OBJECTIVES: This systematic review and meta-analysis aimed to investigate the effect of fall prevention interventions using information and communication technology (ICT). METHODS: A comprehensive search across four databases was performed. The inclusion criteria were fall prevention interventions including telehealth, computerized balance training, exergaming, mobile application education, virtual reality exercise, and cognitive-behavioral training for community-dwelling adults aged >= 60 years. RESULTS: Thirty-four studies were selected. Telehealth, smart home systems, and exergames reduced the risk of falls (RR 0.63, 95% CI (0.54 to 0.75)). Telehealth and exergame improved balance (MD 3.30, 95% CI (1.91 to 4.68); MD 4.40, 95% CI (3.09 to 5.71)). Telehealth improved physical function (SMD 0.69, 95% CI (0.23 to 1.16)). Overall, ICT fall interventions improved fall efficacy but not cognitive function. For quality of life (QOL), mixed results were found depending on the assessment tools. CONCLUSION: Future investigations on telehealth, smart home systems, or exergames are needed to motivate older adults to exercise and prevent falls.

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