Mediators implementation and delivery: the falls management exercise programme (FaME)
Despite a recognised need for implementing evidence-based falls prevention programmes, a lack of sufficient funding, formalised oversight roles/structures and understanding of essential intervention components is associated with lower fidelity to the intervention. Unchecked by local monitoring, this can lead to an incremental migration of delivery away from the evidence base. We recommend: (i) providers have clarity on essential intervention components, (ii) standardised fidelity monitoring based on essential components, and (iii) effective local oversight roles and structures.
Authors
- Tahir Masud (ORCID: https://orcid.org/0000-0003-1061-2898)
- Claire Hulme (ORCID: https://orcid.org/0000-0003-2077-0419)
- Victoria A Goodwin (ORCID: https://orcid.org/0000-0003-3860-9607)
- Stephen Timmons (ORCID: https://orcid.org/0000-0002-3731-1350)
- Grace Brough (ORCID: https://orcid.org/0000-0002-4445-2282)
- Chris J. Todd (ORCID: https://orcid.org/0000-0001-6645-4505)
- Denise Kendrick (ORCID: https://orcid.org/0000-0003-3603-6542)
- Pip Logan (ORCID: https://orcid.org/0000-0002-6657-2381)
- Jodi Ventre
- Helen Hawley-Hague (ORCID: https://orcid.org/0000-0002-2451-4482)
- Fay Manning (ORCID: https://orcid.org/0000-0002-9768-1695)
- Elizabeth Orton (ORCID: https://orcid.org/0000-0002-2531-8846)
- Dawn A. Skelton (ORCID: https://orcid.org/0000-0001-6223-9840)
- Aseel Mahmoud (ORCID: https://orcid.org/0000-0001-6332-8239)
Institutions
- Nottingham University Hospitals NHS Trust (GB)
- University of Nottingham (GB)
- The University of Queensland (AU)
- Glasgow Caledonian University (GB)
- University of Exeter (GB)
- Manchester Academic Health Science Centre (GB)
- Manchester University NHS Foundation Trust (GB)
- NIHR Manchester Biomedical Research Centre (GB)
- Peninsula College of Medicine and Dentistry (GB)
Publication Details
- Journal
- BMC Health Services Research
- Published
- 2025-10-22
- DOI
- https://doi.org/10.1186/s12913-025-13550-7
- Citations
- 1
- Primary Topic
- Cerebral Palsy and Movement Disorders
- Type
- article
- Field-Weighted Citation Impact
- 1.47
Funders
- National Institute for Health and Care Research
- Department of Health and Social Care