Scalability evaluation of a complex community-based falls prevention intervention in Australian stroke rehabilitation.

In a mixed-methods formative evaluation of a multi-component Falls After Stroke Trial (FAST) individually tailored home safety and functional exercise programme, Australian researchers examined data on 50 community-dwelling adults at risk of falling up to 5 years after a stroke. The FAST intervention was delivered by 22 therapists (physiotherapists and occupational therapists) trained in the FAST intervention. Adoption, Implementation and Maintenance dimensions of the RE-AIM framework identified high implementation fidelity with 90% of the participants receiving FAST dose and content. Strategies found to support implementation included standardised resources, and comprehensive training, feedback and mentoring among the therapists. [ABSTRACT FROM AUTHOR]

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