Linda Khong - Academia.edu (original) (raw)
Papers by Linda Khong
Background: Falls are common in older people. Despite strong evidence for effective falls prevent... more Background: Falls are common in older people. Despite strong evidence for effective falls prevention strategies, there appears to be limited translation of these strategies from research to clinical practice. Use of peers in delivering falls prevention education messages has been proposed to improve uptake of falls prevention strategies and facilitate translation to practice. Volunteer peer educators often deliver educational presentations on falls prevention to community-dwelling older adults. However, research evaluating the effectiveness of peer-led education approaches in falls prevention has been limited and no known study has evaluated such a program from the perspective of peer educators involved in delivering the message. The purpose of this study was to explore peer educators’ perspective about their role in delivering peer-led falls prevention education for community-dwelling older adults. Methods: A two-stage qualitative inductive constant comparative design was used.In s...
Journal of Community Psychology, 2016
Investigating community perspectives on falls prevention information seeking and delivery: Older ... more Investigating community perspectives on falls prevention information seeking and delivery: Older person perceptions regarding preferences for falls prevention education using a World Cafe approach. Background Falls amongst older persons are a global socioeconomic problem, with injurious falls resulting older people spending more than 1.3 million patient days in hospital in Australia annually (Tovell, Harrison, & Pointer, 2014). Falls are also now the leading cause of injury and injury related hospitalisation and injury related deaths among older adults in the US and Australia. (Centers for Disease Control and Prevention, 2013; Tovell et al., 2014), with the direct medical costs of older adult falls in the USA estimated to be $34 billion in 2013. (Centers for Disease Control and Prevention, 2013; Stevens, Corso, Finkelstein, & Miller, 2006). While there is conclusive evidence that interventions such as regular exercise can reduce falls (Gillespie LD et al., 2012) older people have been found to have low self-perceived risk of falls and low levels of
International Journal of Health Promotion and Education, 2018
Peer-led education has been shown to be an effective approach for raising community-dwelling olde... more Peer-led education has been shown to be an effective approach for raising community-dwelling older adults' beliefs, knowledge and intention to engage in falls prevention strategies in a recent intervention trial. This article outlines the design and development of the intervention, which was a peer-led falls prevention education programme designed to promote older adult's motivation to change their behaviour in the area of falls prevention. The elements of the programme that contributed to its efficacy are also described. The programme was designed using a four-step approach and was based on the constructs of a theoretical framework (the COMB model). Feedback from older adults was also incorporated into the programme development. Programme components developed were a workshop to train older adult peer educators to deliver falls prevention education, a one-hour peerled falls prevention presentation, and supporting resources to aid programme delivery. A questionnaire measuring older adults' responses to the presentation was concurrently developed and pilot-tested prior to implementation of the education programme. Finally, resources to monitor and evaluate fidelity at five points in the programme were developed. It was found that seeking older adult consumer involvement, and adopting a theoretical framework-driven approach contributes to effective design and delivery of falls prevention education programmes. This ensured that the programme was acceptable to older adults, feasible to deliver and allowed robust measurement of the effect of the education programme on important behavioural change components.
Innovation in Aging, 2017
Innovation in Aging, 2017
Physiotherapy, 2015
ABSTRACT Background One third of community-dwelling adults over 65 years of age fall over each ye... more ABSTRACT Background One third of community-dwelling adults over 65 years of age fall over each year. While there is strong evidence for effective falls-prevention strategies, there appears to be a gap between research and practice in terms of uptake and implementation of these strategies. One possible approach to addressing this gap is to use peers to deliver falls-prevention messages, however, there is limited research investigating the effectiveness of peer-led falls-prevention education. In addition, no previous research has investigated this education from the point of view of the peers who deliver it. Purpose The peer education program is run as part of the Stay On Your Feet WA® program. This falls prevention health promotion program is coordinated by the Injury Control Council of Western Australia and supported by the Government of Western Australia. The primary aim of this study was to explore peer educators’ perspectives regarding their role in providing falls-prevention education for older community dwelling adults. Method A qualitative inductive constant comparative design consisting of two stages, was employed. The first stage consisted of two focus group with all peer-educators (n = 11), and was followed by a supplementary stage involving semi-structured interviews with two peer-educator participants. Two independent researchers analysed the data using thematic analysis. Rigour was established by using method triangulation, investigator triangulation and member checking of the research findings. Findings were used to construct a conceptual diagram. Results Peer educators described being motivated to deliver falls-prevention education messages. They perceived that there were both limitations and supportive factors which affected their ability to engage their peers with falls prevention messages. Personal supportive factors included peer-to-peer connection and perceived credibility. Receiving ongoing training and feedback were deemed supportive factors from the organisation. Limitations reported included reduced access to resources to support peer-led fall prevention presentations in some community venues. Conclusion There is potential in using peer educators to deliver falls-prevention education within the community, given the peer-to-peer connections that can facilitate optimal engagement with falls prevention messages to influence acceptance, and motivate uptake of falls prevention strategies. These peer educators require ongoing support and resources to maximise their impact. Implications Findings from this research may be used to guide a formal, wide-scale evaluation of the effectiveness of peer education for reducing falls in adults over 65 years of age. Keywords Health Education’; Qualitative Research; Falls Prevention Funding acknowledgements This study is supported through the Australian’s Government’s Collaborative Research Networks (CRN) program. Ethics Approval The Human Research Ethics Committee of The University of Notre Dame Australia (Reference 013061F) on 06 May 2013. Paper Full details of the study can be found at: www.biomedcentral.com/content/pdf/s12877-015-0030-3.pdf DOI: 10.1186/s12877-015-0030-3
Background Chronic edema (CO) is a progressive, physically disfiguring and currently incurable co... more Background Chronic edema (CO) is a progressive, physically disfiguring and currently incurable condition. A multifaceted program has been recommended to manage the swelling. However, there is little evidence investigating patients’ perspectives following the program, particularly for those who have poor adherence or are disengaged. Aim To investigate the perceived challenges faced by disengaged participants with lower limb CO by identifying their enablers and barriers to participating in a Physiotherapy CO program. Method An exploratory qualitative approach was used. A purposive sampling strategy was adopted to recruit participants. Those with more than three months swelling and who had low adherence or attendance (disengaged) to the CO program were invited to participate. Semi-structured interviews with six participants from a CO clinic in a tertiary hospital were conducted. Data was thematically analyzed and findings in terms of enablers and barriers were subsequently reflected in...
The journal of primary prevention, 2018
Falls among older adults are a major problem. Despite considerable progress in falls prevention r... more Falls among older adults are a major problem. Despite considerable progress in falls prevention research, older adults often show low motivation to engage in recommended preventive strategies. Peer-led falls prevention education for older adults may have potential for bridging the research evidence-practice gap, thereby promoting the uptake of falls prevention strategies. We evaluated peer educators' presentations of falls prevention education to community-dwelling older adults in regard to established criteria that were consistent with adult learning principles, the framework of health behaviour change, falls prevention guidelines, and recommendations for providing falls prevention information. We conducted a within-stage mixed model study using purposive and snowball sampling techniques to recruit 10 experts to evaluate video recordings of the delivery of three peer-led falls prevention presentations. Each expert viewed three videos and rated them using a questionnaire contain...
European Journal of Ageing
The aim of the study was to evaluate the effectiveness of delivering a contemporary peer-led fall... more The aim of the study was to evaluate the effectiveness of delivering a contemporary peer-led falls prevention education presentation on community-dwelling older adults' beliefs, knowledge, motivation and intention to engage in falls prevention strategies. A two-group quasi-experimental pre-test-post-test study using a convenience sample was conducted. A new falls prevention training package for peer educators was developed, drawing on contemporary adult learning and behaviour change principles. A 1-h presentation was delivered to community-dwelling older adults by peer educators trained with the new package (intervention group). Control group participants received an existing, 1-h falls prevention presentation by trained peer educators who had not received the adult learning and behaviour change training. Participants in both groups completed a purpose-developed questionnaire at pre-presentation, immediately post-presentation and at one-month follow-up. Participants' levels of beliefs, knowledge, motivation and intention were compared across these three points of time. Generalised estimating equations models examined associations in the quantitative data, while deductive content analysis was used for qualitative data. Participants (control = 99; intervention = 133) in both groups showed significantly increased levels of beliefs and knowledge about falls prevention, and intention to engage in falls prevention strategies over time compared to baseline. The intervention group was significantly more likely to report a clear action plan to undertake falls prevention strategies compared to the control group. Peer-led falls prevention education is an effective approach for raising older adults' beliefs, knowledge and intention to engage in falls prevention strategies.
Ageing and Society, 2016
Translation of falls prevention evidence into practice is problematic. Understanding older adults... more Translation of falls prevention evidence into practice is problematic. Understanding older adults’ views about falls prevention information could enhance delivery of falls prevention, resulting in better engagement and uptake of recommended activities. The aim of this study was to examine the views and preferences of community-dwelling older adults about seeking and receiving falls prevention information. A community forum using a modified World Café approach was conducted. Participants discussed five topic areas in small groups, under the guidance of table facilitators. Perspectives were captured on paper. Thematic analysis was conducted to identify factors that influence participants’ engagement and uptake of information. Seventy-three older adults participated in the forum covering wide-ranging preferences around falls prevention information. Personal experience was considered the key influence on an older adult's decision to initiate seeking information. While health profess...
Background Falls affect a third of community-dwelling older adults over the age of 65. Despite st... more Background Falls affect a third of community-dwelling older adults over the age of 65. Despite strong evidence for effective falls prevention strategies, the uptake and adherence by older people is low. Previous research has identified that older people have low levels of knowledge about falls prevention, find current education unappealing and highlight barriers to engagement in falls prevention strategies. One option to encourage uptake of falls prevention programs is the use of older people as peer educators to deliver community falls education messages Aims To conduct a review of current research evidence regarding peer-led falls education programs for older people who live in the community. Methods A review of the literature was undertaken to explore peer education in the area of falls prevention, including efficacy, outcome measures and challenges. A search of databases identified studies that described or examined the effect of peer-led falls prevention programs on falls outco...
International Journal of Health Promotion and Education, 2018
Peer-led education has been shown to be an effective approach for raising community-dwelling olde... more Peer-led education has been shown to be an effective approach
for raising community-dwelling older adults’ beliefs, knowledge
and intention to engage in falls prevention strategies in a recent
intervention trial. This article outlines the design and development
of the intervention, which was a peer-led falls prevention education
programme designed to promote older adult’s motivation to
change their behaviour in the area of falls prevention. The elements
of the programme that contributed to its efficacy are also
described. The programme was designed using a four-step
approach and was based on the constructs of a theoretical framework
(the COM-B model). Feedback from older adults was also
incorporated into the programme development. Programme components
developed were a workshop to train older adult peer
educators to deliver falls prevention education, a one-hour peer-led
falls prevention presentation, and supporting resources to aid
programme delivery. A questionnaire measuring older adults’
responses to the presentation was concurrently developed and
pilot-tested prior to implementation of the education programme.
Finally, resources to monitor and evaluate fidelity at five points in
the programme were developed. It was found that seeking older
adult consumer involvement, and adopting a theoretical framework-
driven approach contributes to effective design and delivery
of falls prevention education programmes. This ensured that the
programme was acceptable to older adults, feasible to deliver and
allowed robust measurement of the effect of the education programme
on important behavioural change components.
BMC Geriatrics, 2015
Falls are common in older people. Despite strong evidence for effective falls prevention strategi... more Falls are common in older people. Despite strong evidence for effective falls prevention strategies, there appears to be limited translation of these strategies from research to clinical practice. Use of peers in delivering falls prevention education messages has been proposed to improve uptake of falls prevention strategies and facilitate translation to practice. Volunteer peer educators often deliver educational presentations on falls prevention to community-dwelling older adults. However, research evaluating the effectiveness of peer-led education approaches in falls prevention has been limited and no known study has evaluated such a program from the perspective of peer educators involved in delivering the message. The purpose of this study was to explore peer educators' perspective about their role in delivering peer-led falls prevention education for community-dwelling older adults. A two-stage qualitative inductive constant comparative design was used. In stage one (core component) focus group interviews involving a total of eleven participants were conducted. During stage two (supplementary component) semi-structured interviews with two participants were conducted. Data were analysed thematically by two researchers independently. Key themes were identified and findings were displayed in a conceptual framework. Peer educators were motivated to deliver educational presentations and importantly, to reach an optimal peer connection with their audience. Key themes identified included both personal and organisational factors that impact on educators' capacity to facilitate their peers' engagement with the message. Personal factors that facilitated message delivery and engagement included peer-to-peer connection and perceived credibility, while barriers included a reluctance to accept the message that they were at risk of falling by some members in the audience. Organisational factors, including ongoing training for peer educators and formative feedback following presentations, were perceived as essential because they affect successful message delivery. Peer educators have the potential to effectively deliver falls prevention education to older adults and influence acceptance of the message as they possess the peer-to-peer connection that facilitates optimal engagement. There is a need to consider incorporating learnings from this research into a formal large scale evaluation of the effectiveness of the peer education approach in reducing falls in older adults.
Background: Falls are common in older people. Despite strong evidence for effective falls prevent... more Background: Falls are common in older people. Despite strong evidence for effective falls prevention strategies, there appears to be limited translation of these strategies from research to clinical practice. Use of peers in delivering falls prevention education messages has been proposed to improve uptake of falls prevention strategies and facilitate translation to practice. Volunteer peer educators often deliver educational presentations on falls prevention to community-dwelling older adults. However, research evaluating the effectiveness of peer-led education approaches in falls prevention has been limited and no known study has evaluated such a program from the perspective of peer educators involved in delivering the message. The purpose of this study was to explore peer educators’ perspective about their role in delivering peer-led falls prevention education for community-dwelling older adults. Methods: A two-stage qualitative inductive constant comparative design was used.In s...
Journal of Community Psychology, 2016
Investigating community perspectives on falls prevention information seeking and delivery: Older ... more Investigating community perspectives on falls prevention information seeking and delivery: Older person perceptions regarding preferences for falls prevention education using a World Cafe approach. Background Falls amongst older persons are a global socioeconomic problem, with injurious falls resulting older people spending more than 1.3 million patient days in hospital in Australia annually (Tovell, Harrison, & Pointer, 2014). Falls are also now the leading cause of injury and injury related hospitalisation and injury related deaths among older adults in the US and Australia. (Centers for Disease Control and Prevention, 2013; Tovell et al., 2014), with the direct medical costs of older adult falls in the USA estimated to be $34 billion in 2013. (Centers for Disease Control and Prevention, 2013; Stevens, Corso, Finkelstein, & Miller, 2006). While there is conclusive evidence that interventions such as regular exercise can reduce falls (Gillespie LD et al., 2012) older people have been found to have low self-perceived risk of falls and low levels of
International Journal of Health Promotion and Education, 2018
Peer-led education has been shown to be an effective approach for raising community-dwelling olde... more Peer-led education has been shown to be an effective approach for raising community-dwelling older adults' beliefs, knowledge and intention to engage in falls prevention strategies in a recent intervention trial. This article outlines the design and development of the intervention, which was a peer-led falls prevention education programme designed to promote older adult's motivation to change their behaviour in the area of falls prevention. The elements of the programme that contributed to its efficacy are also described. The programme was designed using a four-step approach and was based on the constructs of a theoretical framework (the COMB model). Feedback from older adults was also incorporated into the programme development. Programme components developed were a workshop to train older adult peer educators to deliver falls prevention education, a one-hour peerled falls prevention presentation, and supporting resources to aid programme delivery. A questionnaire measuring older adults' responses to the presentation was concurrently developed and pilot-tested prior to implementation of the education programme. Finally, resources to monitor and evaluate fidelity at five points in the programme were developed. It was found that seeking older adult consumer involvement, and adopting a theoretical framework-driven approach contributes to effective design and delivery of falls prevention education programmes. This ensured that the programme was acceptable to older adults, feasible to deliver and allowed robust measurement of the effect of the education programme on important behavioural change components.
Innovation in Aging, 2017
Innovation in Aging, 2017
Physiotherapy, 2015
ABSTRACT Background One third of community-dwelling adults over 65 years of age fall over each ye... more ABSTRACT Background One third of community-dwelling adults over 65 years of age fall over each year. While there is strong evidence for effective falls-prevention strategies, there appears to be a gap between research and practice in terms of uptake and implementation of these strategies. One possible approach to addressing this gap is to use peers to deliver falls-prevention messages, however, there is limited research investigating the effectiveness of peer-led falls-prevention education. In addition, no previous research has investigated this education from the point of view of the peers who deliver it. Purpose The peer education program is run as part of the Stay On Your Feet WA® program. This falls prevention health promotion program is coordinated by the Injury Control Council of Western Australia and supported by the Government of Western Australia. The primary aim of this study was to explore peer educators’ perspectives regarding their role in providing falls-prevention education for older community dwelling adults. Method A qualitative inductive constant comparative design consisting of two stages, was employed. The first stage consisted of two focus group with all peer-educators (n = 11), and was followed by a supplementary stage involving semi-structured interviews with two peer-educator participants. Two independent researchers analysed the data using thematic analysis. Rigour was established by using method triangulation, investigator triangulation and member checking of the research findings. Findings were used to construct a conceptual diagram. Results Peer educators described being motivated to deliver falls-prevention education messages. They perceived that there were both limitations and supportive factors which affected their ability to engage their peers with falls prevention messages. Personal supportive factors included peer-to-peer connection and perceived credibility. Receiving ongoing training and feedback were deemed supportive factors from the organisation. Limitations reported included reduced access to resources to support peer-led fall prevention presentations in some community venues. Conclusion There is potential in using peer educators to deliver falls-prevention education within the community, given the peer-to-peer connections that can facilitate optimal engagement with falls prevention messages to influence acceptance, and motivate uptake of falls prevention strategies. These peer educators require ongoing support and resources to maximise their impact. Implications Findings from this research may be used to guide a formal, wide-scale evaluation of the effectiveness of peer education for reducing falls in adults over 65 years of age. Keywords Health Education’; Qualitative Research; Falls Prevention Funding acknowledgements This study is supported through the Australian’s Government’s Collaborative Research Networks (CRN) program. Ethics Approval The Human Research Ethics Committee of The University of Notre Dame Australia (Reference 013061F) on 06 May 2013. Paper Full details of the study can be found at: www.biomedcentral.com/content/pdf/s12877-015-0030-3.pdf DOI: 10.1186/s12877-015-0030-3
Background Chronic edema (CO) is a progressive, physically disfiguring and currently incurable co... more Background Chronic edema (CO) is a progressive, physically disfiguring and currently incurable condition. A multifaceted program has been recommended to manage the swelling. However, there is little evidence investigating patients’ perspectives following the program, particularly for those who have poor adherence or are disengaged. Aim To investigate the perceived challenges faced by disengaged participants with lower limb CO by identifying their enablers and barriers to participating in a Physiotherapy CO program. Method An exploratory qualitative approach was used. A purposive sampling strategy was adopted to recruit participants. Those with more than three months swelling and who had low adherence or attendance (disengaged) to the CO program were invited to participate. Semi-structured interviews with six participants from a CO clinic in a tertiary hospital were conducted. Data was thematically analyzed and findings in terms of enablers and barriers were subsequently reflected in...
The journal of primary prevention, 2018
Falls among older adults are a major problem. Despite considerable progress in falls prevention r... more Falls among older adults are a major problem. Despite considerable progress in falls prevention research, older adults often show low motivation to engage in recommended preventive strategies. Peer-led falls prevention education for older adults may have potential for bridging the research evidence-practice gap, thereby promoting the uptake of falls prevention strategies. We evaluated peer educators' presentations of falls prevention education to community-dwelling older adults in regard to established criteria that were consistent with adult learning principles, the framework of health behaviour change, falls prevention guidelines, and recommendations for providing falls prevention information. We conducted a within-stage mixed model study using purposive and snowball sampling techniques to recruit 10 experts to evaluate video recordings of the delivery of three peer-led falls prevention presentations. Each expert viewed three videos and rated them using a questionnaire contain...
European Journal of Ageing
The aim of the study was to evaluate the effectiveness of delivering a contemporary peer-led fall... more The aim of the study was to evaluate the effectiveness of delivering a contemporary peer-led falls prevention education presentation on community-dwelling older adults' beliefs, knowledge, motivation and intention to engage in falls prevention strategies. A two-group quasi-experimental pre-test-post-test study using a convenience sample was conducted. A new falls prevention training package for peer educators was developed, drawing on contemporary adult learning and behaviour change principles. A 1-h presentation was delivered to community-dwelling older adults by peer educators trained with the new package (intervention group). Control group participants received an existing, 1-h falls prevention presentation by trained peer educators who had not received the adult learning and behaviour change training. Participants in both groups completed a purpose-developed questionnaire at pre-presentation, immediately post-presentation and at one-month follow-up. Participants' levels of beliefs, knowledge, motivation and intention were compared across these three points of time. Generalised estimating equations models examined associations in the quantitative data, while deductive content analysis was used for qualitative data. Participants (control = 99; intervention = 133) in both groups showed significantly increased levels of beliefs and knowledge about falls prevention, and intention to engage in falls prevention strategies over time compared to baseline. The intervention group was significantly more likely to report a clear action plan to undertake falls prevention strategies compared to the control group. Peer-led falls prevention education is an effective approach for raising older adults' beliefs, knowledge and intention to engage in falls prevention strategies.
Ageing and Society, 2016
Translation of falls prevention evidence into practice is problematic. Understanding older adults... more Translation of falls prevention evidence into practice is problematic. Understanding older adults’ views about falls prevention information could enhance delivery of falls prevention, resulting in better engagement and uptake of recommended activities. The aim of this study was to examine the views and preferences of community-dwelling older adults about seeking and receiving falls prevention information. A community forum using a modified World Café approach was conducted. Participants discussed five topic areas in small groups, under the guidance of table facilitators. Perspectives were captured on paper. Thematic analysis was conducted to identify factors that influence participants’ engagement and uptake of information. Seventy-three older adults participated in the forum covering wide-ranging preferences around falls prevention information. Personal experience was considered the key influence on an older adult's decision to initiate seeking information. While health profess...
Background Falls affect a third of community-dwelling older adults over the age of 65. Despite st... more Background Falls affect a third of community-dwelling older adults over the age of 65. Despite strong evidence for effective falls prevention strategies, the uptake and adherence by older people is low. Previous research has identified that older people have low levels of knowledge about falls prevention, find current education unappealing and highlight barriers to engagement in falls prevention strategies. One option to encourage uptake of falls prevention programs is the use of older people as peer educators to deliver community falls education messages Aims To conduct a review of current research evidence regarding peer-led falls education programs for older people who live in the community. Methods A review of the literature was undertaken to explore peer education in the area of falls prevention, including efficacy, outcome measures and challenges. A search of databases identified studies that described or examined the effect of peer-led falls prevention programs on falls outco...
International Journal of Health Promotion and Education, 2018
Peer-led education has been shown to be an effective approach for raising community-dwelling olde... more Peer-led education has been shown to be an effective approach
for raising community-dwelling older adults’ beliefs, knowledge
and intention to engage in falls prevention strategies in a recent
intervention trial. This article outlines the design and development
of the intervention, which was a peer-led falls prevention education
programme designed to promote older adult’s motivation to
change their behaviour in the area of falls prevention. The elements
of the programme that contributed to its efficacy are also
described. The programme was designed using a four-step
approach and was based on the constructs of a theoretical framework
(the COM-B model). Feedback from older adults was also
incorporated into the programme development. Programme components
developed were a workshop to train older adult peer
educators to deliver falls prevention education, a one-hour peer-led
falls prevention presentation, and supporting resources to aid
programme delivery. A questionnaire measuring older adults’
responses to the presentation was concurrently developed and
pilot-tested prior to implementation of the education programme.
Finally, resources to monitor and evaluate fidelity at five points in
the programme were developed. It was found that seeking older
adult consumer involvement, and adopting a theoretical framework-
driven approach contributes to effective design and delivery
of falls prevention education programmes. This ensured that the
programme was acceptable to older adults, feasible to deliver and
allowed robust measurement of the effect of the education programme
on important behavioural change components.
BMC Geriatrics, 2015
Falls are common in older people. Despite strong evidence for effective falls prevention strategi... more Falls are common in older people. Despite strong evidence for effective falls prevention strategies, there appears to be limited translation of these strategies from research to clinical practice. Use of peers in delivering falls prevention education messages has been proposed to improve uptake of falls prevention strategies and facilitate translation to practice. Volunteer peer educators often deliver educational presentations on falls prevention to community-dwelling older adults. However, research evaluating the effectiveness of peer-led education approaches in falls prevention has been limited and no known study has evaluated such a program from the perspective of peer educators involved in delivering the message. The purpose of this study was to explore peer educators' perspective about their role in delivering peer-led falls prevention education for community-dwelling older adults. A two-stage qualitative inductive constant comparative design was used. In stage one (core component) focus group interviews involving a total of eleven participants were conducted. During stage two (supplementary component) semi-structured interviews with two participants were conducted. Data were analysed thematically by two researchers independently. Key themes were identified and findings were displayed in a conceptual framework. Peer educators were motivated to deliver educational presentations and importantly, to reach an optimal peer connection with their audience. Key themes identified included both personal and organisational factors that impact on educators' capacity to facilitate their peers' engagement with the message. Personal factors that facilitated message delivery and engagement included peer-to-peer connection and perceived credibility, while barriers included a reluctance to accept the message that they were at risk of falling by some members in the audience. Organisational factors, including ongoing training for peer educators and formative feedback following presentations, were perceived as essential because they affect successful message delivery. Peer educators have the potential to effectively deliver falls prevention education to older adults and influence acceptance of the message as they possess the peer-to-peer connection that facilitates optimal engagement. There is a need to consider incorporating learnings from this research into a formal large scale evaluation of the effectiveness of the peer education approach in reducing falls in older adults.