Training- and Cost-effectiveness of an Internet-based Lifestyle-integrated Functional Exercise Program (iLiFE)

Falls are the second leading cause of unintentional injury and death around the globe. About one in every three older adults falls each year worldwide. With the aging population, the cost of treating fall-related injuries is increasing exponentially. There is a pressing need for a cost-effective fall prevention program. Ample evidence has shown the substantial standalone effectiveness of well-designed physical exercises in preventing falls. However, continuous exercise adherence is required for a long-lasting fall prevention effect. Unfortunately, adherence to an exercise program was generally only 21%. Building up the habit of doing regular exercise is thus crucial in preventing falls. Lifestyle integrated Functional Exercise program (LiFE) has been shown to be able to reduce the fall rate by 31% and maintain 64% of the participants exercising at 12 months follow-up. This proposed randomized controlled trial aims at comparing the effectiveness of an internet-based LiFE in reducing subsequent falls and promoting exercise adherence in community-dwelling older adults.

Inclusion Criteria:aged ≥ 65 years,community-dwelling,have a fall history in the previous 12 months,have a moderate or above risk of falls as assessed by the Physiological Profile Assessment (total z-score ≥ 1)can ambulate on level surfaces without physical contact of another person as assessed by Functional Ambulation Category (score ≥ 3)cognitively intact as assessed by the Hong Kong version of the Montreal Cognitive Assessment-5-minute protocol (score ≥ 16th percentile of the age and education-adjusted cut-off score)able to communicate effectively.Exclusion Criteria:uncorrected vision or hearing impairment,unstable medical condition that may preclude the planned exercises, andhave been receiving or planning to receive any fall prevention program within the study period.