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Related Experiment Video

Updated: Feb 12, 2026

A Training Program Using an Agility Ladder for Community-Dwelling Older Adults
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Can community care workers deliver a falls prevention exercise program? A feasibility study.

Elissa Burton1, Gill Lewin2, Hilary O'Connell3

  • 1School of Physiotherapy and Exercise Science, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.

Clinical Interventions in Aging
|April 6, 2018
PubMed
Summary

Community care workers can deliver falls prevention programs to older adults, improving their health. This study explored the feasibility of this approach, with positive client feedback on the exercises.

Keywords:
Regional Assessment Service (RAS)balancehome and community care servicespragmatic researchsafetystrength

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Area of Science:

  • Gerontology
  • Public Health
  • Allied Health

Background:

  • High incidence of falls among community-dwelling older adults receiving care.
  • Limited availability and high cost of traditional falls prevention programs.
  • Need for scalable and accessible falls prevention interventions.

Purpose of the Study:

  • To assess the feasibility of community care workers delivering a falls prevention exercise program.
  • To integrate falls prevention into existing community care services for low-to-medium risk older adults.

Main Methods:

  • Training community care workers (assessment and support staff) to deliver an 8-week evidence-based falls prevention program.
  • Anonymous client surveys and semi-structured interviews with workers post-intervention.
  • Involving 10 community care organizations and 25 workers.

Main Results:

  • The program was safely delivered to 29 older clients (average age 82.7 years).
  • Support workers successfully integrated the program into existing services; assessment staff faced time constraints.
  • 82% of clients enjoyed the exercises, 59% reported positive health changes, and clients exercised 4.8 days/week.

Conclusions:

  • Trained community care workers can deliver falls prevention exercise programs within current service structures.
  • Further research is needed to confirm fall rate reduction and cost-effectiveness.
  • Feasibility demonstrated for integrating falls prevention into community care.