The lived-experiences and recommendations of older Black Canadians regarding community-based fall prevention exercise programs: a qualitative study.

Background and Objectives Health inequities continue to disproportionately affect Black people, particularly as it relates to accessing preventative health programs. Community-based fall prevention exercise programs are critical for maintaining mobility and independence for all older adults, yet par...

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Publicado en:Gerontologist Vol. 66; no. 6; pp. 1 - 13
Autores principales: Lochan-Aristide, Maykah, Bouchard, Danielle R, Dogra, Shilpa
Formato: Artículo
Publicado: Oxford University Press / USA Jun2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Oxford University Press / USA
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        10.1093/geront/gnag051
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        atl: The lived-experiences and recommendations of older Black Canadians regarding community-based fall prevention exercise programs: a qualitative study.
      aug:
        au:
          Lochan-Aristide, Maykah
          Bouchard, Danielle R
          Dogra, Shilpa
        affil:
          Faculty of Health Science (Kinesiology), Ontario Tech University, Oshawa, Ontario, Canada
          Faculty of Kinesiology, University of New Brunswick, Fredericton, New Brunswick, Canada
      su:
        Qualitative research
        Evaluation of human services programs
        Interviewing
        Age distribution
        Experience
        Geriatric rehabilitation
        Race
        Communication
        Health equity
        Phenomenology
        Black Canadians
        Community-based social services
        Old age
        Research funding
        Descriptive statistics
        Judgment sampling
        Thematic analysis
        Research methodology
        Accidental falls
        Physical activity
      sug:
        subj:
          Qualitative research
          Evaluation of human services programs
          Interviewing
          Age distribution
          Experience
          Geriatric rehabilitation
          Race
          Communication
          Health equity
          Phenomenology
          Black Canadians
          Community-based social services
          Old age
          Other Individual and Family Services
          Research funding
          Descriptive statistics
          Judgment sampling
          Thematic analysis
          Research methodology
          Accidental falls
          Physical activity
      ab: Background and Objectives Health inequities continue to disproportionately affect Black people, particularly as it relates to accessing preventative health programs. Community-based fall prevention exercise programs are critical for maintaining mobility and independence for all older adults, yet participation among older Black Canadians remains low. Despite the growing recognition of racial disparities in healthcare access, there is a lack of research exploring the needs, perspectives, and experiences related to engagement in community-based fall prevention exercise programs. The purpose of this study was to explore the lived experiences and perspectives of older Black Canadians regarding community-based fall prevention exercise programs and their preferences for such programming. Research Design and Methods Phenomenologically informed thematic analysis was employed, using semi-structured interviews with a diverse sample of Black people aged 50 and older (n = 23). Results Key themes identified were: (1) Misunderstanding; (2) Importance of Social Connection; (3) Movement and Music; (4) Age Differences; and (5) Expected Barriers and Facilitators. Additionally, participants emphasized the importance of culturally informed exercise formats, such as dance-based classes, and more effective outreach in trusted community spaces. Discussion and Implications In conclusion, this work highlights several opportunities for creating more attractive community-based fall prevention exercise programs for older Black Canadians. Addressing specific barriers requires intentional program adaptations, targeted outreach strategies, and stronger community engagement efforts. Addressing the preferences of Black people for fall prevention programming is essential for promoting health equity and improving quality of life.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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