A Qualitative Analysis of a Digital Fall Prevention Exercise Program for Older Adults With Increased Fall Risk

Falls are a common public health problem; one-third of individuals 65-years or older fall annually. A digitally delivered home exercise program could be an effective way to deliver fall prevention interventions to at-risk older adults. The aim of this study was to explore the experiences and perceptions of at-risk older adults enrolled in a 12-week digitally delivered home-based fall prevention exercise program. Semi-structured interviews (N = 16) were conducted by a user-experience specialist (75% female, age 77.3 years). Participants reported that the program increased exercise intensity and introduced new exercises, such as balance training. Participants highlighted the exercise physiologist motivational coach as a fundamental element of the program to support motivation and adherence. Recommendations for the exercise program included more variety of exercises, individualization of the exercise program, and live virtual interactions. This qualitative analysis provides insight into the acceptability of a digital fall prevention exercise intervention through participant feedback and perception.