Developing an evidence-based fall prevention curriculum for community health workers

Julie A. St. John, Tiffany E. Shubert, Matthew Lee Smith, Cherie A. Rosemond, Doris A. Howell, Christopher E. Beaudoin, Marcia G. Ory

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


This perspective paper describes processes in the development of an evidence-based fall prevention curriculum for community health workers/promotores (CHW/P) that highlights the development of the curriculum and addresses: (1) the need and rationale for involving CHW/P in fall prevention; (2) involvement of CHW/P and content experts in the curriculum development; (3) best practices utilized in the curriculum development and training implementation; and (4) next steps for dissemination and utilization of the CHW/P fall prevention curriculum. The project team of CHW/P and content experts developed, pilot tested, and revised bilingual in-person training modules about fall prevention among older adults. The curriculum incorporated the following major themes: (1) fall risk factors and strategies to reduce/prevent falls; (2) communication strategies to reduce risk of falling and strategies for developing fall prevention plans; and (3) health behavior change theories utilized to prevent and reduce falls. Three separate fall prevention modules were developed for CHW/P and CHW/P Instructors to be used during in-person trainings. Module development incorporated a five-step process: (1) conduct informal focus groups with CHW/P to inform content development; (2) develop three in-person modules in English and Spanish with input from content experts; (3) pilot-test the modules with CHW/P; (4) refine and finalize modules based on pilot-test feedback; and (5) submit modules for approval of continuing education units. This project contributes to the existing evidence-based literature by examining the role of CHW/P in fall prevention among older adults. By including evidence-based communication strategies such as message tailoring, the curriculum design allows CHW/P to personalize the information for individuals, which can result in an effective dissemination of a curriculum that is evidence-based and culturally appropriate.

Original languageEnglish (US)
Article number209
JournalFrontiers in Public Health
Issue numberAPR
StatePublished - Apr 27 2015


  • Community health workers
  • Curriculum development
  • Fall prevention
  • Older adults
  • Promotores
  • Training

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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