Belgium program Enhancing the uptake and Effectiveness of a Multifactorial falls Prevention intervention in Older community-dWElling peRsons (BE-EMPOWERed): A study protocol

Abstract

Aims This study protocol aims to outline a mixed-methods study of the implementation of the BE-EMPOWERed program in four primary care areas (PCAs) in Flanders. The study assesses implementation processes and outcomes, while exploring its effectiveness on clinical outcomes.<br /> Background Despite strong evidence supporting multifactorial falls prevention interventions, their implementation in clinical practice remains limited, contributing to substantial research waste. Systematic implementation science approaches are essential to address this gap. The BE-EMPOWERed program, developed using Intervention Mapping and Implementation Mapping, aims to enhance the uptake and effectiveness of multifactorial falls prevention interventions in older community-dwelling people. The program includes a seven-week group intervention for older people, workshops for healthcare professionals (HCPs), and an implementation plan tailored to PCAs.<br /> Methods Two-year mixed-methods study using a convergent parallel design. Qualitative data from focus group interviews and observations will assess implementation outcomes and processes, while quantitative data from a before-and-after study will evaluate the program's effectiveness on fallers, concerns about falling, balance, walking speed and muscle strength and behavior in older people using surveys and tests at multiple time points.<br /> Discussion The BE-EMPOWERed program addresses barriers and facilitators in translating evidence into practice, aiming to reduce falls and promote active aging.This study will offer actionable insights, tools for scaling up and evidence-based strategies for future national and international initiatives. It will also contribute to implementation science by demonstrating practical methods for bridging research into practice gaps in community-based falls prevention.