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Updated: May 20, 2026

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Supervised and Self-Directed Technology-Based Dual-Task Exercise Training Program for Older Adults With a History of

Prerna Mathur1, Afroditi Stathi1, Victoria A Goodyear1,2

  • 1School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, United Kingdom, 44 01214142555.

JMIR Aging
|May 18, 2026
PubMed

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Summary
This summary is machine-generated.

Technology-based dual-task (DT) training is feasible for older adults at risk of falls. This blended program, combining in-person and home-based sessions, showed good acceptability and can be delivered outside clinical settings.

Area of Science:

  • Gerontology
  • Rehabilitation Science
  • Digital Health

Background:

  • Older adults with a history of falls face a higher risk of future falls.
  • Dual-task (DT) training, which combines cognitive and physical exercises, can improve mobility and reduce fall risk.
  • Digital tools enable home-based DT training, increasing accessibility.

Purpose of the Study:

  • To evaluate the feasibility and acceptability of a technology-based DT training program for older adults at risk of falls.
  • To explore the perspectives of healthcare professionals on fall prevention services.
  • To assess a blended model of supervised and self-directed DT training sessions.

Main Methods:

  • A 24-week, single-arm feasibility study with 45 community-dwelling older adults (≥65 years) with a history of falls.
Keywords:
agingcognitiondual-taskexercisefalls preventionolder adultstechnology

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  • A blended program integrating balance, strength, and cognitive training via a mobile app.
  • Phased delivery: 12 weeks of supervised group classes and home sessions, followed by 12 weeks of home-based sessions.

    • Main Results:

    • Recruitment of 45 participants, with 76% retention at 24 weeks and no adverse events.
    • Adherence was 64%, higher in the initial supervised phase (81%) than the self-directed phase (50%).
    • High app usage (95%) and moderate-to-high participant satisfaction were reported.

    Conclusions:

    • A blended, technology-based DT training program is feasible and acceptable for older adults at risk of falls.
    • Community-based recruitment and engagement are effective for implementing such programs.
    • Findings support a full-scale trial with refinements for scalability and impact.