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Implementation of the StandingTall programme to prevent falls in older people: a process evaluation protocol
Morag E Taylor1,2, Chris Todd3,4,5,6, Sandra O'Rourke1
1Falls, Balance and Injury Research Centre, Neuroscience Research Australia, Randwick, New South Wales, Australia.
BMJ Open
|July 27, 2021
Summary
The StandingTall home-based balance program effectively improves balance and reduces falls in older adults. This study evaluates its community implementation, showing high adherence and potential for widespread use.
Area of Science:
- Gerontology
- Public Health
- Digital Health
Background:
- Falls are a major public health issue for older adults, increasing with population aging.
- Existing fall prevention strategies often lack cost-effectiveness and scalability.
- The StandingTall program offers a low-cost, unsupervised, home-based solution using digital technology.
Purpose of the Study:
- To evaluate the community and health service implementation of the StandingTall program in Australia and the UK.
- To assess the uptake, acceptability, and adherence of the StandingTall program and its resources.
- To determine the primary outcome of participant adherence over a 6-month period.
Main Methods:
- A large randomized controlled trial involving 503 community-dwelling older adults.
- A nested process evaluation using quantitative and qualitative methods.
- Recruitment of 300 participants in Australia and 100 in the UK across three sites.
Main Results:
- Previous trials demonstrated StandingTall's safety, high adherence, and effectiveness in improving balance and reducing falls.
- The program incorporates physical and behavioral elements to enhance user compliance.
- High adherence rates are expected in the current implementation study.
Conclusions:
- StandingTall is a safe and effective intervention for improving balance and reducing falls in older adults.
- The program's design facilitates high adherence and user compliance.
- This project addresses the final steps for scaling StandingTall for widespread national and international adoption.

