{
  "abstract": "Background Evidence-based programmes such as the FaME programme have shown effectiveness in preventing falls amongst older adults. Older adults from minority ethnic backgrounds, those living in areas of socioeconomic disadvantage and older males at risk of falling are, however, underserved with regards to participation in fall prevention programmes, highlighting a missed opportunity for intervention and a concern in achieving equity in public health. This study aimed to explore the factors that enhanced uptake and retention of individuals from underserved communities in FaME programmes.Methods Five organisations across England were recruited that demonstrated best practice in successfully engaging and retaining minority ethnic older adults, older adults residing in areas of socioeconomic deprivation and older males at risk of falling in FaME programmes. 42 semi-structured interviews (n=27 with older adult participants and n=15 with FaME programme deliverers) were conducted. Ten observations, 2 per organisational site, were conducted to observe FaME programme delivery. Data was analysed using framework analysis.Results Preliminary results show that underserved communities require adaptations to be made to FaME programmes to enhance participation. Minority ethnic adults require FaME classes to be held in culturally acceptable locations (e.g. mosques) and that classes adhere to cultural norms (e.g. single-sex groups). Older males benefitted from virtual FaME delivery and the adapted messaging around improving strength and maintaining independence aligned with their sense of male gender identity. In areas of socioeconomic deprivation, classes were funded and provided additional time for social interaction and educational support regarding participants’ needs (e.g. access to benefits).Conclusion Individuals who commission and deliver FaME programmes should consider the adaptations required to engage and retain older adults from underserved groups at both the implementation and delivery stages of the programme. Recommendations generated from this study may have translational impact to other community-delivered programmes aimed at addressing other public health issues, alongside falls prevention.",
  "authors": [
    {
      "affiliations": [
        "Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK"
      ],
      "name": "Jodi Ventre"
    },
    {
      "affiliations": [
        "University of Exeter Medical School, University of Exeter, Exeter, UK"
      ],
      "name": "Aseel Mahmoud"
    },
    {
      "affiliations": [
        "School of Medicine, University of Nottingham, Nottingham, UK"
      ],
      "name": "Basharat Hussain"
    },
    {
      "affiliations": [
        "Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK"
      ],
      "name": "Miriam Avery"
    },
    {
      "affiliations": [
        "School of Physiotherapy and Paramedicine, Glasgow Caledonian University, Glasgow, UK"
      ],
      "name": "Dawn Skelton"
    },
    {
      "affiliations": [
        "Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK"
      ],
      "name": "Helen Hawley-Hague"
    },
    {
      "affiliations": [
        "Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK"
      ],
      "name": "Chris Todd"
    },
    {
      "affiliations": [
        "School of Medicine, University of Nottingham, Nottingham, UK"
      ],
      "name": "Denise Kendrick"
    },
    {
      "affiliations": [
        "University of Exeter Medical School, University of Exeter, Exeter, UK"
      ],
      "name": "Vicki Goodwin"
    },
    {
      "affiliations": [
        "School of Medicine, University of Nottingham, Nottingham, UK"
      ],
      "name": "Elizabeth Orton"
    }
  ],
  "title": "P07-1 Achieving inclusivity in evidence-based falls management exercise (FaME) programmes – a case study analysis of three underserved population groups",
  "uid": "c3935e98-b729-507f-8db0-4b85ad7a5d87"
}