@article{f4bd4c6d668e461cad45325a456ddc12,
title = "Examination of sustainability indicators for fall prevention strategies in three states",
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{\textquoteright} intended benefits, organizations must repeatedly deliver the programs over time and plan for program sustainability as part of 'scaling up{\textquoteright} 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{\textquoteright} service areas with funding, and the importance of programming implementation, evaluation, and reporting efforts were likely to diminish once funding concluded. Participants{\textquoteright} 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.",
keywords = "Evidence-based programs, Fall prevention, Multi-level community programs, Older adults, Program Sustainability Assessment Tool, Sustainability",
author = "Smith, {Matthew Lee} and Durrett, {Nicholas K.} and Schneider, {Ellen C.} and Byers, {Imani N.} and Shubert, {Tiffany E.} and Wilson, {Ashley D.} and Towne, {Samuel D.} and Ory, {Marcia G.}",
note = "Funding Information: The authors would like to thank the leadership and guidance of CDC personnel throughout this collaborative State Falls Prevention Project (SFPP). More specifically, the authors acknowledge Margaret Kaniewski, Judy Stevens, Erin Parker, and Robin Lee. The authors also acknowledge the hard work and ongoing dedication of the Colorado, New York, and Oregon State Departments of Health, state grantees under this initiative. Under the leadership of Sallie Thoreson, Michael Bauer, Lisa Shields, and David Dowler, respectively, these public health teams were able to confront and overcome challenges to address barriers and realize successes related to fall prevention in their states. This research was supported under the Health Promotion and Disease Prevention Research Centers Program, funded by the Centers for Disease Control and Prevention , under Cooperative Agreement 1U48-DP005017 at the University of North Carolina at Chapel Hill Center for Health Promotion and Disease Prevention and Cooperative Agreement 1U48 DP001924 at the Texas A&M School of Public Health Center for Community Health Development. Matthew Lee Smith is the Co-Director of the Texas A&M Center for Population Health and Aging. He is an Associate Professor at the Texas A&M School of Public Health and Adjunct Associate Professor at the University of Georgia College of Public Health. Nicholas K. Durrett is currently a dual-degree masters student in the College of Public Health and School of Social Work at the University of Georgia. Ellen C. Schneider is a Research Scientist with the University of North Carolina Center for Health Promotion and Disease Prevention and a consultant with the National Council on Aging (NCOA). Imani N. Byers is currently a dual-degree masters student in the College of Public Health and School of Social Work at the University of Georgia. Tiffany E. Shubert is the President of Shubert Consulting, and holds adjunct positions as a Scientist at the UNC Center for Aging and Health, the Institute on Aging and the University of North Carolina Division of Physical Therapy. Ashley D. Wilson is a Research Associate in the Center for Population Health and Aging at Texas A&M University. Samuel D. Towne Jr. is a Research Assistant Professor in the Texas A&M School of Public Health{\textquoteright}s Department of Health Promotion and Community Health Sciences. Marcia G. Ory is a Regents and Distinguished Professor in the Texas A&M School of Public Health. She also serves as the Associate Dean of Research for the school and Founding Director of the Texas A&M Center for Population Health and Aging. Publisher Copyright: {\textcopyright} 2018",
year = "2018",
month = jun,
doi = "10.1016/j.evalprogplan.2018.02.001",
language = "English (US)",
volume = "68",
pages = "194--201",
journal = "Evaluation and Program Planning",
issn = "0149-7189",
publisher = "Elsevier Ltd",
}