title: Exercise and Fall Prevention: Narrowing the Research-to-Practice Gap and Enhancing Integration of Clinical and Community Practice.
abstract: Falls in older adults are a global public health crisis, but mounting evidence from randomized controlled trials shows that falls can be reduced through exercise. Public health authorities and healthcare professionals endorse the use of evidence-based, exercise-focused fall interventions, but there are major obstacles to translating and disseminating research findings into healthcare practice, including lack of evidence of the transferability of efficacy trial results to clinical and community settings, insufficient local expertise to roll out community exercise programs, and inadequate infrastructure to integrate evidence-based programs into clinical and community practice. The practical solutions highlighted in this article can be used to address these evidence-to-practice challenges. Falls and their associated healthcare costs can be reduced by better integrating research on exercise intervention into clinical practice and community programs.
authors.affiliation: Oregon Research Institute, Eugene, Oregon.
authors.forename: Fuzhong
authors.initials: F
authors.lastname: Li
authors.affiliation: Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland, Oregon.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Eckstrom
authors.affiliation: Willamette University, Salem, Oregon.
authors.forename: Peter
authors.initials: P
authors.lastname: Harmer
authors.affiliation: Oregon Medical Group, Eugene, Oregon.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Fitzgerald
authors.affiliation: Harborview Medical Center, Seattle, Washington.
authors.forename: Jan
authors.initials: J
authors.lastname: Voit
authors.affiliation: National Council on Aging, Arlington, Virginia.
authors.forename: Kathleen A
authors.initials: KA
authors.lastname: Cameron
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000368:Aged; D035843:Biomedical Research; D003153:Community Health Services / Q000600:supply & distribution; D019317:Evidence-Based Medicine; D015444:Exercise; D006801:Humans; D057187:Independent Living; D033181:Information Dissemination; D033183:Interdisciplinary Communication; D017410:Practice Guidelines as Topic; D012107:Research Design
keywords: evidence-based; exercise; falls; older adults
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