7 Optimizing and implementing a community-based group fall prevention program | 145 Funding and costs Stakeholders and therapists indicated that paying a contribution increased the motivation and commitment to keep participating in the program. Adherence benefits most from paying for the whole program rather than paying per attended session. However, paying a contribution should not be a barrier to participate in the program. Therefore, it is important that the contribution is not too high so that it remains affordable: “We ask for a contribution of 10 euros for the course, which is very little, but is still a difference compared to nothing and we do not want to make a distinction in contributions.” [stakeholder, innovation and development wellbeing organisation] A feasible own contribution for FPP participants should be between 45 and 150 euros for the complete program according to FPP participants, therapists and stakeholders. The funding differed per municipality where the program was provided, and also the own contribution differed between locations. As municipalities are responsible for the funding of local FPPs in the Netherlands, manner and amount differ between locations. It would be better, according to the FPP participants and therapists, to harmonize the own contribution across the country, so that the own financial contribution does not differ between locations. Also, healthcare insurance companies sometimes financially contributed to the program, for example when there was an underlying medical condition. It should be made more clear which insurance company contributes which amount of money for FPPs. Long-term continuation There was little offer in sports or follow-up programs after finishing the 14-week FPP. If there was any, it was locally arranged, and the offer differed per location. There was also a need for continuation of exercising with the same group as in the FPP: “I’ve also had it happen that a dining club was found after the program, where they kept seeing each other. That’s fun too. And this time there was a whole group that wanted to continue training together.” [therapist] Securing and trying to pursue a regular start of the In Balance program was suggested: “Otherwise, the assurance is of course that you can offer the program regularly so that people also know that: oh yes, you can do that every autumn or every spring and that you know that, with the partners involved: this is a continuous offer here. Just a basic facility that we want to realize.” [stakeholder, innovation, and development wellbeing organisation]
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