Improving Fidelity of Translation of the Stepping On Falls Prevention Program through Root Cause Analysis.

Background: Fidelity monitoring is essential with implementation of complex health interventions, but there is little description of how to use results of fidelity monitoring to improve the draft program package prior to widespread dissemination. Root cause analysis (RCA) provides a systematic approach to identifying underlying causes and devising solutions to prevent errors in complex processes. Its use has not been described in implementation science.

Declining cognition and falls: role of risky performance of everyday mobility activities.

Background: Declining cognition is a risk factor for falls among older adults. The extent to which impaired judgment in performance of daily activities increases fall risk is unclear.

Objective: The aim of this study was to determine whether engagement in mobility activities in a risky manner explains the association between declining cognition and rate of falls.