Statewide implementation of the 'A matter of balance/volunteer lay leader' model

Falls are a significant public health problem among older adults. For the 20% to 30% of seniors who experience moderate to severe fall-related injuries, the incident may act as a catalyst for a downward cycle, which may result in premature mortality without intervention efforts. Researchers at Boston University developed A Matter of Balance to help decrease older adults' anxiety about falling and increase their activity levels through exercises designed to reduce falls risks. The efficacy of their behaviorally-based approach, using a trained health care provider to oversee the recommended exercises, was examined in a controlled randomized clinical trial. Immediately following the intervention, the experimental group showed a significant increase in the confidence to prevent and manage falls, and had fewer mobility and activity restrictions. Long-term effects included improved social functioning and mobility range.