{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T13:09:18Z","timestamp":1788786558281,"version":"build-2803163510"},"reference-count":44,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":6,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Royal Perth Hospital Medical Research Foundation Support"},{"name":"Prof Ivers Investigator","award":["2041334"],"award-info":[{"award-number":["2041334"]}]},{"name":"Prof Sherrington Investigator","award":["2025541"],"award-info":[{"award-number":["2025541"]}]},{"name":"Prof Ivers Research Fellowship","award":["1136430"],"award-info":[{"award-number":["1136430"]}]},{"name":"Prof Delbaere Investigator","award":["1143085"],"award-info":[{"award-number":["1143085"]}]},{"name":"Project","award":["1143085"],"award-info":[{"award-number":["1143085"]}]},{"name":"A\/Prof Ryder Investigator","award":["2017719"],"award-info":[{"award-number":["2017719"]}]},{"name":"Department of Health, Disability and Ageing National Health and Medical Research Council A\/Prof Coombes Investigator","award":["2008426"],"award-info":[{"award-number":["2008426"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Prevention of falls aids healthy ageing, but there are few Aboriginal-led and designed programs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to evaluate the effect of Ironbark, an Aboriginal co-designed fall prevention program, on functional mobility, a key indicator of falls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This controlled pre-post study was conducted in organisations delivering services to Aboriginal people aged 45\u00a0years and older in New South Wales and Western Australia. A co-designed fall prevention program incorporating exercises and yarning circles targeting fall risk factors (\u2018Ironbark Standing Strong and Tall\u2019) was compared to a social program (\u2018Ironbark Healthy Community\u2019). Data were collected at baseline and after 12\u00a0months of follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The \u2018Ironbark Standing Strong and Tall\u2019 program was delivered at 16 sites and the \u2018Healthy Community\u2019 program at three. Due to lower recruitment than anticipated, combined analysis was not possible. There were significant improvements in the \u2018Ironbark Standing Strong and Tall\u2019 participants for the primary outcome of functional mobility (Short Performance Physical Battery; a change of 0.8 points, 95% CI: 0.4\u20131.1), reductions in stepping times, improvements in leg stance and increased incidental and planned exercise. There were no significant changes in falls, health-related quality of life (HRQoL) or psychological distress. Participants in the \u2018Healthy Community\u2019 sites had no change in functional mobility but saw declines in HRQoL, physical activity and stepping time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A co-designed and delivered program for older Aboriginal people, implemented in community settings aligned with stated priorities of Aboriginal older people, improved functional mobility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ageing\/afag264","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T11:23:47Z","timestamp":1787570627000},"source":"Crossref","is-referenced-by-count":0,"title":["Standing strong and tall\u2014improving mobility and balance in older Aboriginal people through the Ironbark 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,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1411-6752","authenticated-orcid":false,"given":"Anne-Marie","family":"Hill","sequence":"additional","affiliation":[{"name":"School of Allied Health, The University of Western Australia , 35 Stirling Hwy, Crawley, Perth, Western Australia 6009 ,","place":["Australia"]},{"name":"WA Centre for Health and Ageing, The University of Western Australia , Perth 6009 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holger","family":"Moeller","sequence":"additional","affiliation":[{"name":"School of Population Health, UNSW Sydney , Sydney, New South Wales ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bronte","family":"Haynes","sequence":"additional","affiliation":[{"name":"School of Population Health, UNSW Sydney , Sydney, New South Wales ,","place":["Australia"]},{"name":"Faculty of Science, Medicine and Health, University of Wollongong , Wollongong, New South Wales ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Gidgup","sequence":"additional","affiliation":[{"name":"Centre for Aboriginal Studies, Curtin University, Centre for Aboriginal Studies, Curtin University , Perth ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leanne","family":"McCarthy","sequence":"additional","affiliation":[{"name":"School of Population Health, UNSW Sydney , Sydney, New South Wales ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamara","family":"Mackean","sequence":"additional","affiliation":[{"name":"College of Medicine and Public Health, Flinders University , Adelaide, South Australia 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