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AJPH First Look, published online ahead of print May 29, 2008
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July 2008, Vol 98, No. 7 | American Journal of Public Health 1195-1198
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2007.120402


RESEARCH AND PRACTICE

Translation of an Effective Tai Chi Intervention Into a Community-Based Falls-Prevention Program

Fuzhong Li, PhD, Peter Harmer, PhD, MPH, Russell Glasgow, PhD, Karin A. Mack, PhD, David Sleet, PhD, K. John Fisher, PhD, Melvin A. Kohn, MD, MPH, Lisa M. Millet, MSH, Jennifer Mead, MPH, Junheng Xu, BS, Mei-Li Lin, PhD, Tingzhong Yang, MD, Beth Sutton and Yvaughn Tompkins

Fuzhong Li and K. John Fisher are with Oregon Research Institute, Eugene. Peter Harmer is with the Department of Exercise Science, Willamette University, Salem, OR. Russell Glasgow is with Kaiser Permanente Colorado, Penrose. Karin A. Mack and David Sleet are with the Centers for Disease Control and Prevention, Atlanta, GA. Melvin A. Kohn, Lisa M. Millet, and Jennifer Mead are with the Oregon Department of Human Services, Portland. Junheng Xu is with Coach Xu Institute, King County, WA. Mei-Li Lin is with the National Safety Council, Itasca, IL. Tingzhong Yang is with the Center for Tobacco Control Research, Zhejiang University School of Medicine, Hangzhou, China. Beth Sutton is with the Willamalane Adult Activity Center, Springfield, OR. Yvaughn Tompkins is with the Campbell Senior Center, Eugene.

Correspondence: Requests for reprints should be sent to Fuzhong Li, PhD, Oregon Research Institute, 1715 Franklin Blvd, Eugene, OR 97403 (e-mail: fuzhongl{at}ori.org).

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.




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