There is strong evidence that effective fall prevention elements exist, but the implementation into society remains difficult. The aim of the current study is to describe and evaluate the implementation of the fall prevention programme “Thuis Onbezorgd Mobiel” (TOM). This novel approach combines effective components into a multidisciplinary group-based programme for adults aged 65 years or older with an increased risk of falling. To investigate the impact on several health-related outcomes such as subjective health, quality of life, physical functioning, and falls, we applied a quasi-experimental pre–post design including a follow-up period. A total of 164 older adults subscribed to the programme: 80 were eligible to start and 73 completed it. The impact analysis revealed a significant improvement in subjective health, physical functioning, and quality of life directly after participating in the programme. The impact on subjective health and quality of life persisted six months after the programme. Important facilitators for the implementation of the programme were social contact and clear communication. Lack of a concrete follow-up was seen as an important barrier. The results of the current research help guide further implementation of effective fall prevention interventions in practice.

中文翻译：

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实施 TOM 的评估：针对荷兰社区老年人的基于团体的跌倒预防计划


有强有力的证据表明，有效的防跌倒措施是存在的，但在社会中实施仍然很困难。本研究的目的是描述和评估跌倒预防计划“Thuis Onbezorgd Mobiel”（TOM）的实施情况。这种新颖的方法将有效的组成部分结合到一个多学科小组计划中，针对 65 岁或以上跌倒风险增加的成年人。为了调查对主观健康、生活质量、身体机能和跌倒等一些健康相关结果的影响，我们采用了准实验性的前后设计，包括随访期。共有 164 名老年人订阅了该计划：80 人有资格开始，73 人完​​成。影响分析显示，参加该计划后，主观健康、身体机能和生活质量立即显着改善。项目结束六个月后，对主观健康和生活质量的影响持续存在。社会接触和清晰的沟通是该计划实施的重要促进因素。缺乏具体的后续行动被视为一个重要障碍。当前的研究结果有助于指导在实践中进一步实施有效的跌倒预防干预措施。