7 Optimizing and implementing a community-based group fall prevention program | 149 Implications and recommendations Based on the findings of our study, several recommendations can be made for implementing FPPs. When recruiting and motivating older adults to participate in the FPP the most eligible target group are community-dwelling older adults with a history of falls and/or fear of falling. Regarding content and structure of the FPP, the combination of theory and practice and the tailor-made approach was experienced as positive. A crucial factor for adherence is that FPP participants perceive some degree of training effects, such as more awareness. Moreover, sharing experiences with peers and learning from each other was perceived as helpful for adherence and well-being. Harmonization of funding and costs across the country is suggested, so that paying an own financial contribution does not differ for participants between locations. Last, there is a need for continuation of exercising after the FPP, preferably with the same group as in the FPP. CONCLUSIONS This mixed methods study showed that FPP participants, therapists and stakeholders were satisfied with the training program and would recommend it to (other) older adults with a higher fall risk. Six themes were identified that are important for further optimalisation of the implementation of FPPs: (1) Reaching and motivating older adults to participate, (2) Structure and content of the program, (3) Awareness, confidence and physical effects, (4) Training with peers, (5) Funding and costs, and (6) Long-term continuation. This study provides practical recommendations to optimize and further implement the In Balance program and is besides also generalizable to other FPPs. ACKNOWLEDGMENTS We want to thank Marion Matthijssen for her cooperation and help with setting up and conducting the focus groups. In addition, we want to thank VeiligheidNL for their cooperation and help with designing this study.
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