This pre/posttest study investigated the effect of A Matter of Balance: Managing Concerns about Falls (MOB) on balance confidence in older adults. MOB is an evidence-based program designed to decrease fear of falling and increase activity in older adults. Thirty-three participants completed the Activities-specific Balance Confidence Scale (ABC) pre- and post-program. Significant differences were found for 3 items: reach for small can off a shelf at eye level (p = .006), walk outside the house to a car parked in the driveway (p = .028), and walk outside on icy sidewalks (p = .009); and for total ABC scores (p = .024). The findings support the efficacy of MOB for increasing balance confidence through a combination of education and exercise.