A Feasibility Study of Multi-component Fall Prevention for Homebound Older Adults Facilitated by Lay Coaches and Using a Tablet-Based, Gamified Exercise Application

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  • Authors:
  • Namkee Choi
  • Emma Stanmore
  • Nancy Gell
  • Julieta Caamano
  • Kelly Vences


Although homebound older adults face high risk for falls, they are unable to utilize community-based fall prevention programs due to their mobility limitations. In this paper, we report a feasibility study of a 4-session, multicomponent fall prevention program for low-income homebound older adults using pre, post, mixed-method design. The manualized program was delivered by lay coaches who were trained and supervised by a physical therapist. The program also used an iPad-based gamified strength and balance exercise app (called KOKU) that was operable without the need to connect to the internet. Participants (n=28) in this study were highly receptive to the program and approved all components: psychoeducation, the KOKU app, home-safety checks, safe ambulation training, and medication review. The study showed that a brief, multi-component fall prevention program for homebound older adults is feasible and acceptable. Further research is needed to evaluate its effectiveness.

Bibliographical metadata

Original languageEnglish
JournalJournal of Applied Gerontology
Early online date4 Feb 2021
Publication statusPublished - 4 Feb 2021