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Two regional and rural public health services in Queensland devised an implementation strategy to embed best practice occupational therapist\u2010led EAM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A qualitative study was conducted to compare the determinants of implementation success across the different health services, using the COM\u2010B model of behaviour change. Six semi\u2010structured interviews were completed with occupational therapists involved at each site, following 12\u2009months of implementation. Interview data were triangulated with minutes from three combined site steering committee meetings, eight local steering committee meetings, and field notes. Thematic analysis was completed to compare barriers and facilitators to best practice uptake of EAM and differences in outcomes between the two sites.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Both sites commenced implementation with similar states of capability and motivation. After 12\u2009months, one site considered that practice change had been embedded as noted in steering committee minutes and comments; however, the other site observed limited progress. According to the COM\u2010B analysis, opportunity (the factors that lie outside the individual's control) had a significant influence on how both sites were able to respond to the practice change and navigate some of the unexpected challenges that emerged, including the COVID\u201019 pandemic. Existing team structure, multiple responsibilities of key stakeholders, differences in access to resources, and lack of connection between complementary services meant that COVID\u201019 disruptions were only a catalyst for unveiling other systemic issues.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study highlights the power of external factors on influencing behaviour change for best practice implementation. Learnings from the study will provide deeper understanding of completing implementation projects in regional and rural contexts and support the future implementation of EAM in occupational therapy clinical settings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1440-1630.12849","type":"journal-article","created":{"date-parts":[[2022,11,11]],"date-time":"2022-11-11T10:16:46Z","timestamp":1668161806000},"page":"202-217","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Implementing best practice occupational therapist\u2010led environmental assessment and modification to prevent falls: A qualitative study of two regional and rural public health services in Australia"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5809-675X","authenticated-orcid":false,"given":"Anna","family":"Tynan","sequence":"first","affiliation":[{"name":"Research Support Team Baillie Henderson Hospital, Darling Downs Health  Toowoomba Queensland Australia"},{"name":"Southern Queensland Rural Health The University of Queensland  Toowoomba Queensland Australia"},{"name":"The Centre for Health Research University of Southern Queensland, Springfield Campus  Springfield Central Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Pighills","sequence":"additional","affiliation":[{"name":"Division of Tropical Health and Medicine James Cook University  Douglas Queensland Australia"},{"name":"Mackay Institute of Research and Innovation Mackay Hospital and Health Service  Mackay Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy","family":"White","sequence":"additional","affiliation":[{"name":"Community Health Darling Downs Health  Toowoomba Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia","family":"Eden","sequence":"additional","affiliation":[{"name":"Community Health and Therapy Services Mackay Hospital and Health Service  Mackay Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Mickan","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences &amp; Medicine Bond University  Gold Coast Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,11]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"ABS. 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