{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T10:33:40Z","timestamp":1768818820325,"version":"3.49.0"},"reference-count":56,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2020,9,15]],"date-time":"2020-09-15T00:00:00Z","timestamp":1600128000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100006928","name":"Ohio State University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006928","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,8,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background and Objectives<\/jats:title>\n                  <jats:p>Home- and community-based service (HCBS) recipients often possess multiple fall risk factors, suggesting that the implementation of evidence-based fall prevention guidelines may be appropriate for the HCBS setting. The purpose of this exploratory study was to examine the determinants of fall prevention guideline implementation and the potential strategies that can support implementation in HCBS organizations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Research Design and Methods<\/jats:title>\n                  <jats:p>Semistructured interview and focus group data were collected from 26 HCBS professionals representing the home-delivered meals, personal care, and wellness programs. Qualitative codes were mapped to the Consolidated Framework for Implementation Research by means of directed content analysis. The Consolidated Criteria for Reporting Qualitative research checklist was used to report the findings of this study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>We identified 7 major determinants of guideline implementation: recipient needs and resources, cosmopolitanism, external policy and incentives, networks and communication, compatibility, available resources, and knowledge\/beliefs. Strategies to support guideline implementation included the involvement of recipient and caregiver feedback, building fall prevention networks, and conducting educational meetings for HCBS staff.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion and Implications<\/jats:title>\n                  <jats:p>Falls and fall-related injuries will continue to plague the older adult community unless innovative approaches to fall prevention are developed and adopted. The implementation of fall prevention guidelines in the HCBS setting can help mitigate fall risk among a highly vulnerable older adult population and may be facilitated through the application of multifaceted implementation strategies.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/geront\/gnaa133","type":"journal-article","created":{"date-parts":[[2020,9,11]],"date-time":"2020-09-11T19:11:30Z","timestamp":1599851490000},"page":"942-953","source":"Crossref","is-referenced-by-count":26,"title":["Determinants of Fall Prevention Guideline Implementation in the Home- and Community-Based Service Setting"],"prefix":"10.1093","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8587-7172","authenticated-orcid":false,"given":"Lisa A","family":"Juckett","sequence":"first","affiliation":[{"name":"Division of Occupational Therapy, School of Health and Rehabilitation Sciences, The Ohio State University, Columbus"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alicia C","family":"Bunger","sequence":"additional","affiliation":[{"name":"College of Social Work, The Ohio State University, Columbus"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0612-4245","authenticated-orcid":false,"given":"Shannon E","family":"Jarrott","sequence":"additional","affiliation":[{"name":"College of Social Work, The Ohio State University, Columbus"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holly I","family":"Dabelko-Schoeny","sequence":"additional","affiliation":[{"name":"College of Social Work, The Ohio State University, Columbus"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Krok-Schoen","sequence":"additional","affiliation":[{"name":"Division of Health Sciences, School of Health and Rehabilitation Sciences, The Ohio State University, Columbus"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachael M","family":"Poling","sequence":"additional","affiliation":[{"name":"Division of Occupational Therapy, School of Health and Rehabilitation Sciences, The Ohio State University, Columbus"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorraine C","family":"Mion","sequence":"additional","affiliation":[{"name":"College of Nursing, The Ohio State University, Columbus"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Tucker","sequence":"additional","affiliation":[{"name":"College of Nursing, The Ohio State University, Columbus"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,9,15]]},"reference":[{"key":"2021081311030851100_CIT0001","author":"Administration for Community Living (ACL)","year":"2018"},{"key":"2021081311030851100_CIT0002","author":"Administration for Community Living (ACL)","year":"2020"},{"issue":"1","key":"2021081311030851100_CIT0003","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1111\/j.1532-5415.2010.03234.x","article-title":"Summary of the updated American Geriatrics Society\/British Geriatrics Society clinical practice guideline for prevention of falls in older persons","volume":"59","author":"American Geriatrics Society and British Geriatrics Society","year":"2011","journal-title":"Journal of the American Geriatrics Society,"},{"key":"2021081311030851100_CIT0004","doi-asserted-by":"crossref","DOI":"10.7312\/ande17768","volume-title":"Home- and community-based services for older adults","author":"Anderson","year":"2018"},{"issue":"1","key":"2021081311030851100_CIT0005","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1186\/s13012-017-0684-7","article-title":"Feasibility and acceptability of two incentive-based implementation strategies for mental health therapists implementing cognitive-behavioral therapy: A pilot study to inform a randomized controlled trial","volume":"12","author":"Beidas","year":"2017","journal-title":"Implementation Science"},{"issue":"7","key":"2021081311030851100_CIT0006","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1176\/appi.ps.201100401","article-title":"Training and consultation to promote implementation of an empirically supported treatment: A randomized trial","volume":"63","author":"Beidas","year":"2012","journal-title":"Psychiatric Services (Washington, D.C.)"},{"issue":"37","key":"2021081311030851100_CIT0007","doi-asserted-by":"crossref","first-page":"993","DOI":"10.15585\/mmwr.mm6537a2","article-title":"Falls and fall injuries among adults aged \u226565 years\u2014United States, 2014","volume":"65","author":"Bergen","year":"2016","journal-title":"MMWR. 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