Description:
<jats:p>A falls prevention programme based on Bandura’s self‐efficacy theory was evaluated using qualitative interviews. This programme aimed to enhance older people’s self‐efficacy in fall‐risk situations. The mastery‐building component of the programme was the key factor distinguishing it from other falls prevention programmes. It was also one of the most successful aspects of the programme for increasing self‐efficacy in community mobility activities. Seven of the eight participants experienced increased self‐efficacy in at least some daily activities, particularly those practised during the programme. Awareness of fall risks and how to minimise these increased. Participants took action to reduce environmental hazards and reported increased activity participation. Occupational therapists recognise the importance of self‐efficacy as a useful concept in occupational therapy practice due to its emphasis on self‐perception of capabilities within the context of specific activities. However, an understanding of self‐efficacy has not yet been integrated into occupational therapy practice. This study found that Bandura’s self‐efficacy theory was easily translated into practice and was readily applicable to the area of falls prevention among older people. The findings of this study support the inclusion of activity participation and mastery experiences being a primary focus of falls prevention programmes.</jats:p>