A combined physical activity and fall prevention intervention improved mobility-related goal attainment but not physical activity in older adults: a randomised trial
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QUESTIONS: In people aged ≥ 60 years, does a combined physical activity and fall prevention intervention affect physical activity and mobility-related goal attainment? Does the combined intervention also improve fall rates, daily steps, the proportion of people meeting the physical activity guidelines, quality of life, mood, fear of falling, and mobility limitation? DESIGN: Randomised trial with concealed allocation, intention-to-treat analysis and assessor blinding. PARTICIPANTS: One hundred and thirty-one people living in the community and aged ≥ 60 years. INTERVENTIONS: The experimental group received one physiotherapist visit, fortnightly telephone-based health coaching, a pedometer, tailored fall prevention advice, and a fall prevention brochure. The control group received the same fall prevention brochure. OUTCOME MEASURES: Primary outcomes were mobility goal attainment (Goal Attainment Scale) and objectively measured physical activity (accelerometer counts per minute) at 6 and 12 months. Secondary outcomes were falls, other physical activity measures, quality of life, fear of falling, mood, and mobility. RESULTS: Participants had a mean age of 71 years (SD 6.5) and 31 (24%) had fallen in the past year. The experimental group reported significantly better mobility goal attainment at 6 months compared to controls (OR 2.0, 95% CI 1.1 to 3.7) but this was not maintained at 12 months (OR 1.1, 95% CI 0.6 to 2.1). Physical activity counts were not significantly different between groups at 6 months (MD 13 counts/minute, 95% CI -98 to 124) or 12 months (MD 56 counts/minute, 95% CI -14 to 125). There were no significant between-group differences in the secondary outcomes. CONCLUSION: A combined physical activity and fall prevention intervention was associated with significantly higher mobility goal attainment at 6 months. There was no significant impact on physical activity but future investigation in a larger trial is warranted. TRIAL REGISTRATION: ACTRN12614000016639.
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Management of incomplete outcome data was assessed as high risk of bias in four studies.
“The management of incomplete outcome data was assessed as being at high risk of bias in four studies [49,73,90,95].”
From Fitbit-based interventions for healthy lifestyle outcomes: systematic review and meta-analysis (2020) · cites this paper as [95]
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Exercise Therapy Berpengaruh Terhadap Peningkatan Kualitas Hidup Lansia : Studi literature
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Logan, B., Jegatheesan, D. K., Viecelli, A. K., Pascoe, E. M., & Hubbard, R. E. (2021) · Research Square · doi:10.21203/rs.3.rs-1062629/v1 · Cited by 1 · see citing works
Sherrington, C., Tiedemann, A., & Fairhall, N. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108594455.017
Self-citationZougar, M., Todd, C. J., McGarrigle, L., & Stanmore, E. (2022) · doi:10.2196/preprints.39148
Heij, W., Sweerts, L., Staal, J. B., Cuijpers, I., der Sanden, M. W. G. N., van der Wees, P. J., & Hoogeboom, T. J. (2022) · Research Square · doi:10.21203/rs.3.rs-1746011/v1
Effect of physical exercise on fall episodes in the elderly: a meta-analysis
de Figueiredo, J. A., Garcia, M. C., & de Oliveira, A. J. (2023) · Sport Sciences for Health · doi:10.1007/s11332-023-01145-w
Pinheiro, M., Oliveira, J. S., Baldwin, J. N., Hassett, L. M., Costa, N., Gilchrist, H., Wang, B., Kwok, W. S., Albuquerque, B. S., Pivotto, L. R., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20317652
Self-citationPinheiro, M., Oliveira, J. S., Baldwin, J. N., Hassett, L. M., Costa, N., Gilchrist, H., Wang, B., Kwok, W. S., Albuquerque, B. S., Pivotto, L. R., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20317658
Self-citationPinheiro, M., Oliveira, J. S., Baldwin, J. N., Hassett, L. M., Costa, N., Gilchrist, H., Wang, B., Kwok, W. S., Albuquerque, B. S., Pivotto, L. R., et al. (2022) · Figshare · doi:10.6084/m9.figshare.20317655
Self-citationYao, J., Wang, H., Jia, S., Chen, H., He, J., Long, J., & Chen, S. (2026) · doi:10.2196/preprints.91338
Rodríguez-Gabella, E., Martín‐Gil, B., Muñoz-Rubio, P. L., Lozano-Pérez, R., Rivas‐González, N., & Fernández‐Castro, M. (2026) · Enfermería Clínica · doi:10.1016/j.enfcli.2025.502439
Ghabi, K. E., Bousefsaf, F., & Morère, Y. (2026) · Technology and Disability · doi:10.1177/10554181261441141
Self-perceived risk of falls in hospitalised adults: A comparison with nursing assessment
Rodríguez-Gabella, E., Martín‐Gil, B., Muñoz-Rubio, P. L., Lozano-Pérez, R., Rivas‐González, N., & Fernández‐Castro, M. (2026) · Enfermería Clínica (English Edition) · doi:10.1016/j.enfcle.2026.502439
Srikesavan, C. S., Wood, L., Newell, P., Clark, C. E., Adedire, O., Clemson, L. M., Sherrington, C., & Lamb, S. E. (2026) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012221.pub3
Self-citation
- Authors
- Oliveira, J. S., Sherrington, C., Paul, S. S., Ramsay, E., Chamberlain, K., Kirkham, C., O'Rourke, S. D., Hassett, L., & Tiedemann, A.
- Affiliations
- The University of Sydney (AU)
- Corresponding author
- Oliveira, Juliana S
- Venue
- Journal of Physiotherapy
- Publisher
- Elsevier BV
- Published
- 2019-01
- Volume
- 65
- Issue
- 1
- Pages
- 16-22
- ISSN
- 1836-9553 (ISSN-L)
- OpenAlex
- W2905673816
- Cited by
- 63
- References
- 39
- Citations by year
- 2026: 9 · 2025: 5 · 2024: 10 · 2023: 5 · 2022: 12 · 2021: 9 · 2020: 12 · 2019: 1
- FWCI
- 13.12
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of physiotherapy (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- University of Sydney
- Faculty of Medicine and Health, University of Sydney
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Keywords
- fall prevention, physical activity, older adults, Goal Attainment Scale, pedometers, telephone health coaching, physiotherapy intervention, falls, fear of falling, quality of life, accelerometer-measured activity
- MeSH terms
- Accidental Falls, Activities of Daily Living, Aged, Combined Modality Therapy, Female, Goals, Humans, Male, Middle Aged, Quality of Life, Surveys and Questionnaires, Exercise, Mobility Limitation, Accelerometry
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