Elements of the environment, such as safety, attractiveness, and site design, can also considerably impact the mobility of older adults, particularly for urban adults living in low SES neighborhoods who may be concerned about safety or pedestrian thoroughfares that are in disrepair. National Center for Health Statistics data indicate roughly three out of every four adults over 70 suffer from balance impairments.

The associated, direct medical costs of nonfatal falls have recently been estimated to be nearly $31.3 billion annually. Falls are the leading cause of injury-related death in this age group and can result in other negative outcomes including fear of falling (often leading to decreased mobility), loss of independence, and reduced quality of life.

IntroductionД®very year, one out of every four adults over the age of 65 experiences a fall. Although participants and MoFas felt combining AMOB/VLL and COASTS was rewarding and improved participant mobility, master trainers and participants suggested minor modifications to increase program benefits for urban, underserved communities. They also recommended increased emphasis on balance and physical activity. Master trainers were more critical and recommended simplifying content, with tailored guidance for specific populations. Older adults and facilitators felt the course was rewarding and led to improvements in mobility and confidence. A thematic analysis was conducted, and primary themes relating to curriculum content, cultural relevancy, and outcomes were examined. Focus groups were conducted with older adult participants, COASTS mobility facilitators, and AMOB/VLL master trainers. AMOB/VLL participants were offered eight 2-hour classes as part of the training program. This study sought to evaluate A Matter of Balance/Volunteer Lay Leaders (AMOB/VLL) fall prevention curriculum in combination with a вЂњdoor-through-doorвЂќ program: Coordinated Older-Adult Senior Transportation Services (COASTS) for older adults living in an urban, underserved community.

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