A novel approach to the issue of physical inactivity in older age

Objective: Well-designed exercise can prevent falls in older people but previous research indicates that promoting general physical activity may increase falls. This study aimed to evaluate uptake and adherence to a physical activity promotion and fall prevention intervention among community-dwelling people aged 60+ years. Methods: This was a process evaluation of intervention group data from an ongoing randomised controlled trial. Participants were 38 Australian community-dwelling older people assigned to intervention group who had completed 3 months of a physical activity and fall prevention intervention. Study measures included baseline daily step count assessed by Actigraph accelerometers, 12 week follow-up step count assessed by Fitbit pedometers and rating of participant engagement with the health coaching intervention. Results: 35 participants remained in the study at week 12 and were analysed. Mean daily steps significantly increased in week 12 compared with steps at baseline (change in mean = 1101 steps, 95% CI: 285–1917, p = 0.01). Health coaching engagement was rated as high for 19 people (54%), medium for 12 (34%) and low for 4 people (12%). All participants used the Fitbit to provide feedback about daily activity. Conclusion: The excellent intervention compliance and promising physical activity results demonstrate the acceptability and feasibility of this novel intervention