Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/45396
Title: Context makes a difference: a qualitative study exploring how to implement a multifactorial falls prevention intervention in the community
Authors: Vandervelde, Sara
de Casterle, Bernadette Dierckx
VLAEYEN, Ellen 
Flamaing, Johan
Valy, Sien
Belaen, Goedele
Milisen, Koen
Issue Date: 2025
Publisher: BMC
Source: BMC Public Health, 25 (1) (Art N° 485)
Abstract: BackgroundFalls are a major problem in community-dwelling older people. Multifactorial falls prevention interventions are recommended as intervention. However, poor implementation impacts successful outcomes of multifactorial falls prevention interventions. The context is critical to understand variation in implementation and clinical outcomes. This study aims to analyze and describe determinants at all levels of the context that influence the implementation of a multifactorial falls prevention intervention in the community in Flanders (Belgium).MethodsThis study consists of semi-structured interviews with 6 key persons, 3 focus group interviews with healthcare professionals (n = 16), 1 focus group with local policy makers (n = 6) and 4 semi-structured interviews and 1 focus group (n = 3) with older people. The Integrated Checklist of Determinants of Practice (TICD checklist) was used to develop the interview guide and to make sure that there was enough understanding of the contextual determinants at the different domains. The interviews and focus groups were verbatim transcribed and analyzed using the Qualitative Analysis Guide of Leuven (QUAGOL). To clarify themes, data were coded in NVivo 12 (TM).ResultsWe identified 4 key themes related to successful implementation of a multifactorial falls prevention intervention in the community setting: (1) stakeholder involvement and participation, (2) Fostering awareness, beliefs, knowledge, and skills for falls prevention, (3) working proactively and (4) communication, collaboration, coordination and financing care. This study identified 33 determinants of the TICD checklist and all 7 domains were represented.ConclusionsUnderstanding the existing structures, norms, policies and contextual factors allows us to proactively tailor the implementation strategies and a multifactorial falls prevention intervention to the community context.
Notes: Milisen, K (corresponding author), Katholieke Univ Leuven, Acad Ctr Nursing & Midwifery, Dept Publ Hlth & Primary Care, Kapucijnenvoer 7 Bus 7001, B-3000 Leuven, Belgium.; Milisen, K (corresponding author), Katholieke Univ Leuven, Ctr Expertise Falls & Fracture Prevent Flanders, Kapucijnenvoer 7 Bus 7001, B-3000 Leuven, Belgium.; Milisen, K (corresponding author), Univ Hosp Leuven, Dept Geriatr Med, Herestr 49, B-3000 Leuven, Belgium.
sara.vandervelde@kuleuven.be; bernadette.dierckxdecasterle@kuleuven.be;
ellen.vlaeyen@kuleuven.be; johan.flamaing@uzleuven.be;
expertisecentrum@valpreventie.be; goedele.belaen@kuleuven.be;
koen.milisen@kuleuven.be
Keywords: Community setting;Community setting;Implementation;Implementation;Falls prevention;Falls prevention;Aged;Aged;Contextual analysis;Contextual analysis
Document URI: http://hdl.handle.net/1942/45396
e-ISSN: 1471-2458
DOI: 10.1186/s12889-025-21561-6
ISI #: 001415470100003
Rights: The Author(s) 2025. Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creati vecommons.org/licenses/by-nc-nd/4.0/.
Category: A1
Type: Journal Contribution
Appears in Collections:Research publications

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