title: Can the Otago falls prevention program be delivered by video? A feasibility study.
abstract: OBJECTIVE
  We assessed the feasibility of delivering the Otago Exercise Programme (OEP) via an interactive DVD (ie, OEP-DVD) in combination with monthly physical therapist phone calls to older adults.
  
  
  METHODS
  This pre-post (baseline and 6-month follow-up) study included an intervention group (n=61) based in a rural location and a control group (n=21) based in a city.
  
  
  METHODS
  Sechelt and Vancouver, British Columbia.
  
  
  METHODS
  82 community-dwelling adults ≥75 years.
  
  
  METHODS
  Individuals in the intervention group received the OEP-DVD and were instructed to do the exercises 3 times a week after their initial home physical therapist visit for 6 months.
  
  
  METHODS
  Feasibility was ascertained by withdrawal rate and compliance to the OEP-DVD. The number of participants and the frequency (ie, number of times weekly) they performed the OEP exercises and walking were used to estimate compliance. The potential benefit of the OEP-DVD on falls risk profile (Physiological Profile Assessment (PPA)) and mobility were examined by comparing the change in the intervention group compared with the control group. Self-reported compliance to the exercise programme was assessed by monthly returned diary.
  
  
  RESULTS
  Of the 82 participants, 2 withdrew from the OEP-DVD group and none withdrew from the control group. We obtained compliance data on 72% of participants in the intervention group. The mean OEP-DVD compliance was 87% and the mean walking compliance was 166%. After adjusting for baseline PPA, baseline age, sex, baseline comorbidities, baseline cognitive status and baseline falls-related self-efficacy, there was a significant between-group improvement in the overall PPA score (OEP group pre-PPA to post-PPA score: 0.79±1.2 to 0.7±0.9; p<0.05) at study completion.
  
  
  CONCLUSIONS
  Although the OEP-DVD resulted in significant reductions in falls risk among community-dwelling older adults, there was a notable loss to follow-up limiting the feasibility of this approach.
authors.affiliation: Centre for Clinical Epidemiology and Evaluation, University of British Columbia & Vancouver Coastal Health Research Institute (VCHRI) , Vancouver, British Columbia , Canada.
authors.forename: Jennifer C
authors.initials: JC
authors.lastname: Davis
authors.affiliation: Aging, Mobility, and Cognitive Neuroscience Lab, University of British Columbia, Vancouver, British Columbia, Canada; Centre for Hip Health and Mobility, University of British Columbia, Vancouver, British Columbia, Canada; Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada; Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, British Columbia, Canada.
authors.forename: Chun Liang
authors.initials: CL
authors.lastname: Hsu
authors.affiliation: Centre for Hip Health and Mobility, University of British Columbia, Vancouver, British Columbia, Canada; Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada; Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, British Columbia, Canada.
authors.forename: Winnie
authors.initials: W
authors.lastname: Cheung
authors.affiliation: Centre for Clinical Epidemiology and Evaluation, University of British Columbia & Vancouver Coastal Health Research Institute (VCHRI) , Vancouver, British Columbia , Canada.
authors.forename: Penny M A
authors.initials: PM
authors.lastname: Brasher
authors.affiliation: Arthritis Research Centre of Canada, Richmond, British Columbia, Canada; Centre for Hip Health and Mobility, University of British Columbia, Vancouver, British Columbia, Canada; Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada; Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, British Columbia, Canada.
authors.forename: Linda C
authors.initials: LC
authors.lastname: Li
authors.affiliation: Centre for Hip Health and Mobility, University of British Columbia , Vancouver, British Columbia , Canada.
authors.forename: Karim M
authors.initials: KM
authors.lastname: Khan
authors.affiliation: eMotionLab, Glasgow Caledonian University , Glasgow , UK.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Sykes
authors.affiliation: School of Health & Life Sciences, Institute of Applied Health Research, Glasgow Caledonian University , Glasgow , UK.
authors.forename: Dawn A
authors.initials: DA
authors.lastname: Skelton
authors.affiliation: Aging, Mobility, and Cognitive Neuroscience Lab, University of British Columbia, Vancouver, British Columbia, Canada; Centre for Hip Health and Mobility, University of British Columbia, Vancouver, British Columbia, Canada; Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada; Djavad Mowafaghian Centre for Brain Health, University of British Columbia, Vancouver, British Columbia, Canada.
authors.forename: Teresa
authors.initials: T
authors.lastname: Liu-Ambrose
keywords: Aging; Exercise; Fall