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Evaluating the feasibility of Steady Feet: a community-based group exercise programme for older adults at risk of
Rebecca Hui Shan Ong1, Christopher Tsung Chien Lien2, Milawaty Nurjono1
1Health Services Research, Changi General Hospital, Singapore.
Introduction:
We aimed to evaluate the feasibility of a 12-week community-based group exercise programme, Steady Feet, for older adults at risk of falls.
Methods:
Community-dwelling adults aged ≥60 years, with a Falls Risk for Older People-Community setting score ≥4 and a Short Physical Performance Battery (SPPB) score of 7-11, were enrolled into a non-randomised, two-arm feasibility study. The intervention group (IG) participated in twice-weekly, 1-h sessions led by trained fitness instructors. Both the IG and the control group (CG) received fall prevention standard care. Feasibility was assessed using Bowen's framework, covering six domains: acceptability, demand, implementation, practicality (including safety), adaptation and limited efficacy. Functional outcomes (SPPB, Timed Up and Go [TUG], Four Square Step Test [FSST], 6-minute walk test and balance confidence) were evaluated at baseline and 12 weeks.
Results:
Of 71 eligible participants, 65 enrolled (28 in IG, 37 in CG; 4 withdrew pre-baseline), and 49 (25 in IG, 24 in CG) completed the study. Programme acceptability was high, with all surveyed participants reporting satisfaction with Steady Feet and the instructors. Demand was reflected by high uptake (92% consented); attendance averaged 79% with a 72% completion rate. Implementation fidelity was high, and no falls or injuries occurred. Significant within-group improvements were observed in SPPB (IG: +1.2, CG: +0.9) and TUG for the IG (-1.3 s, P = 0.013). Only FSST showed a significant between-group difference favouring IG (P = 0.009).
Conclusion:
The programme was feasible, safe and well-received when delivered by fitness instructors in community settings. Findings support further refinement and progression to a larger study.
