{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T09:59:22Z","timestamp":1785232762911,"version":"3.55.0"},"reference-count":55,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n In the United States, falls are the leading cause of adult fatal and nonfatal injuries with fall death rates rising after age 65 years. Despite this risk, many community\u2010dwelling older adults do not participate in falls prevention activities.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To evaluate if a 12\u2010week app\u2010based home exercise program reduces fall risk measures while increasing adherence rates.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Single\u2010blinded randomized controlled design.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Outpatient physical therapy setting.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n \n Community\u2010dwelling adults aged 65 years and older (\n N<\/jats:italic>\n \u2009=\u200954).\n <\/jats:p>\n <\/jats:sec>\n \n Intervention<\/jats:title>\n Group A received an app\u2010based 7\u2010minute daily home exercise program with five educational pamphlets. Group B received five educational pamphlets delivered via the same app as Group A.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measure<\/jats:title>\n Stopping Elderly Accidents, Deaths, and Injuries Tool Kit fall risk performance assessment measured by the 30\u2010second Chair Stand, Timed Up and Go (TUG), and 3\u2010Stage Balance Test, before and 12\u2009weeks after intervention.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Participants were tested on the TUG, 30\u2010second chair stand, and three\u2010stage balance at the initial visit and 3 months later. Participants in both groups completed Feasibility of Intervention outcome measure after 12\u2009weeks. Adherence measures were collected for both groups via the app. Unadjusted comparisons of outcomes between groups were summarized descriptively using mean differences at baseline and follow\u2010up. Adjusted between\u2010group treatment effects at follow\u2010up were evaluated using analysis of covariance models with treatment group as the independent variable and baseline outcome values and age included as covariates.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n After adjustment for baseline values, the intervention group (Group A) demonstrated significantly better results at 12\u2009weeks across multiple fall\u2010risk outcomes, including reduced TUG time, increased 30\u2010second chair stand, and improved balance scores. Compared with the control group, Group A showed significantly greater postintervention improvements in TUG (\u22122.03\u2009s,\n p<\/jats:italic>\n \u2009<\u2009.001), chair stand performance (2.79 repetitions;\n p<\/jats:italic>\n \u2009<\u2009.001), and balance (2.02 points;\n p<\/jats:italic>\n \u2009=\u2009.003).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n This home exercise program has been shown to effectively decrease fall risk in community\u2010dwelling adults 65 years and older. This program had an adherence rate to the exercises of 89%.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/pmrj.70174","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T09:12:48Z","timestamp":1785229968000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The effects of a falls prevention app (\n SAFE<\/scp>\n app) on community\u2010dwelling adults' fall risk category: Single\u2010blinded randomized control pilot trial"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9238-8098","authenticated-orcid":false,"given":"Dilshaad Basrai","family":"Vad","sequence":"first","affiliation":[{"name":"Metro Physical Therapy and Rehabilitation, Researcher New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shari","family":"Rone\u2010Adams","sequence":"additional","affiliation":[{"name":"Metro Physical Therapy and Rehabilitation, Researcher New York NY USA"},{"name":"Department of Physical Therapy Dr. Kiran C. Patel College of Osteopathic Medicine Fort Lauderdale Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerri","family":"Nieves","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery Weill Cornell New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leah","family":"Nof","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy Dr. Kiran C. Patel College of Osteopathic Medicine Fort Lauderdale Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lior","family":"Cohen","sequence":"additional","affiliation":[{"name":"Metro Physical Therapy and Rehabilitation Director New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhinav","family":"Palisetti","sequence":"additional","affiliation":[{"name":"Worcester Polytechnic Institute Department of Biomedical Engineering Worcester Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"509","article-title":"Deaths from falls among persons aged \u226565\u2009years \u2014 United States","volume":"67","author":"Burns EKR","year":"2018","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"27","key":"e_1_2_12_3_1","first-page":"875","article-title":"Trends in nonfatal falls and fall\u2010related injuries among adults aged >65\u2009years\u2010United States, 2012\u20102018","volume":"69","author":"Moreland B","year":"2020","journal-title":"Ctr Dis Control Prev"},{"key":"e_1_2_12_4_1","unstructured":"Important facts about falls.Division of Unintentional Injury Prevention National Center for Injury Prevention and Control Centers for Disease Control and Prevention U.S. Department of Health and Human Services.2015."},{"key":"e_1_2_12_5_1","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1007\/s002239900679","article-title":"Majority of hip fractures occur as a result of a fall and impact on the greater trochanter of the femur: a prospective controlled hip fracture study with 206 consecutive patients","volume":"65","author":"Parkkari J","year":"1999","journal-title":"Calcif Tissue Int"},{"issue":"7","key":"e_1_2_12_6_1","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.2105\/AJPH.82.7.1020","article-title":"The cost and frequency of hospitalization for fall\u2010related injuries in older adults","volume":"82","author":"Alexander BH","year":"1992","journal-title":"Am J Public Health"},{"issue":"1","key":"e_1_2_12_7_1","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1097\/00005373-200101000-00021","article-title":"Geriatric falls: injury severity is high and disproportionate to mechanism","volume":"50","author":"Sterling D","year":"2001","journal-title":"J Trauma\u2010Injury Infect Crit Care"},{"issue":"1","key":"e_1_2_12_8_1","doi-asserted-by":"crossref","DOI":"10.1186\/s40621-015-0058-z","article-title":"Savings in acute care costs if all older adults treated for fall\u2010related injuries completed matter of balance","volume":"2","author":"Howland J","year":"2015","journal-title":"Inj Epidemiol"},{"issue":"4","key":"e_1_2_12_9_1","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1016\/j.ypmed.2012.07.007","article-title":"Adherence to and efficacy of home exercise programs to prevent falls: a systematic review and meta\u2010analysis of the impact of exercise program characteristics","volume":"55","author":"Simek EM","year":"2012","journal-title":"Prev Med (Baltim)"},{"issue":"5","key":"e_1_2_12_10_1","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1111\/hsc.12996","article-title":"Perspectives of older adults regarding barriers and enablers to engaging in fall prevention activities after hospital discharge","volume":"28","author":"Naseri C","year":"2020","journal-title":"Health Social Care"},{"issue":"1","key":"e_1_2_12_11_1","first-page":"45","article-title":"Key factors influencing implementation of the falls prevention exercise programs in the community","volume":"24","author":"Day L","year":"2016","journal-title":"J Aging Phys Act"},{"key":"e_1_2_12_12_1","doi-asserted-by":"crossref","DOI":"10.1186\/1748-5908-7-91","article-title":"Factors influencing the implementation of fall\u2010prevention programmes: a systematic review and synthesis of qualitative studies","volume":"7","author":"Child S","year":"2012","journal-title":"Implement Sci"},{"key":"e_1_2_12_13_1","doi-asserted-by":"crossref","first-page":"971","DOI":"10.2147\/CIA.S256599","article-title":"Barriers and facilitators to older adults participating in fall\u2010prevention strategies after transitioning home from acute hospitalization: a scoping review","volume":"15","author":"Tzeng HM","year":"2020","journal-title":"Clin Interv Aging"},{"key":"e_1_2_12_14_1","doi-asserted-by":"crossref","DOI":"10.3390\/jpm11060450","article-title":"Older adults' perceived barriers to participation in a falls prevention strategy","volume":"11","author":"Fernandes JB","year":"2021","journal-title":"J Pers Med"},{"issue":"4","key":"e_1_2_12_15_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2018-026074","article-title":"What enables older people to continue with their falls prevention exercises? 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