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Barriers to senior centre implementation of falls prevention programmes
  1. Ciara Zachary1,
  2. Carri Casteel2,
  3. Maryalice Nocera3,
  4. Carol W Runyan4
  1. 1Department of Health Behavior and Society, Johns Hopkins University, Baltimore, Maryland, USA
  2. 2Department of Epidemiology, UNC Chapel Hill, Chapel Hill, North Carolina, USA
  3. 3Injury Prevention Research Center, UNC Chapel Hill, Chapel Hill, North Carolina, USA
  4. 4Department of Epidemiology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA
  1. Correspondence to Dr Carri Casteel, Department of Epidemiology, UNC Chapel Hill, 137 East Franklin Street, Suite 500, Chapel Hill, North Carolina 27599-7505, USA; ccasteel{at}


This study examined the prevalence of senior centres providing multi-component falls prevention education and the perceived barriers in implementing this education. A telephone interview was conducted in 2006 with 500 senior centres nationwide. Centre directors were asked about the types of multi-component falls prevention education offered (ie, balance exercise classes, medication management, home safety information) and barriers to offering this education. Seventy percent of senior centres offered balance exercise classes, 68% offered medication management and 53% provided home safety information. Thirty-two percent offered all three components. Lack of staff, time and staff not feeling they had sufficient knowledge to deliver falls prevention education were the leading barriers to providing multi-component education. Senior centres provide components of effective falls prevention education and, while some may not address all components of a multifaceted programme, many have existing resources that may be adapted for translation of evidence-based programmes.

  • Dissemination
  • occupational injury
  • fall
  • implementation/translation
  • epidemiology
  • education
  • e-code
  • models
  • methods
  • programme
  • evaluation
  • occupational
  • MVTC
  • fires
  • firearm
  • bicycle
  • home
  • child
  • adolescent
  • policy

Statistics from


  • Funding The study was funded by a grant from the National Center for Injury Prevention and Control, Centers for Disease Control and Prevention (Grant #: 5 R49 CE000530) to the University of North Carolina Injury Prevention Research Center.

  • Competing interests None.

  • Patient consent The research did not involve patients or any identifiable medical information.

  • Ethics approval Approval provided by UNC Chapel Hill Public Health-Nursing Institutional Review Board.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement The data collection instrument and electronic data with corresponding codebooks can be made available to the broader community after all project personnel have completed their dissemination activities. De-identified data can be provided at the senior centre level in SAS format or in a Microsoft Access database. Codebooks can be made available in Microsoft Word. Data sharing contact: Carri Casteel, PhD (ccasteel{at}

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