Background
The fall rate for older adults living in long-term care (LTC) is higher than community dwelling older adults [To be admitted into LTC, an older adult is assessed as no longer able to live independently at home [The Staying UpRight (SUp) falls prevention exercise program was developed to address the fall risk factors of decreased lower limb strength and impaired balance in older adults living in LTC. The program was informed by clinical experience, previous falls prevention research, and an understanding of the physiological systems of balance and principles of rehabilitation (task specificity, progression and overload) [There is limited evidence regarding the sustainability of falls prevention programs in LTC. There is a lack of evidence from the experience of different levels of staff within the same LTC facility (senior management, onsite management, and frontline staff) examining the sustainability of falls prevention interventions. The field of implementation science currently focusses more on the initial uptake of evidence-based practice rather than whether it is sustained. This means we lack an understanding of what happens over time [This paper reports a qualitative study completed as part of an effectiveness-implementation hybrid type 1 study [