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Abstract：
Conducted physically, supervised group-based falls prevention exercise programs have demonstrated effectiveness in reducing the risk of falls among older adults. In this study, we aimed to assess the acceptability, feasibility, and effectiveness of a virtual supervised group-based falls prevention exercise program (WE-SURF™) for community-dwelling older adults at risk of falls.
METHODS: A preliminary study utilizing virtual discussions was conducted to assess the acceptability of the program among six older adults. Effectiveness was evaluated in a randomized controlled feasibility study design, comprising 52 participants (mean age: 66.54; SD: 5.16), divided into experimental (n = 26) and control (n = 26) groups. The experimental group engaged in a 6-month WE-SURF™ program, while the control group received standard care along with a fall\'s prevention education session. Feasibility of the intervention was measured using attendance records, engagement rates from recorded videos, dropouts, attrition reasons, and adverse events.
RESULTS: Preliminary findings suggested that WE-SURF™ was acceptable, with further refinements. The study revealed significant intervention effects on timed up and go (TUG) (η2p:0.08; p < 0.05), single leg stance (SLS) (η2p:0.10; p < 0.05), and lower limb muscle strength (η2p:0.09; p < 0.05) tests. No adverse events occurred during the program sessions, and both attendance and engagement rates were high (> 80% and 8/10, respectively) with minimal dropouts (4%). The WE-SURF™ program demonstrated effectiveness in reducing the risk of falls while enhancing muscle strength and balance.
CONCLUSIONS: In conclusion, WE-SURF™ was demonstrated to be an acceptable, feasible, and effective virtual supervised group-based exercise program for fall prevention in community-dwelling older adults at risk of falls. With positive outcomes and favourable participant engagement, WE-SURF™ holds the potential for wider implementation. Further research and scaling-up efforts are recommended to explore its broader applicability. (Registration number: ACTRN 12621001620819).
METHODS: A preliminary study utilizing virtual discussions was conducted to assess the acceptability of the program among six older adults. Effectiveness was evaluated in a randomized controlled feasibility study design, comprising 52 participants (mean age: 66.54; SD: 5.16), divided into experimental (n = 26) and control (n = 26) groups. The experimental group engaged in a 6-month WE-SURF™ program, while the control group received standard care along with a fall\'s prevention education session. Feasibility of the intervention was measured using attendance records, engagement rates from recorded videos, dropouts, attrition reasons, and adverse events.
RESULTS: Preliminary findings suggested that WE-SURF™ was acceptable, with further refinements. The study revealed significant intervention effects on timed up and go (TUG) (η2p:0.08; p < 0.05), single leg stance (SLS) (η2p:0.10; p < 0.05), and lower limb muscle strength (η2p:0.09; p < 0.05) tests. No adverse events occurred during the program sessions, and both attendance and engagement rates were high (> 80% and 8/10, respectively) with minimal dropouts (4%). The WE-SURF™ program demonstrated effectiveness in reducing the risk of falls while enhancing muscle strength and balance.
CONCLUSIONS: In conclusion, WE-SURF™ was demonstrated to be an acceptable, feasible, and effective virtual supervised group-based exercise program for fall prevention in community-dwelling older adults at risk of falls. With positive outcomes and favourable participant engagement, WE-SURF™ holds the potential for wider implementation. Further research and scaling-up efforts are recommended to explore its broader applicability. (Registration number: ACTRN 12621001620819).
摘要：
物理传导，以小组为基础的有监督的跌倒预防锻炼计划已证明在降低老年人跌倒风险方面有效.在这项研究中,我们旨在评估可接受性，可行性,以及针对有跌倒风险的社区居住老年人的基于虚拟监督的团体预防跌倒运动计划（WE-SURF™）的有效性。
方法：进行了一项利用虚拟讨论的初步研究，以评估该计划在六个老年人中的可接受性。在随机对照可行性研究设计中评估了有效性，包括52名参与者（平均年龄：66.54；SD：5.16），分为实验组(n=26)和对照组(n=26)。实验组参与了为期6个月的WE-SURF™计划，而对照组则接受标准护理以及秋季预防教育。使用考勤记录衡量干预的可行性，来自录制视频的参与率，辍学,流失原因，和不良事件。
结果：初步调查结果表明，WE-SURF™是可以接受的，进一步完善。研究表明，对定时和去（TUG）有显著的干预效果（η2p：0.08；p<0.05），单腿站立（SLS）（η2p：0.10；p<0.05），和下肢肌肉力量(η2p:0.09;p<0.05)测试。在程序会议期间没有发生不良事件，出勤率和参与率均较高(分别>80%和8/10),辍学率最低(4%).WE-SURF™计划证明了在降低跌倒风险同时增强肌肉力量和平衡的有效性。
结论：结论：WE-SURF™被证明是可以接受的，可行,和有效的虚拟监督的基于小组的运动计划，用于预防社区居住的有跌倒风险的老年人跌倒。有了积极的成果和有利的参与者参与，WE-SURF™具有更广泛实施的潜力。建议进一步研究和扩大规模，以探索其更广泛的适用性。（注册号：ACTRN12621001620819）。
方法：进行了一项利用虚拟讨论的初步研究，以评估该计划在六个老年人中的可接受性。在随机对照可行性研究设计中评估了有效性，包括52名参与者（平均年龄：66.54；SD：5.16），分为实验组(n=26)和对照组(n=26)。实验组参与了为期6个月的WE-SURF™计划，而对照组则接受标准护理以及秋季预防教育。使用考勤记录衡量干预的可行性，来自录制视频的参与率，辍学,流失原因，和不良事件。
结果：初步调查结果表明，WE-SURF™是可以接受的，进一步完善。研究表明，对定时和去（TUG）有显著的干预效果（η2p：0.08；p<0.05），单腿站立（SLS）（η2p：0.10；p<0.05），和下肢肌肉力量(η2p:0.09;p<0.05)测试。在程序会议期间没有发生不良事件，出勤率和参与率均较高(分别>80%和8/10),辍学率最低(4%).WE-SURF™计划证明了在降低跌倒风险同时增强肌肉力量和平衡的有效性。
结论：结论：WE-SURF™被证明是可以接受的，可行,和有效的虚拟监督的基于小组的运动计划，用于预防社区居住的有跌倒风险的老年人跌倒。有了积极的成果和有利的参与者参与，WE-SURF™具有更广泛实施的潜力。建议进一步研究和扩大规模，以探索其更广泛的适用性。（注册号：ACTRN12621001620819）。
