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Stepping On

Learn practical strategies to prevent falls and stay independent.

Stepping On

Class Track

Location

In-person/Remote

Sessions

7

About the Class

Stepping On is a small-group workshop that helps older adults reduce their risk of falling through education, discussion, problem solving, and exercise. Participants learn strategies for managing fall risks at home and in the community while building strength, balance, and confidence.

The program includes seven weekly sessions, a follow-up home visit, and a booster session to help participants maintain their progress.

Benefits of the class

This program helps participants identify and address many of the factors that contribute to falls.

  • Learn practical fall prevention strategies
  • Improve strength and balance
  • Identify and reduce home hazards
  • Understand the role of medications and vision in fall risk
  • Increase confidence and independence
  • Connect with peers facing similar challenges

Why it works…

Stepping On focuses on behavior change and practical problem solving, helping participants develop solutions that fit their own lives.

  • Evidence-based program tested with older adults
  • Combines education with strength and balance exercises
  • Uses guided discussion to encourage lasting behavior change
  • Includes follow-up support to reinforce learning and maintain gains

Evidence Snapshot

  • Original randomized controlled trial demonstrated a 31% reduction in falls
  • Participants adopted more protective behaviors related to fall prevention
  • Benefits were strongest among older adults with elevated fall risk
  • Research suggests particularly strong outcomes among adults age 75 and older

“When I’m walking I still think, ‘lift your feet, walk heel-to-toe.’ I have stopped falling!”

Stepping On class participant

Frequently Asked Questions

For Clinicians

Stepping On is an evidence-based falls prevention intervention appropriate for community-dwelling older adults who have experienced falls, report fear of falling, or demonstrate elevated fall risk. The program uses a psychoeducational model that encourages participants to identify and implement their own solutions to fall-related challenges.

The original randomized controlled trial demonstrated a 31% reduction in falls among participating older adults. Benefits appear strongest among older adults and individuals with elevated fall risk.

Helpful referral language

Recommend Stepping On for older adults with a history of falls, concerns about falling, or activity limitations related to fall risk. The program is particularly well suited for individuals who can actively participate in discussion, problem solving, and goal setting while learning practical strategies to reduce fall risk.

Key outcomes

  • Reduced fall risk
  • Improved strength and balance
  • Increased confidence with mobility
  • Improved awareness of fall risk factors
  • Greater independence in daily activities

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