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Transition from MHealth FallSA© to FallSA© 2.0: A randomized trial on enhancing behavioral and functional outcomes in
Jing Wen Goh1, Suzana Shahar1, Siok Yee Tan2
1Centre for Healthy Ageing and Wellness (H-Care), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Background:
Optimistic fall risk screening has been recommended in recent global fall prevention guidelines. While fall screening mobile application (FallSA©) is acknowledged for its acceptance and reliability, its effectiveness in modifying fall prevention behaviors remains underexplored.
Objectives:
In this study, we aimed to investigate the effects of FallSA© on fall prevention behavior and functional outcomes among community-dwelling older adults. The transition to its upgraded version, FallSA© 2.0 was also reported.
Methods:
A six-month randomized controlled trial included 59 participants: the experimental group (n = 30, mean age 66.2 ± 5.3 years) and the control group (n = 29, mean age 69.2 ± 5.0 years). The experimental group received fall prevention education and used FallSA©, while the control group received the education only. Outcomes included fall prevention awareness, knowledge, balance confidence, physical function and physical activity levels.
Results:
While no significant time × group interaction and group effects (p > .05), time effects were observed for improvements in FallSA© risk score (p = .03), balance confidence (p = .009), behavior (p = .001), and physical function (p = .008), the experimental group demonstrated a larger mean change in fall behavior, balance confidence, FallSA© risk score, and physical activity level compared to the control group (p < .05 for all parameters). Limitations in FallSA© were addressed in FallSA© 2.0 by incorporating an enhanced educational package, Sit-to-Stand test with normative values, and improved monitoring system for health professionals.
Conclusion:
The findings suggest that FallSA© has the potential to enhance fall prevention behaviors and awareness, which has been successfully integrated in FallSA© 2.0. Future studies are needed for broader applicability of FallSA© 2.0 in fall prevention strategies among older adults.
Registry:
Australian New Zealand Clinical Trials Registry.
Clinical Trial Number:
ACTRN1262200112076.
