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Development and Implementation of Strong Foundations, a Digitally Delivered Fall Prevention Program: Usability and
Ryan Moran1,2, David Wing1, Hope Davey1
1Exercise and Physical Activity Resource Center (EPARC), University of California San Diego, 9500 Gilman Dr. La Jolla, San Diego, CA, 92093, United States, 1 (858) 534-9315.
JMIR Formative Research
|February 28, 2025
Summary
This study shows the "Strong Foundations" digital fall prevention program is usable and feasible for older adults, improving strength and balance. The program demonstrated excellent attendance and participant satisfaction, highlighting its potential for widespread adoption.
Area of Science:
- Gerontology
- Public Health
- Digital Health
Background:
- Falls are a major public health concern and a leading cause of preventable injuries in older adults.
- Community exercise programs are recommended for fall prevention, but digital delivery is gaining interest.
- Technological advancements prompt investigation into synchronous digital exercise programs for improving strength, balance, and postural alignment.
Purpose of the Study:
- To design and implement a synchronously delivered digital fall prevention program for adults aged 60 and older.
- To assess the usability, feasibility, and attendance rates of this novel digital program.
- To evaluate the program's impact on objective measures of fall risk.
Main Methods:
- The "Strong Foundations" program is a 12-week, live, digitally delivered exercise intervention based on existing in-person programs.
- Participants (low fall risk, STEADI score ≤4) completed the program, with usability assessed via the System Usability Scale (SUS).
- Objective measures of age-related function, including Timed Up and Go (TUG) and 30-Second Chair Stand (30 CS), were collected pre- and postintervention.
Main Results:
- 38 out of 39 older adults (average age 72) completed the 12-week program with high attendance (85%) and satisfaction (8.5/10).
- The program achieved an excellent average SUS score of 80.6, indicating high usability and feasibility.
- Statistically significant improvements were observed in TUG (9%) and 30 CS (24%), with 64% improving TUG and 91% improving chair stands by week 12.
Conclusions:
- The "Strong Foundations" program demonstrates excellent usability and acceptability for digital fall prevention in older adults.
- The program shows promising improvements in objective measures of fall risk, suggesting effectiveness.
- This novel, digitally delivered intervention offers a feasible and effective approach to fall prevention for the aging population.
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