The Lived-Experiences and Recommendations of Older Black Canadians regarding Community-Based Fall Prevention Exercise Programs: A Qualitative Study

BACKGROUND AND OBJECTIVES: Health inequities continue to disproportionately affect Black people, particularly as it relates to accessing preventative health programs. Community-based fall prevention exercise programs are critical for maintaining mobility and independence for all older adults, yet participation among older Black people remains low. Despite the growing recognition of racial disparities in healthcare access, there is a lack of research exploring the needs, perspectives, and experiences related to engagement in community-based fall prevention exercise programs. The purpose of this study was to explore the lived experiences and perspectives of older Black people regarding community-based fall prevention exercise programs and their preferences for such programming. RESEARCH DESIGN AND METHODS: Phenomenologically informed thematic analysis was employed, using semi-structured interviews with a diverse sample of Black people aged 50 and older. Our sample included a diverse group of older Black people (n = 23). RESULTS: Key themes identified were: (1) Misunderstanding; (2) Importance of Social Connection; (3) Movement and Music; (4) Age Differences, and (5) Expected Barriers and Facilitators. Additionally, participants emphasized the importance of culturally informed exercise formats, such as dance-based classes, and more effective outreach in trusted community spaces. DISCUSSION AND IMPLICATIONS: In conclusion, this work highlights several opportunities for creating more attractive community-based fall prevention exercise programs for older Black Canadians. Addressing specific barriers requires intentional program adaptations, targeted outreach strategies, and stronger community engagement efforts. Addressing the preferences of Black people for fall prevention programming is essential for promoting health equity and improving quality of life.