Sustainability of community-based fall prevention programs: A systematic review

• Community-based fall prevention programs may be implemented but not sustained.
• Three frameworks describing how such programs may be sustained were identified.
• Financial support and involvement of older people were common positive influences.
• Other influencing factors specific to each program and setting were also reported.
• Planning, training, and collaborative approaches may promote sustainable programs.

BackgroundFall prevention programs may be implemented but not sustained. We conducted a systematic review to identify any theories, models, frameworks, influencing factors or interventions for sustaining fall prevention programs in the community.MethodsPeer-reviewed publications describing, investigating, or evaluating program sustainability were accessed. A narrative review was conducted to compare and synthesize study findings.ResultsNineteen publications were included. Three conceptual frameworks were identified describing how programs may be better sustained. While ongoing financial support and the participation of older people were commonly reported influences, other factors specific to the type of program and setting were also reported. Planning, training, and collaboration between program stakeholders may facilitate sustainable programs.Impact on industryOrganizations can use these findings when planning for sustainable programs. However more robust empirical studies are needed to confirm the value of conceptual frameworks, the critical factors and most effective interventions for sustaining community-based fall prevention programs.