Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 48 1 2019 01 16 103 111 Piyathida KUHIRUNYARATN Department of Community Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand Prasert PRASOMRAK Mahidol University, Amnatchareon Campus, Amnatcharoen, Thailand Bangonsri JINDAWONG Department of Community Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand 2019 01 16 Background: Elderly falls increase dramatically with age and are a leading cause of injury, carrying a risk of loss of independence and death. We studied the effects of a health education program on fall-risk prevention among urban elderly persons in the municipality of Khon Kaen, Thailand. Methods: A quasi-experimental study was conducted in 2 communities. The calculated sample size was 216 individuals: 108 for intervention and 108 for control, all of whom were 60 or older, and registered at the Samlium Primary Care Unit (SPCU). The educational intervention was a fall risk intervention program by an elderly buddy. A structured questionnaire that incorporated questions from the Thai Fall Risk Assessment Tool (Thai-FRAT) was used to collect general and specific information. Data were analyzed using the independent sample t-test and c2, with P<0.05 being statistically significant. Results: The response rate was 94.4%. More than half of the respondents were at risk of a fall. The prevalence of risk of a fall among the intervention group was slightly less than that for those within the control group [Intervention group=52.9% (95%CI: 42.85, 62.81, P<0.001); Control group=60.8% (95%CI: 50.59, 70.15, P=0.016)]. After 6 months of intervention, the balance impairment, medicine usage, and overall proportion with risk of fall were decreased. The difference between the intervention and control groups was statistically significant (P<0.05). Conclusion: The provision of a health education program designed for fall risk prevention among the elderly would be a useful public health initiative.     https://ijph.tums.ac.ir/index.php/ijph/article/view/15944 https://ijph.tums.ac.ir/index.php/ijph/article/download/15944/6259