Examination of sustainability indicators for fall prevention strategies in three states

Smith, Matthew Lee; Durrett, Nicholas K.; Schneider, Ellen C.; Byers, Imani N.; Shubert, Tiffany E.; Wilson, Ashley D.; Towne, Samuel D.; Ory, Marcia G.

doi:10.1016/j.evalprogplan.2018.02.001

Cited by 22Health Policy Implementation ScienceEvaluation and Performance AssessmentBalance, Gait, and Falls Prevention

Examination of sustainability indicators for fall prevention strategies in three states

Smith, Matthew Lee, Durrett, Nicholas K., Schneider, Ellen C., Byers, Imani N., Shubert, Tiffany E., Wilson, Ashley D., Towne, Samuel D., Ory, Marcia G.·2018·Evaluation and Program Planning

DOI 10.1016/j.evalprogplan.2018.02.001

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Abstract

With 1-in-4 older adults suffering a fall each year, fall prevention efforts have emerged as a public health priority. Multi-level, evidence-based fall prevention programs have been promoted by the CDC and other government agencies. To ensure participants and communities receive programs' intended benefits, organizations must repeatedly deliver the programs over time and plan for program sustainability as part of 'scaling up' the initiative. The State Falls Prevention Project (SFPP) began in 2011 when the CDC provided 5 years of funding to State Departments of Health in Colorado, New York, and Oregon to simultaneously implement four fall prevention strategies: 1) Tai Chi: Moving for Better Balance; 2) Stepping On; 3) Otago Exercise Program; and 4) STEADI (STopping Elderly Accidents, Deaths, and Injuries) toolkit. Surveys were performed to examine systems change and perceptions about sustainability across states. The purposes of this study were to: 1) examine how funding influenced the capacity for program implementation and sustainability within the SFPP; and 2) assess reported Program Sustainability Assessment Tool (PSAT) scores to learn about how best to sustain fall preventing efforts after funding ends. Data showed that more organizations offered evidence-based fall prevention programs in participants' service areas with funding, and the importance of programming implementation, evaluation, and reporting efforts were likely to diminish once funding concluded. Participants' reported PSAT scores about perceived sustainability capacity did not directly align with previously reported perceptions about PSAT domain importance or modifiability. Findings suggest the importance of grantees to identify potential barriers and enablers influencing program sustainability during the planning phase of the programs.

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Additional file 1 of Identifying existing approaches used to evaluate the sustainability of evidence-based interventions in healthcare: an integrative review
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Authors: Smith, M. L., Durrett, N. K., Schneider, E. C., Byers, I. N., Shubert, T. E., Wilson, A. D., Towne, S. D., & Ory, M. G.
Affiliations: University of Georgia (US)
University of North Carolina at Chapel Hill (US)
Texas A&M University (US)
Corresponding author: Smith, Matthew Lee
ORCID: Smith, Matthew Lee
Shubert, Tiffany E.
Towne, Samuel D.
Ory, Marcia G.
Venue: Evaluation and Program Planning
Publisher: Elsevier BV
Published: 2018-06
Volume: 68
Pages: 194-201
ISSN: 0149-7189 (ISSN-L)
DOI: 10.1016/j.evalprogplan.2018.02.001
OpenAlex: W2794128793
Cited by: 22
References: 49
Citations by year: 2026: 2 · 2025: 1 · 2024: 2 · 2023: 4 · 2022: 7 · 2021: 1 · 2020: 2 · 2019: 3
FWCI: 2.29
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Evaluation and Program Planning (publishedVersion)
PubMed (publishedVersion)
RePEc: Research Papers in Economics (submittedVersion)
Funders: Centers for Disease Control and Prevention (1U48-DP005017)
University of North Carolina at Chapel Hill Center for Health Promotion and Disease Prevention and Cooperative Agreement (1U48 DP001924)
Topics: Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Social Sciences › Decision Sciences › Management Science and Operations Research › Evaluation and Performance Assessment
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
Keywords: fall prevention, program sustainability, scale-up, older adults, Tai Chi, Otago exercise program, systemic change, barriers and facilitators, health departments, Colorado, New York, Oregon
MeSH terms: Accidental Falls, Financing, Government, Health Promotion, Humans, Politics, Public Health, State Government, United States, Program Evaluation

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Examination of sustainability indicators for fall prevention strategies in three states

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