From Planning to Practice: Feasibility of Implementing the ‘Capture the Fracture’ Programme in A Malaysian Community Setting

Background: Fragility fractures due to osteoporosis represent a significant health burden among Malaysia’s ageing population. The ‘Capture the Fracture’ (CTF) programme is a global initiative promoting coordinated secondary fracture prevention. This study aimed to assess the feasibility of implementing a community-based adaptation of the CTF programme in a Malaysian community setting, focusing on the implementation process and perceived relevance among older adults. Methods: This qualitative feasibility study was conducted to assess the implementation process of a community-based fracture prevention initiative at the Activity Centre for Older People (PAWE) in Maran, Pahang. Data collection involved direct observations of programme delivery, attendance monitoring, and semi-structured interviews with participants to evaluate their experiences, engagement levels, and perceived barriers and facilitators. Thematic analysis was conducted to explore participants’ perspectives and implementation dynamics. Results: Four key themes emerged: strong community engagement, improved awareness and understanding of osteoporosis, challenges in sustaining the programme due to access and follow-up issues, and the importance of local collaboration in fostering a supportive environment. Conclusion: Adapting the CTF programme for a community setting in Malaysia is feasible and beneficial. It raises awareness and supports early identification of osteoporosis risk and prevention of fragility fractures among older adults, though integration with local health services is crucial for sustainability. Future research should examine follow-up models and the scalability of community-based interventions.