Donaldson and Finch5 have shown the feasibility of applying implementation science to sports injury prevention, and Li et al.6 and 7 demonstrated how an exercise and balance program (Tai Ji Quan) can successfully be translated into a community program and implemented in either community or clinical settings. Equally important was the fact that Li and his colleagues showed that program fidelity and adherence to their intervention was maintained, at least over the short term, to prevent older adult falls. Manson et al.8 showed positive results in taking

a Tai Ji Quan program to low-income older adults, concluding that “non-(Tai Ji Quan) culturally related ethnic GPCR Compound Library mouse groups did not experience a barrier to participation in an older low-socioeconomic population sample”. However, the Etoposide supplier sample consisted of only 56 participants who were recruited into a 16-week program, and no attempt was made to translate the findings to the wider multi-ethnic community through the use of existing stakeholders. The article Implementing an evidence-based Tai Ji Quan program in a multicultural setting: A pilot dissemination project 9 by Fink and Houston in

this special issue of Journal of Sport and Health Science extends these findings and takes the next step. Specifically, the authors demonstrate that it is possible to scale up an effective health-related fall prevention program in a community of older adults with differing cultural backgrounds, provided that the intervention meets three criteria: (1) Native language: The intervention must be Florfenicol translated and delivered to participants in their native language. It is also important for program leaders to be bilingual. The work by Fink and Houston9 shows that interventions proven

effective using randomized control trials require additional adaptation and translation for use outside the research setting, but by adhering to these three elements a community-based organization can successfully implement a Tai Ji Quan program even in a multicultural setting. Another important component of this program was the use of community-level infrastructures and delivery systems. In the study, the Minnesota Area Agency on Aging served in a coordinating role to help community-level organizations such as the Lao Advancement Organization of America and the Korean Service Center implement the program. Other community groups with wide reach, such as public health departments, community-based health associations, faith-based organizations, and aging services providers or senior centers, were also instrumental in achieving participation and community uptake. This “system integration” is essential for widespread adoption and sustainability.