Fall prevention programs for culturally and linguistically diverse groups: program provider perspectives

• Published in: Ethnicity & health 2021-02, Vol.26 (2), p.299-317
• Main Authors: Jang, Haeyoung, Lovarini, Meryl, Clemson, Lindy, Willis, Karen, Lord, Stephen, Sherrington, Catherine
• Format: Article
• Language: English
• Subjects: Access; Aging; Complexity; cultural competence; Falls; Groups; Implementation; interdisciplinary - multidisciplinary; Interviews; Linguistics; Multiculturalism & pluralism; Needs; Older people; Participation; Policy making; Population studies; Prevention; Prevention programs; Qualitative analysis; qualitative approach; Qualitative research; Recruitment; Sociocultural factors
• ISSN: 1355-7858; 1465-3419
• DOI: 10.1080/13557858.2018.1493436

Objectives: Older people from culturally and linguistically diverse (CALD) backgrounds are one of the fastest growing and rapidly ageing population segments in Australia. This qualitative study aims to explore the experiences, needs and challenges that individual program providers encountered in implementing and delivering a fall prevention program for CALD groups and meeting the linguistic, cultural and contextual needs of the program participants. Design: Semi-structured in-depth interviews were conducted with a convenience sample of 24 program providers implementing, delivering or supporting fall prevention programs including Stepping On for CALD groups. Interview transcripts were analysed using thematic analysis. Results: Two major themes emerged: (1) extra layers of complexity are needed in program planning, delivery, recruitment and enabling participation of older people from CALD background and (2) program leaders 'going the extra mile' influences success of the program. Complexity included accommodating the linguistic and sociocultural needs in planning the programs, knowing and using the 'right way' to reach and deliver the program to CALD groups and understanding the nuances of facilitating program participation. While it was important to ensure the acceptability and accessibility of the program for the older people from diverse CALD communities, it was the drive and determination of the program leader and their striving for cultural relevance that made the program possible. Sustainability and wider implementation requires unique support and additional resources. Conclusion: These findings can be used by program providers, policy-makers and health researchers to improve the capacity of fall prevention programs to better respond to the growing diversity in needs and preferences among older populations in Australia and internationally.