Building Strong Foundations: Nonrandomized Interventional Study of a Novel, Digitally Delivered Fall Prevention Program for Older Adults

Bibliographic Details
Title: Building Strong Foundations: Nonrandomized Interventional Study of a Novel, Digitally Delivered Fall Prevention Program for Older Adults
Authors: David Wing, Jeanne F Nichols, Hava Shoshana Barkai, Olivia Culbert, Daniel Moreno, Michael Higgins, Anna O'Brien, Mariana Perez, Hope Davey, Ryan Moran
Source: JMIR Aging, Vol 8, p e68957 (2025)
Publisher Information: JMIR Publications, 2025.
Publication Year: 2025
Collection: LCC:Geriatrics
Subject Terms: Geriatrics, RC952-954.6
More Details: BackgroundInjuries from falls are a major concern among older adults. Targeted exercise has been shown to improve fall risk, and recommendations for identifying and referring older adults for exercise-based interventions exist. However, even when very inexpensive or free, many do not use available fall prevention programs, citing barriers related to convenience and safety. These issues are even greater among older adults residing in rural areas where facilities are less abundant. These realities highlight the need for different approaches to reducing falls in novel ways that increase reach and are safe and effective. Web-based delivery of exercise interventions offers some exciting and enticing prospects. ObjectiveOur objective was to assess the efficacy of the Strong Foundations exercise program to change markers of physical function, posture, balance, strength, and fall risk. MethodsStrong Foundations is a once weekly (60 minutes), 12-week iterative program with 3 core components: postural alignment and control, balance and mobility, and muscular strength and power. We used a quasi-experimental design to determine changes in physical function specific to balance, postural control, and muscular strength among older adults at low or moderate risk of falling. ResultsA total of 55 low-risk and 37 moderate-risk participants were recruited. Participants significantly improved on the 30-second Chair Stand (mean change of 1, SD 3.3 repetitions; P=.006) and Timed Up and Go (mean change of 0.2, SD 0.7 seconds; P=.004), with the moderate-risk group generally improving to a greater degree than the low-risk group. Additionally, Short Physical Performance Battery performance improved significantly in the moderate-risk category (P=.02). The majority of postural measures showed statistically significant improvement for both groups (P
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2561-7605
Relation: https://aging.jmir.org/2025/1/e68957; https://doaj.org/toc/2561-7605
DOI: 10.2196/68957
Access URL: https://doaj.org/article/c061e3f3c2d14fd4a44449bacb289868
Accession Number: edsdoj.061e3f3c2d14fd4a44449bacb289868
Database: Directory of Open Access Journals
More Details
ISSN:25617605
DOI:10.2196/68957
Published in:JMIR Aging
Language:English