Statewide Implementation of the 'A Matter of Balance/Volunteer Lay Leader' Model Academic Article uri icon


  • Falls are a significant public health problem among older adults. For the 20% to 30% of seniors who experience moderate to severe fall-related injuries, the incident may act as a catalyst for a downward cycle, which may result in premature mortality without intervention efforts. Researchers at Boston University developed A Matter of Balance to help decrease older adults' anxiety about falling and increase their activity levels through exercises designed to reduce falls risks. The efficacy of their behaviorally-based approach, using a trained health care provider to oversee the recommended exercises, was examined in a controlled randomized clinical trial. Immediately following the intervention, the experimental group showed a significant increase in the confidence to prevent and manage falls, and had fewer mobility and activity restrictions. Long-term effects included improved social functioning and mobility range. 2010 American Society on Aging.

published proceedings


author list (cited authors)

  • Ory, M. G., Smith, M. L., & Parrish, R.

complete list of authors

  • Ory, Marcia G||Smith, Matthew Lee||Parrish, Reuben

publication date

  • April 2010