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A community-based single fall prevention exercise intervention for older adults (STEADY FEET): Study protocol for a
Rebecca Hui Shan Ong1, Milawaty Nurjono1, Junisha Jumala2
1Department of Health Services Research, Changi General Hospital, Singapore, Singapore.
Plos One
|October 20, 2022
Summary
This study evaluates Steady Feet, a community exercise program designed to prevent falls in older adults. The program aims to improve physical function and reduce fall rates in high-risk individuals.
Area of Science:
- Gerontology
- Public Health
- Exercise Science
Background:
- Falls and related injuries are a major cause of disability and death in older adults.
- Community-based exercise programs can improve functional outcomes and reduce fall rates.
- There is a need for effective, accessible fall prevention interventions for a broad population of at-risk older adults.
Purpose of the Study:
- To evaluate the effectiveness of the Steady Feet (SF) program, a 6-month tailored community fall prevention exercise program.
- To assess the impact of SF on functional outcomes, including the Short Physical Performance Battery (SPPB) score.
- To examine secondary outcomes such as balance confidence, fear of falling, quality of life, and fall rates.
Main Methods:
- A 6-month randomized controlled trial involving 260 older adults (age ≥ 60).
- Participants randomized 1:1 to the SF group or usual care group.
- Assessments at baseline, 3 months, and 6 months, including SPPB, balance, fear of falling, quality of life, and fall history.
Main Results:
- Data collection includes socio-demographics, co-morbidities, physical activity, and healthcare costs.
- Functional assessments like SPPB will measure physical performance changes.
- Provider satisfaction and feedback will be gathered at 3 months.
Conclusions:
- An effective community fall prevention program like Steady Feet has the potential to improve functional outcomes and reduce fall rates in older adults.
- Findings may inform the national implementation and scaling of such programs.

