摘要：Tai Chi—Moving for Better Balance, a falls-prevention program developed from a randomized controlled trial for community-based use, was evaluated with the RE-AIM framework in 6 community centers. The program had a 100% adoption rate and 87% reach into the target older adult population. All centers implemented the intervention with good fidelity, and participants showed significant improvements in health-related outcome measures. This evidence-based tai chi program is practical to disseminate and can be effectively implemented and maintained in community settings. Falling is a significant public health problem among community-living older adults in the United States 1 – 4 but is preventable through regular exercise. 5 – 9 Randomized controlled trials have shown the efficacy of tai chi in reducing the frequency of falls and risks of falling among older adults. 10 – 12 However, little evidence indicates whether scientifically validated falls-prevention programs can be translated and disseminated to reach broader community-based senior service providers. Thus, the primary objective of this study was to evaluate Tai Chi—Moving for Better Balance, 13 an evidence-based falls-prevention program developed for use in community-based organizations such as senior centers. The utility of the program was examined via RE-AIM, a framework for the systematic planning and evaluation of interventions intended to produce public health effect. 14 , 15 The major focus was on the RE-AIM elements of Reach, Adoption, and Implementation, with secondary aims of evaluating program Effectiveness and Maintenance.
