Assessment of Implementation Outcomes of a Peer-Led Program Targeting Fear of Falling Among Older Adults

Abstract

Background: This study examined the implementation outcomes (program reach, fidelity, adaptations, responsiveness) of a peer-led program for older adults with fear of falling —Vivre en Équilibre (VEE). Method: VEE was implemented in six independent-living residences for older adults in Quebec (Canada) as part of an effectiveness study. Implementation outcomes were documented using attendance sheets, peer leaders’ logbooks, observation sheets, and phone-administered questionnaires. Qualitative interviews were also conducted with peer leaders, activity coordinators of residences, and a subsample of program participants. Results: The program reached 71 participants who generally corresponded to the program’s target population. Peer leaders delivered the program with moderate to high fidelity but adapted some elements. Responsiveness was good, as reflected by a high attendance rate (91%) and respondents’ satisfaction levels. Conclusion: Findings revealed that VEE was well implemented, suggesting that it can be successfully delivered by peer leaders.