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Are Virtual Rehabilitation Technologies Feasible Models to Scale an Evidence-Based Fall Prevention Program? A Pilot
Tiffany E Shubert1, Jeanna Basnett2, Anang Chokshi2
1Shubert Consulting, Chapel Hill, NC, United States.
JMIR Rehabilitation and Assistive Technologies
|June 6, 2017
Summary
Virtual reality fall prevention programs are acceptable for older adults. Stand Tall, a virtual version of the Otago Exercise Program, shows promise for scalable, accessible fall reduction strategies.
Area of Science:
- Gerontology
- Rehabilitation Technology
- Public Health
Background:
- Falls in older adults pose a significant public health challenge, necessitating scalable and resource-efficient interventions.
- Virtual rehabilitation technologies offer a promising avenue to deliver evidence-based fall prevention programs more broadly.
- Older adult acceptance of virtual rehabilitation is crucial for its widespread adoption and effectiveness.
Purpose of the Study:
- To evaluate the feasibility and acceptability of Stand Tall (ST), a virtual translation of the Otago Exercise Program (OEP).
- To assess if ST can be a viable platform for delivering the OEP to diverse older adult populations.
- To explore user experience across various fall risk levels, educational backgrounds, and computer expertise.
Main Methods:
- A one-time usability study involving adults aged 60 and over.
- Participants received orientation, practiced navigation, and completed strength and balance exercises using the ST system.
- Quantitative analysis of participant demographics and user experience metrics, including the System Usability Scale (SUS).
Main Results:
- A diverse group of 21 participants (mean age 69.2) completed the study, with 66% classified as 'at risk for falls'.
- Most participants expressed willingness to use ST for balance improvement and felt confident using it at home or in senior centers.
- The mean SUS score was 65.5, with 10 participants rating usability as above average; no significant relationships were found between user experience and demographic factors.
Conclusions:
- Virtual delivery of the OEP via technologies like Stand Tall appears acceptable to older adults across diverse backgrounds.
- Virtual rehabilitation platforms offer an efficient method to scale evidence-based fall prevention programs.
- Future research should compare outcomes of virtual OEP delivery with the standard of care to determine efficacy.
