Table 1.

Identified Feedback Loops From the Concept Model

Feedback loops	Description
B1: Availability of program encourages health care professional (HCP) referral	With greater resources to run programs, the availability of fall prevention programs would increase. This would promote the rate of referrals from HCPs leading to an overall increase in the number of participants in the program. However, resources may be limited with more participants in the program.
R1: Performance leads to investments	Greater performance of fall prevention programs encourages investment in the capacity for fall prevention programs, hence increasing resource availability to run programs. With more resources, performance of program will see an increase as well.
R2: Self-efficacy leads to acceptance of program	Older adults’ initial self-belief in carrying out fall prevention programs encourages participants to accept referrals to join programs.
R3: Self-efficacy encourages adherence	Older adults’ self-belief in carrying out fall prevention programs promotes adhering to programs. Being engaged and carrying out programs reinforce their self-beliefs.
R4: Family support builds self-efficacy for programs	Family awareness of the importance of fall prevention can increase support for fall prevention programs. This increases social support for older adults through emotional, functional, and financial support. This can encourage participants to accept referrals and to adhere to program regimens.
B3: Demand for program affects resource availability	High performance of fall prevention programs will be promoted by word of mouth within the community. This can increase the value perception of fall prevention programs, hence, increasing participant acceptance rates. However, with more participants, this may place a constraint on available resources, which may reduce the performance of programs.
R5: Word of mouth	Greater active participation in programs directly affects the promotion of programs through word of mouth. This can increase older adults’ value perception by decreasing the community stigma of fall prevention programs. Greater value perception increases the rate of accepted referrals from older adults, which can ultimately increase participants joining and engaging in fall prevention programs.
R6: Group dynamics	Good group dynamics encourage participants to adhere in fall prevention program. Adherence over time also maintains and promotes good group dynamics.
B2: More participants disrupt dynamics	Good group dynamics encourage adherence to programs and increase the number of participants in programs. However, with more people joining programs, this may disrupt group dynamics.