Acceptability, appropriateness and costs of a tailored implementation strategy for the national falls prevention recommendations in Norwegian municipalities—a process evaluation of the FALLPREVENT trial.
Background Falls prevention interventions are effective, but their uptake in clinical practice is limited. To improve uptake tailored implementation strategies are recommended, and we need knowledge on feasibility of the strategies in municipal healthcare. A cluster-randomised trial set in Norwegian...
| Publicado en: | Age & Ageing Vol. 55; no. 4; pp. 1 - 12 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Apr2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=193500085&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 193500085 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Apr2026 vid: 55 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 193500085 10.1093/ageing/afag089 ppf: 1 ppct: 11 formats: tig: atl: Acceptability, appropriateness and costs of a tailored implementation strategy for the national falls prevention recommendations in Norwegian municipalities—a process evaluation of the FALLPREVENT trial. aug: au: Bjerk, Maria Øien, Henning Foy, Robbie Skelton, Dawn A Flottorp, Signe Agnes Taraldsen, Kristin affil: Department of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, NorwayDivision of Health Services, Norwegian Institute of Public Health, Oslo, Norway Division of Health Services, Norwegian Institute of Public Health, Oslo, Norway Faculty of Medicine and Health, University of Leeds, Leeds, West Yorkshire, UK Institute of Applied Health Research, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK Department of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, Norway su: Norway Teams in the workplace Sick leave Medical personnel Human services programs Focus groups Meetings Occupational roles Interprofessional relations Interviewing Leadership Randomized controlled trials Information resources Sound recordings Working hours Communication Commitment (Psychology) Psychosocial factors Local government Medical protocols Job involvement Executives Cost analysis Thematic analysis Attitudes of medical personnel Research methodology Adult education workshops Accidental falls Patient aftercare sug: subj: Teams in the workplace Sick leave Medical personnel Human services programs Focus groups Meetings Occupational roles Interprofessional relations Interviewing Leadership Randomized controlled trials Information resources Sound recordings Working hours Communication Commitment (Psychology) Psychosocial factors Local government Norway Home Health Care Services Sound recording merchant wholesalers Integrated Record Production/Distribution Record Production Medical protocols Job involvement Executives Cost analysis Thematic analysis Attitudes of medical personnel Research methodology Adult education workshops Accidental falls Patient aftercare keyword: acceptability appropriateness copyrightHolder:British Geriatrics Society copyrightYear:2026 fall prevention falls prevention https://dx.doi.org/10.1093/ageing/afag089 implementation strategy inLanguage:en norwegian older people process evaluation publisher:Oxford University Press qualitative research sameAs:https://pubmed.ncbi.nlm.nih.gov/41967032/ acceptability appropriateness copyrightHolder:British Geriatrics Society copyrightYear:2026 fall prevention falls prevention https://dx.doi.org/10.1093/ageing/afag089 implementation strategy inLanguage:en norwegian older people process evaluation publisher:Oxford University Press qualitative research sameAs:https://pubmed.ncbi.nlm.nih.gov/41967032/ ab: Background Falls prevention interventions are effective, but their uptake in clinical practice is limited. To improve uptake tailored implementation strategies are recommended, and we need knowledge on feasibility of the strategies in municipal healthcare. A cluster-randomised trial set in Norwegian municipalities evaluated a tailored implementation strategy, featuring leader commitment, resource teams, regional and local meetings and support. The trial found increased adherence to falls prevention recommendations, improved implementation experience and high fidelity among participants to the intervention. We examined the acceptability, appropriateness and delivery costs of the implementation strategy. Methods We interviewed 13 mid-level managers and conducted nine focus groups with 29 health care professionals (HCPs) from the resource teams leading the implementation within each municipality, prior to thematic analysis. We estimated implementation strategy costs based on personnel time and associated delivery resources. Result Mid-level managers and HCPs from the resource teams experienced challenges in securing leadership commitment, negotiating change across management levels and promoting shared opinions on falls prevention. The multidisciplinary resource teams and supporting seminars and tools were perceived as useful in tailoring local implementation of falls prevention recommendations. Personnel costs accounted for 80% of the total intervention costs of EUR 81 558 and costs per municipality of EUR 6274. Conclusions The tailored implementation strategy was perceived as acceptable and appropriate for implementing national falls prevention recommendations. However, effectiveness may have been reduced by inconsistent manager commitment and limited personnel capacity. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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