Evidence map›Paper›PMID 39113467›Full record

ArticleAge and ageing2024

Implementation of a digital exercise programme in health services to prevent falls in older people.

Morag E Taylor, Meghan Ambrens, Helen Hawley-Hague, Christopher Todd, Jacqueline C T Close, Stephen R Lord, Lindy Clemson, Thomas Lung, David Berlowitz, Jannette Blennerhassett and 13 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Age and ageing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Morag E TaylorNeuroscience Research Australia, Falls, Balance and Injury Research Centre, Sydney, New South Wales, Australia.ORCID 0000-0002-4436-862X
Meghan AmbrensNeuroscience Research Australia, Falls, Balance and Injury Research Centre, Sydney, New South Wales, Australia.ORCID 0000-0001-9117-7722
Helen Hawley-HagueSchool of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
Christopher ToddSchool of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
Jacqueline C T CloseNeuroscience Research Australia, Falls, Balance and Injury Research Centre, Sydney, New South Wales, Australia.
Stephen R LordNeuroscience Research Australia, Falls, Balance and Injury Research Centre, Sydney, New South Wales, Australia.
Lindy ClemsonSydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Thomas LungSydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
David BerlowitzAustin Health, Heidelberg, Victoria, Australia.
Jannette BlennerhassettAustin Health, Heidelberg, Victoria, Australia.
Julia DayhewHealth Promotion, Northern NSW Local Health District, Lismore, New South Wales, Australia.
Ashley GluchowskiNational Institute for Health and Care Research, Applied Research Collaboration-Greater Manchester, The University of Manchester, Manchester, UK.
Wendy HodgeARTD Consultants, Sydney, New South Wales, Australia.
Pamela JohnsonMid North Coast Local Health District, New South Wales, Australia.
Reena LasradoSchool of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
Marita MerleneARTD Consultants, Sydney, New South Wales, Australia.
Lillian MilesNeuroscience Research Australia, Falls, Balance and Injury Research Centre, Sydney, New South Wales, Australia.
Sandra O'RourkeNeuroscience Research Australia, Falls, Balance and Injury Research Centre, Sydney, New South Wales, Australia.
Catherine M SaidPhysiotherapy, University of Melbourne, Parkville, Australia.
Leanne WhiteNeuroscience Research Australia, Falls, Balance and Injury Research Centre, Sydney, New South Wales, Australia.
Nicola WilsonResearch & Innovation Service, Mersey Care NHS Foundation Trust, Liverpool, UK.
Avigdor ZaskHealth Promotion, Northern NSW Local Health District, Lismore, New South Wales, Australia.
Kim DelbaereNeuroscience Research Australia, Falls, Balance and Injury Research Centre, Sydney, New South Wales, Australia.ORCID 0000-0002-5655-0234

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStandingTall uses eHealth to deliver evidence-based balance and functional strength exercises. Clinical trials have demonstrated improved balance, reduced falls and fall-related injuries and high adherence. This study aimed to evaluate the implementation of StandingTall into health services in Australia and the UK.

methodsTwo hundred and forty-six participants (Australia, n = 184; UK, n = 62) were recruited and encouraged to use StandingTall for 2 h/week for 6-months. A mixed-methods process evaluation assessed uptake and acceptability of StandingTall. Adherence, measured as % of prescribed dose completed, was the primary outcome.

resultsThe study, conducted October 2019 to September 2021 in Australia and November 2020 to April 2022 in the UK, was affected by COVID-19. Participants' mean age was 73 ± 7 years, and 196 (81%) were female. Of 129 implementation partners (e.g. private practice clinicians, community exercise providers, community service agencies) approached, 34% (n = 44) agreed to be implementation partners. Of 41 implementation partners who referred participants, 15 (37%) referred ≥5. Participant uptake was 42% (198/469) with mean adherence over 6 months being 41 ± 39% of the prescribed dose (i.e. 39 ± 41 min/week) of exercise. At 6 months, 120 (76%) participants indicated they liked using StandingTall, 89 (56%) reported their balance improved (moderately to a great deal better) and 125 (80%) rated StandingTall as good to excellent. For ongoing sustainability, health service managers highlighted the need for additional resources.

conclusionsStandingTall faced challenges in uptake, adoption and sustainability due to COVID-19 and a lack of ongoing funding. Adherence levels were lower than the effectiveness trial, but were higher than other exercise studies. Acceptance was high, indicating promise for future implementation, provided sufficient resources and support are made available.

trial registrationAustralian and New Zealand Clinical Trials Registry ACTRN12619001329156.

Indexed as

Accidental FallsCOVID-19Exercise TherapyPostural BalanceAgedAged, 80 and overAustraliaFemaleHumansMalePatient ComplianceSARS-CoV-2TelemedicineUnited Kingdomadherenceagedexercisehealth behaviourimplementation scienceolder peoplepostural balancequalitative researchtelemedicine

Identifiers

PMID39113467
PMCPMC11306314

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.