Injury Epidemiology and Prevention Research
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The physical activity implementation study in community-dwelling adults (PhISICAL) study: Investigating the implementation of the FaME falls prevention exercise programme

What we are doing

Improving the strength and balance of older people can be effective in reducing the number of falls people have. With an aging population and high healthcare costs associated with falls it is important that programmes to improve strength and balance are available locally. The Falls Management Exercise programme (FaME) is recommended by NICE as an effective intervention for this but has not been implemented widely yet across the UK. Our aim is to study the implementation of FaME into routine practice in two very different areas of the East Midlands in order to understand the factors that make such a programme a success or not.

Why are we doing it

A study in 2014 showed that FaME increased physical activity levels and significantly reduced falls by 26 percent. Falls are an important cause of disability and loss of independence in older age. It is thought about one in three adults, aged over 65, fall each year. In England, fall admissions account for 4 million hospital bed days each year, costing the NHS £2 billion. Falls can lead to loss of confidence, increased social isolation and severe injuries which for some people mean they must move into high cost residential care. As the number of older people is increasing in the UK, this problem is set to get worse.

What the benefits will be

Findings from this study have been used to develop an implementation toolkit for commissioners and providers of the FaME strength and balance exercise programme to inform its implementation. The toolkit was launched in June 2019 and can be downloaded from the CLAHRC store


Presentations from the launch are available here:

The FaME Implementation Toolkit

Raising the Bar on Strength and Balance

Implementing and Evaluating the Falls Pathway Across Leicester, Leicestershire and Rutland

Study Summary

Injury Epidemiology and Prevention Research

The University of Nottingham

telephone: +44 (0) 115 846 6901