PMID- 30544658 OWN - NLM STAT- MEDLINE DCOM- 20190215 LR - 20200225 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 15 IP - 12 DP - 2018 Dec 10 TI - Delivery of Fall Prevention Interventions for At-Risk Older Adults in Rural Areas: Findings from a National Dissemination. LID - 10.3390/ijerph15122798 [doi] LID - 2798 AB - Falls incidence rates and associated injuries are projected to increase among rural-dwelling older adults, which highlights the need for effective interventions to prevent falls and manage fall-related risks. The purpose of this descriptive study was to identify the geospatial dissemination of eight evidence-based fall prevention programs (e.g., A Matter of Balance, Stepping On, Tai Chi, Otago Exercise Program) across the United States (U.S.) in terms of participants enrolled, workshops delivered, and geospatial reach. These dissemination characteristics were compared across three rurality designations (i.e., metro areas; non-metro areas adjacent to metro areas; and, non-metro areas not adjacent to metro areas). Data were analyzed from a national repository of 39 Administration for Community Living (ACL) grantees from 2014(-)2017 (spanning 22 states). Descriptive statistics were used to assess program reach, delivery-site type, and completion rate by rurality. Geographic information systems (GIS) geospatially represented the collective reach of the eight interventions. Of the 45,812 participants who attended a fall prevention program, 12.7% attended workshops in non-metro adjacent areas and 6.6% attended workshops in non-metro non-adjacent areas. Of the 3755 workshops delivered (in over 550 unique counties), most were delivered in senior centers (26%), residential facilities (20%), healthcare organizations (13%), and faith-based organizations (9%). On average, the workshop attendance/retention rates were consistent across rurality (~70%). Findings highlight the need to diversify the delivery infrastructure for fall prevention programs to adequately serve older adults in rural areas. Ongoing efforts are needed to offer sustainable technical assistance and to develop scalable clinical-community referral systems to increase fall prevention program participation among rural-dwelling older adults. FAU - Smith, Matthew Lee AU - Smith ML AD - Center for Population Health and Aging, Texas A&M University, College Station, TX 77843, USA. matthew.smith@tamhsc.edu. AD - School of Public Health, Texas A&M University, College Station, TX 77843, USA. matthew.smith@tamhsc.edu. AD - College of Public Health, The University of Georgia, Athens, GA 30602, USA. matthew.smith@tamhsc.edu. FAU - Towne, Samuel D AU - Towne SD AD - Center for Population Health and Aging, Texas A&M University, College Station, TX 77843, USA. samuel.towne@ucf.edu. AD - School of Public Health, Texas A&M University, College Station, TX 77843, USA. samuel.towne@ucf.edu. AD - Department of Health Management and Informatics, University of Central Florida, Orlando, FL 32816, USA. samuel.towne@ucf.edu. AD - Disability, Aging, and Technology Cluster, University of Central Florida, Orlando, FL 32816, USA. samuel.towne@ucf.edu. AD - Southwest Rural Health Research Center, Texas A&M University, College Station, TX 77843, USA. samuel.towne@ucf.edu. FAU - Herrera-Venson, Angelica AU - Herrera-Venson A AD - National Council on Aging, Arlington, VA 22202, USA. angelica.herrera-venson@ncoa.org. FAU - Cameron, Kathleen AU - Cameron K AD - National Council on Aging, Arlington, VA 22202, USA. kathleen.cameron@ncoa.org. FAU - Horel, Scott A AU - Horel SA AD - School of Public Health, Texas A&M University, College Station, TX 77843, USA. sahorel@sph.tamhsc.edu. FAU - Ory, Marcia G AU - Ory MG AD - Center for Population Health and Aging, Texas A&M University, College Station, TX 77843, USA. mory@sph.tamhsc.edu. AD - School of Public Health, Texas A&M University, College Station, TX 77843, USA. mory@sph.tamhsc.edu. FAU - Gilchrist, Chelsea L AU - Gilchrist CL AD - National Council on Aging, Arlington, VA 22202, USA. chelsea.gilchrist@ncoa.org. FAU - Schneider, Ellen C AU - Schneider EC AD - National Council on Aging, Arlington, VA 22202, USA. ecschnei@email.unc.edu. AD - Center for Aging and Health, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA. ecschnei@email.unc.edu. FAU - DiCocco, Casey AU - DiCocco C AD - Administration for Community Living, Washington, DC 20201, USA. casey.dicocco@acl.hhs.gov. FAU - Skowronski, Shannon AU - Skowronski S AD - Administration for Community Living, Washington, DC 20201, USA. shannon.skowronski@acl.hhs.gov. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20181210 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 SB - IM MH - Accidental Falls/*prevention & control MH - Aged MH - Animals MH - Dogs MH - Female MH - Geography MH - Humans MH - *Information Dissemination MH - Male MH - Program Evaluation MH - Public Health MH - Rural Population/*statistics & numerical data MH - Spatial Analysis MH - United States PMC - PMC6313583 OTO - NOTNLM OT - dissemination OT - evidence-based program OT - fall prevention OT - geospatial research OT - rural COIS- The authors declare no conflict of interest. EDAT- 2018/12/14 06:00 MHDA- 2019/02/16 06:00 PMCR- 2018/12/01 CRDT- 2018/12/15 06:00 PHST- 2018/09/16 00:00 [received] PHST- 2018/11/10 00:00 [revised] PHST- 2018/12/04 00:00 [accepted] PHST- 2018/12/15 06:00 [entrez] PHST- 2018/12/14 06:00 [pubmed] PHST- 2019/02/16 06:00 [medline] PHST- 2018/12/01 00:00 [pmc-release] AID - ijerph15122798 [pii] AID - ijerph-15-02798 [pii] AID - 10.3390/ijerph15122798 [doi] PST - epublish SO - Int J Environ Res Public Health. 2018 Dec 10;15(12):2798. doi: 10.3390/ijerph15122798.