89% of the senior centers approached and reached 90% of the target population. The program resulted in a 49% reduction in the total number of falls and improved physical performance. Participation was well maintained after the program's completion. The average cost-effectiveness ratio for the 48-week program implementation was $917 per fall prevented and $676 per fall prevented for multiple falls. <br><br>CONCLUSIONS: TJQMBB is an effective public health program that can be broadly implemented in community senior centers for primary prevention of falls among community-dwelling older adults. (Am J Public Health. Published online ahead of print September 15, 2016: e1-e6. doi:10.2105/AJPH.2016.303386).<p />  <p>Language: en</p>
LA  - en
SN  - 0090-0036
UR  - http://dx.doi.org/10.2105/AJPH.2016.303386
ID  - ref1
ER  -