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A Matter of Balance


For Older Adults, Families and Caregivers


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Physical Activity and
Fall Prevention


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Fall Prevention






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A Matter of Balance

Hamilton County Fall Prevention Task Force

General Information

Have you stopped doing certain things you enjoy because you were concerned about falling? If so, you are not alone. Chances are you or someone you know has fallen or is afraid of falling and might even restrict their activities because of these concerns.


Many older adults share a common fear of falling that is so strong they actually limit their activities. Up to 50% of Americans over the age of 65 who live independently experience a fear of falling. When older adults limit their activity due to this fear, it can reduce their mobility and independence, affecting quality of life and actually increases the risk of future falls. It can also increase isolation and depression due the lack of interaction with family and friends. These who are most likely to be afraid of falling are likely to have already fallen once.


A Matter of Balance : Managing Concerns About Falls acknowledges the risk of falling but emphasizes practical coping strategies to reduce this concern and remain active and independent. The program consists of eight two-hour sessions led by trained facilitator.

During the class, participants learn to:

  • View falls and fear of falling as controllable
  • Set realistic goals for increasing activity
  • Find ways to change the environment to reduce fall risk factors
  • Learn simple exercises to increase strength and balance. See sample exercises

Falling is not a natural part of aging and can be avoided by assessing your risk factors and making changes to your environment. Hamilton County Public Health has partnered with many senior centers, retirement communities and churches to offer A Matter of Balance classes to the public.

You should attend A Matter of Balance if you:

  • are concerned about falls
  • have had a fall in the past
  • restrict activities because of concerns about falling
  • are interested in improving flexibility, balance and


What participants say about the class:

  • Recommend class to any senior with balance problem
  • Very good class. Strongly recommend
  • I realized that worrying about falling is not unusual
  • This is a wonderful class

Participants will learn to:

  • View falls as controllable
  • Set goals for increasing activity
  • Make changes to reduce fall risks at home
  • Exercise to increase strength and balance

Watch A Matter of Balance Video

Learn more about A Matter of Balance

Session Topics (pdf)

Program Brochure

Informational Sheet



Matter of Balance Classes in Hamilton County and Surrounding Areas

*Coaches willing to travel to bring program to your facility

Bridgeway Pointe- Kathy Parsanko (513) 418-4370

165 West Galbraith Road Cincinnati , OH 45216

*Care Connections of Cincinnati- Stephanie Coffey (513) 842-1101

7265 Kenwood Rd # 363 Cincinnati, OH 45236

*Clermont County General Health- Savannah Coleman (513) 735-8408

2275 Bauer Road Suite 300 Batavia, OH 45103

Cottingham Retirement Community- Beverley Kleeb (513) 536-3600

3995 Cottingham Drive Sharonville, OH 45241

Evergreen Retirement Community- Jennifer Boeckman (513) 948-2316

230 West Galbraith Road Cincinnati , OH 45215

Mayerson JCC - Tsippy Gottlieb at (513) 722-7253

8485 Ridge Road, Cincinnati, Ohio 45236   

Llanfair Retirement Community- Ed Stinson (513) 681-4230
1701 Llanfair Avenue Cincinnati , OH 45224

*People Working Cooperatively- Aaron Grant (513) 351-7921

4612 Paddock Road Cincinnati, OH 45229

*Serving Older Adults Through Changing Times-Sandra Jones
(513) 861-2790

The Connection at Twin Towers- Melissa Frampton (513) 853-4100

5343 Hamilton Avenue Cincinnati , OH 45224

The Connection at Twin Lakes- Jessica Hamm (513) 247-1300

9840 Montgomery Road , Montgomery , OH 45242

*TriHealth Thinkfirst- Krista Jones  (513) 865-1742

10500 Montgomery Rd , Cincinnati OH , 45242

*Visiting Nurses Association- Jennifer Schaefer (513) 345-8000

2400 Reading Rd  Cincinnati, OH 45202

Participant Outcomes at 6 months


Improvement in:


Falls Efficacy

97 % more comfortable talking about fear of falling

Falls Management

97 - % feel comfortable increasing activity

Falls Control

99 % - plan to continue exercising

Exercise level

98 % - would recommend A Matter of Balance

Decrease in Monthly Falls


More information for those interested in providing A Matter of Balance:

Read A Matter of Balance: Replication Report

Read The Feasibility and Effectiveness of Translating a Matter of Balance Into a Volunteer Lay Leader Model , Journal of Applied Gerontology, 2008

Read a Multifactorial Intervention with Balance Training as a Core Component Among Fall-Prone Older Adults (Matter of Balance), Journal of Geriatric Physical Therapy, 2009  

Program Information

Overview Presentation

Outcomes and Evaluation

Frequently Asked Questions

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