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A Qualitative Analysis of a Digital Fall Prevention Exercise Program for Older Adults With Increased Fall Risk.
Shannon Farrell1,2, Nicole Bajdek1,2, Mary Dishaw1,2
1Research Program in Men's Health: Aging and Metabolism, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Summary
Older adults found a digital fall prevention program beneficial, increasing exercise intensity and introducing new balance training. A motivational coach was key for adherence, with suggestions for more variety and live interaction.
Area of Science:
- Gerontology
- Public Health
- Digital Health Interventions
Background:
- Falls are a significant public health issue, affecting one-third of adults aged 65 and older annually.
- Home-based exercise programs offer a potential solution for fall prevention in older adults.
- Digital delivery methods may enhance accessibility and adherence to exercise interventions.
Purpose of the Study:
- To explore the experiences and perceptions of at-risk older adults participating in a 12-week digitally delivered, home-based fall prevention exercise program.
- To gather qualitative feedback on the acceptability and effectiveness of the digital intervention.
Main Methods:
- Qualitative study employing semi-structured interviews with 16 participants (75% female, mean age 77.3 years).
- Interviews conducted by a user-experience specialist to capture detailed participant feedback.
- Analysis focused on user experiences, perceived benefits, and areas for improvement.
Main Results:
- Participants reported increased exercise intensity and the introduction of new exercises, including balance training.
- The presence of an exercise physiologist motivational coach was identified as crucial for supporting motivation and adherence.
- Key recommendations included enhancing exercise variety, individualizing programs, and incorporating live virtual interactions.
Conclusions:
- Digitally delivered home-based fall prevention exercise programs are acceptable to at-risk older adults.
- Motivational support and program individualization are important factors for successful digital health interventions in this population.
- Participant feedback provides valuable insights for optimizing future digital fall prevention strategies.
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