The purpose of this study was to explore and describe older adults’opinions regarding actions to prevent falls and to analyze differences in theopinions of highly versus less physically active older adults. An open-endedquestion was answered by 262 individuals aged 75 to 98 years living in thecommunity. The answers were analyzed using qualitative content analysis,and differences in the categories were compared between highly and lessphysically active persons. Physical activity was measured according to afive-level scale. The content analysis resulted in eight categories: assistivedevices, avoiding hazards, behavioral adaptive strategies, being physicallyactive, healthy lifestyle, indoor modifications, outdoor modifications, andseeking assistance. Behavioral adaptive strategies were mentioned to agreater extent by highly active people, and indoor modifications were moreoften mentioned by less active older adults. Support for active self-directedbehavioral strategies might be important for fall prevention among lessphysically active older adults.