BACKGROUND: Optimistic fall risk screening has been recommended in recent global fall prevention guidelines. While fall screening mobile application (FallSA) is acknowledged for its acceptance and reliability, its effectiveness in modifying fall prevention behaviors remains underexplored. OBJECTIVES: In this study, we aimed to investigate the effects of FallSA on fall prevention behavior and functional outcomes among community-dwelling older adults. The transition to its upgraded version, FallSA 2.0 was also reported. METHODS: A six-month randomized controlled trial included 59 participants: the experimental group (n = 30, mean age 66.2 +/- 5.3 years) and the control group (n = 29, mean age 69.2 +/- 5.0 years). The experimental group received fall prevention education and used FallSA, while the control group received the education only. Outcomes included fall prevention awareness, knowledge, balance confidence, physical function and physical activity levels. RESULTS: While no significant time x group interaction and group effects (p > 0.05), time effects were observed for improvements in FallSA risk score (p = 0.03), balance confidence (p = 0.009), behavior (p = 0.001), and physical function (p = 0.008), the experimental group demonstrated a larger mean change in fall behavior, balance confidence, FallSA risk score, and physical activity level compared to the control group (p < 0.005 for all parameters). Limitations in FallSA were addressed in FallSA 2.0 by incorporating an enhanced educational package, Sit-to-Stand test with normative values, and improved monitoring system for health professionals. CONCLUSION: The findings suggest that FallSA has the potential to enhance fall prevention behaviors and awareness, which has been successfully integrated in FallSA 2.0. Future studies are needed for broader applicability of FallSA 2.0 in fall prevention strategies among older adults. REGISTRY: Australian New Zealand Clinical Trials Registry. Clinical trial number: ACTRN1262200112076.

Full text (sometimes free) may be available at these link(s):      help

• PubMed Central
• DOI
• PubMed
• publisher