title: Implementation of Falls Management Exercise (FaME) falls prevention programme among community-dwelling older adults: a scoping review protocol
Creators: name: Hoodless, Sally
name: Siobhán O'Connor
name: Ventre, Jodi
name: Hawley-Hague, Helen
Publisher: name: OSF Registries
Year: 2023
Subjects: subject: Medicine and Health Sciences
subject: Community-dwelling
subject: Falls Management Exercise (FaME)
subject: Falls Prevention
subject: Implementation
subject: Older adults

description: A leading cause of injury, increased morbidity, and death, it is estimated that 1 in 3 adults over the age of 65 years will experience a fall. Progressive, structured strength, balance and functional programmes are recommended for all older adults precluding age or assessed falls risk.
The Falls Management Exercise (FaME) programme progresses the evidenced-based falls prevention intervention Otago Exercise Programme (OEP) to include other components of fitness and activities, delivered by Postural Stability Instructors. Incorporating upper limb strength and functional floor exercises, FaME is suitable for community-dwelling older adults and appropriate for a range of older people. It has been shown to significantly reduce falls and fear of falls among community-dwelling older adults.
Whilst is known that evidenced-based strength and balance falls prevention intervention programmes can reduce or prevent some falls and subsequent injuries, research, as well as audits have shown there to be inconsistencies in availability, attendance, lack of data on the quality of the programmes and difficulties in maintaining efficacy, motivation, and retention.
To date there is a paucity of evidence synthesis on the implementation of Falls Management Exercise (FaME) falls prevention programme among community-dwelling older adults. Preliminary searches have identified only a small number of Primary research studies on the implementation, delivery, and efficacy of Falls Management Exercise (FaME). No systematic or scoping review on the implementation of Falls Management Exercise (FaME) has been identified.
In addition, whilst evidence demonstrates the potential use of technology as an alternative or enhancement to face-to-face delivery of falls prevention exercise programmes, knowledge is limited about the digital implementation of Falls Management Exercise (FaME) falls prevention programme among community-dwelling older adults.
Identifying common concepts and themes through the mapping of the literature, this scoping review will synthesise evidence from the domain of technology and non-technology assisted implementation of Falls Management Exercise (FaME) falls prevention programme among community-dwelling older adults.


This paper presents independent research funded under The Dunhill Medical Trust (PDM2202\9), National Institute for Health and Care Research Applied Research Collaboration-Greater Manchester (NIHR20017405156), National Institute for Health and Care Research Policy Research Unit in Older People and Frailty (PR-PRU-1217-21502) / Healthy Ageing (NIHR206119) and the University of Manchester. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care or other funders.