Abstract for: Implementing Community-based Falls Prevention Programmes: A Systems Modelling and Participatory Approach

Introduction: While multi-component falls prevention programs have proven effective in research settings, their translation into widespread community implementation faces numerous challenges. This study aims to visualize the complexity of implementing falls prevention programmes in Singapore by critiquing and revising a previously developed Causal Loop Diagram (CLD). The specific objectives include refining conceptual models, identifying critical intervention points, and formulating actionable strategies for scaling such initiatives. Methods: A full-day Group Model Building (GMB) workshop was organised with multi-disciplinary stakeholders. Stakeholders who attended this meeting included clinicians of different specialities, community providers and agencies, researchers, and policymakers. A series of GMB activities were conducted to revise variables and structure, prioritise places to intervene and develop implementation strategies. Results: A final CLD was developed to map out factors affecting the supply (Structural factors affecting the management and access of falls prevention programmes) and demand (Effective programme design, Older adults’ value perception and Older adults’ exercise self-efficacy) of falls prevention programmes. Discussions and Conclusions: Several implementation strategies were developed and prioritized as future action steps: a) National Falls Prevention Framework, b) Standardise outcome measures across different sectors, c) Implement an effective tracking system, d) Provide caregiver relief to manage indirect costs.