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Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty

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A Student-Led Telehealth Group Falls Prevention Exercise Program for Older Adults in a Rural Community: A Pilot

Christine O'Connell¹, Steve Woodruffe¹, Kirsten Middleton¹

¹Southern Queensland Rural Health, Toowoomba, Queensland, Australia.

The Australian Journal of Rural Health

|November 24, 2025

Summary

This pilot study shows that a student-led telehealth falls prevention program is feasible and well-accepted by older adults in remote areas. Participants improved mobility and function, demonstrating a viable rural health service delivery model.

Keywords:

clinical placement falls prevention rural and remote health service learning telehealth

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Area of Science:

Gerontology and Rehabilitation
Rural Health Service Delivery
Telehealth Interventions

Background:

Older adults in remote communities face challenges accessing falls prevention programs.
Telehealth offers a potential solution to bridge geographical barriers in healthcare.
Student-led health programs can provide valuable clinical experience and community support.

Purpose of the Study:

To evaluate the feasibility and acceptability of a student-led group falls prevention exercise program.
To assess the program's delivery via telehealth to older adults in a remote setting.
To explore participant and student experiences with the telehealth intervention.

Main Methods:

Convergent parallel mixed-methods design utilizing pre- and post-participation outcome measures.
Semi-structured focus groups and interviews with community participants and health professional students.
Telehealth delivery from a regional city to a very remote town (Modified Monash Model 7).

Main Results:

Significant improvements in participant mobility and function, including higher BOOMER scores and faster 10-m walk times.
64.7% of participants achieved clinically meaningful gains on the 10-m walk test.
Program fostered social connections; students reported enhanced telehealth strategies and clinical skills.

Conclusions:

Telehealth delivery of group exercise programs to a fixed hub is a feasible and acceptable model for rural health.
This approach improves access to care for older adults in rural and remote areas.
Wider implementation could enhance access to high-value healthcare services in underserved regions.