Effectiveness of Smartphone-Based Versus Community-Based Otago Exercise Programs for Fall Risk Reduction in Community-Dwelling Older Adults: A Randomized Controlled Trial

What this Trial Is About

Researchers are studying ways to reduce falls in older adults by comparing two methods of delivering the Otago Exercise Program (OEP), a proven fall prevention exercise routine that focuses on muscle strengthening and balance. The study aims to bridge the gap between research and community use by testing a smartphone-based home program against a traditional in-person community program. This research also looks at how practical, acceptable, and easy to use each delivery method is for older adults at risk of falling. Participants who are at intermediate or high risk of falling will be randomly assigned to one of two groups: a smartphone-based program delivered through an app with weekly phone support, or an in-person group exercise program at a community center. Both groups will undergo individualized 60-minute training sessions twice a week for eight weeks, following the structure of the OEP. The smartphone group will use an app to track and review exercises, while the community group will exercise together under professional guidance. Throughout the study, participants will complete various tests and surveys before and after the program, including balance and mobility assessments, depression scales, and fall risk evaluations. Gait speed will be measured weekly via smartphone. Researchers will monitor outcomes such as gait velocity and physical performance to assess the effectiveness of each delivery mode. The total participation includes the 8-week training and follow-up assessments, with testers and trainers blinded to group assignments and baseline results.

Comparison of Smartphone and Community-Based Delivery of the Otago Exercise Program for Fall Risk in Older Adults