Background: Fear of falling is widespread among the elderly living in the community. A Matter of Balance program aims to reduce the fear of falling in the elderly. Aim: Determine the effect of the Matter of Balance program on improving balance and reducing fear of falls among community-dwelling older adults. Subjects and method: A quasi-experimental research design was done on 50 older adults at El-Amal elderly club in Mansoura city. Tools: Demographic and clinical data, Katz and Akpom scale, Berge Balance Scale, and the Modified Falls Efficacy Scale (MFES) were used. Results: balance of the study subjects was improved, the elderly at moderate/high risk of falls according to the Berg Balance Scale was 80% in the pre-intervention this significantly decreased to 28% in immediate post-intervention and the difference is statistically significant. The mean fear of falls scores decreased significantly from 26.2 pre-intervention to 18.5 and 17.4 in immediate and late post-intervention. Conclusions: After the implementation of the Matter of Balance program, the subjects' balance scores improved, and the mean of fear of falling decreased. Recommendations: Future studies on MOB may continue to demonstrate its effectiveness in improving balance and decreasing fear of falling within various settings for older adults.