{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T04:33:53Z","timestamp":1792989233825,"version":"4.5.0"},"reference-count":35,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aus Occup Therapy J"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Falls among older adults are a major cause of death, injury, and loss of independence. High\u2010certainty evidence demonstrates that comprehensive, occupational therapy\u2013led home fall\u2010hazard reduction interventions can reduce the number of falls among older adults at high risk. Despite this evidence, these interventions are not routinely implemented in practice. Current literature provides limited insight into the factors that influence successful implementation of home fall\u2010hazard reduction interventions. This study seeks to address the following research question: \u2018What influences the success of occupational therapy\u2013led, home fall\u2010hazard reduction intervention implementation from the perspectives of academic and practising therapists with expertise and experience in this field?\u2019<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using a descriptive qualitative design, data were gathered via two small group interviews and one individual interview with occupational therapists experienced in implementing home fall\u2010hazard reduction initiatives. Participants were purposively sampled to ensure data collection from participants with relevant experience, either as an academic or practising therapist. Data were analysed using reflexive thematic analysis to identify factors influencing successful implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Consumer and Community Involvement<\/jats:title>\n                    <jats:p>There was no consumer or community involvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Five academics and four practising therapists were interviewed. Four interconnected themes were derived from the data: (1) multiple and layered measures of implementation success; (2) foregrounding falls prevention; (3) articulating a place for home fall\u2010hazard reduction in the falls prevention landscape; and (4) structured guidance and protocols. The interrelated nature of the themes has been illustrated in a theoretical conceptual model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings suggest that attending to the multiple measures of implementation success for home fall\u2010hazard reduction intervention, particularly those that are context driven, may strengthen uptake across diverse practice settings. Furthermore, maximised success in implementation requires clear guidance on intervention components, improved articulation of intervention fit within the wider fall prevention landscape, and targeted support to enable occupational therapists to foreground falls prevention in practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1440-1630.70123","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T11:38:45Z","timestamp":1788349125000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring successful implementation of occupational therapy led home fall\u2010hazard reduction interventions"],"prefix":"10.1111","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-6735-9192","authenticated-orcid":false,"given":"Susan","family":"Melchert","sequence":"first","affiliation":[{"name":"College of Healthcare Sciences James Cook University  Douglas Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1864-4552","authenticated-orcid":false,"given":"Richard","family":"Franklin","sequence":"additional","affiliation":[{"name":"College of Medicine and Dentistry James Cook University  Douglas Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4635-5718","authenticated-orcid":false,"given":"Daniel","family":"Lowrie","sequence":"additional","affiliation":[{"name":"College of Healthcare Sciences James Cook University  Douglas Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,2]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Australian Commission on Safety and Quality in Health Care. (2025).Preventing falls and harm from falls in older people: Best practice guidelines for community care in Australia.https:\/\/www.safetyandquality.gov.au\/publications\u2010and\u2010resources\/resource\u2010library\/falls\u2010guidelines\u2010community\u2010care"},{"key":"e_1_2_11_3_1","unstructured":"Australian Institute of Health Welfare. (2022).Falls in older Australians 2019\u201320: Hospitalisations and deaths among people aged 65 and over.https:\/\/www.aihw.gov.au\/reports\/injury\/falls-in-older-australians-2019-20-hospitalisation"},{"key":"e_1_2_11_4_1","unstructured":"Australian Institute of Health Welfare. (2024).Australian Burden of Disease Study 2024.https:\/\/www.aihw.gov.au\/reports\/burden-of-disease\/australian-burden-of-disease-study-2024"},{"key":"e_1_2_11_5_1","unstructured":"Australian Institute of Health Welfare. (2026).Falls.https:\/\/www.aihw.gov.au\/reports\/injury\/falls"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12132"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0898264308324672"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD013258.pub2"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744987119880234"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-1-1"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/frhs.2025.1745148"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007146.pub3"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781036234386"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12860"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12682"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781003318125-4"},{"key":"e_1_2_11_18_1","volume-title":"Qualitative research methods","author":"Liamputtong P.","year":"2020"},{"key":"e_1_2_11_19_1","unstructured":"Lumivero. (2026).NVivo. In (Version 15) [Computer Program].https:\/\/lumivero.com\/products\/nvivo\/"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.12618"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/1440-1630.70061"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7228.178"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afac205"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781003318125-23"},{"key":"e_1_2_11_25_1","unstructured":"National Institute for Health Care Excellence. (2025).Falls: Assessment and prevention in older people and in people 50 and over at higher risk. 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