{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T06:54:07Z","timestamp":1791183247586,"version":"4.1.0"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"vor","delay-in-days":276,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100012737","name":"Department of Health and Human Services, State Government of Victoria","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012737","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001779","name":"Monash University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001779","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Aging Research"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Exercise reduces falls in older adults, yet fitness instructors may lack formal education in prescribing effective fall prevention exercises. This study evaluated the quality of strength and balance exercises prescribed by fitness instructors before and after completing an online course on exercise prescription for falls prevention in older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      In a before\u2013after study, fitness instructors completed an exercise prescription task based on a clinical scenario immediately before and after participation in an online educational course. On each occasion, participants prescribed one strength and one balance exercise. Exercises were assessed using a rubric informed by evidence\u2010based guidelines. Pre\u2013post changes in exercise quality were analyzed using paired\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests for strength and balance exercises separately.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seventy\u2010seven fitness instructors completed the course, with 55 included in the analysis. Participants were predominantly female (86%), with a mean age of 51\u2009years (SD 12.6) and a median of 12\u2009years since qualification (IQR 7\u201323). Exercise quality improved by 9.1% (97.5% CI 6.6\u201311.6) for strength and 7.3% (97.5% CI 3.5\u201311.0) for balance exercises.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>An online educational course was associated with improved exercise prescription quality, although the magnitude and educational significance of these improvements remain uncertain. Further research is needed to confirm these findings and determine whether improvements in exercise prescription translate to changes in practice and improved outcomes for older adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jare\/2427862","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T06:49:42Z","timestamp":1791182982000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exercise Prescription for Falls Prevention in Older Adults: A Before\u2013After Study of an Online Educational Course for Fitness Instructors"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-8521-089X","authenticated-orcid":false,"given":"Jess M.","family":"Hennell","sequence":"first","affiliation":[{"name":"Department of Physiotherapy School of Primary and Allied Health Care Faculty of Medicine Nursing and Health Sciences Monash University  Melbourne Australia  monash.ac.za"},{"name":"Department of Physiotherapy Peter James Centre, Eastern Health  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0687-4062","authenticated-orcid":false,"given":"Dina","family":"Pogrebnoy","sequence":"additional","affiliation":[{"name":"School of Health Sciences University of Newcastle  Callaghan New South Wales Australia  newcastle.edu.au"},{"name":"Department of Physiotherapy Western Health  Melbourne Australia  westernhealth.org.au"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1032-0457","authenticated-orcid":false,"given":"Alexandra","family":"Gorelik","sequence":"additional","affiliation":[{"name":"Musculoskeletal Health Unit and Wiser Health Care Group School of Public Health &amp; Preventive Medicine Monash University  Melbourne Australia  monash.ac.za"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9100-5509","authenticated-orcid":false,"given":"Romi","family":"Haas","sequence":"additional","affiliation":[{"name":"Musculoskeletal Health Unit and Wiser Health Care Group School of Public Health &amp; Preventive Medicine Monash University  Melbourne Australia  monash.ac.za"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,4]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-022-03222-1"},{"key":"e_1_2_10_2_2","doi-asserted-by":"crossref","first-page":"1089","DOI":"10.1177\/07334648221150884","article-title":"Recurrent Falls Over Three Years Among Older Adults Age 70+: Associations With Physical and Mental Health Status, Exercise, and Hospital Stay","volume":"42","author":"Choi N. G.","year":"2023","journal-title":"Journal of Applied Gerontology"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1071\/nb10065"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(20)30925-9"},{"key":"e_1_2_10_5_2","unstructured":"Australian Institute of Health and Welfare Falls in Older Australians 2019\u201320: Hospitalisations and Deaths Among People Aged 65 and over 2022 https:\/\/www.aihw.gov.au\/reports\/injury\/falls-in-older-australians-2019-20-hospitalisation."},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-020-01041-3"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/geroni\/igx004.982"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afac205"},{"key":"e_1_2_10_9_2","volume-title":"WHO Guidelines on Physical Activity and Sedentary Behaviour","author":"World Health Organization","year":"2020"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20110130"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2010.04.007"},{"key":"e_1_2_10_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2012.12.006"},{"key":"e_1_2_10_13_2","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20160236"},{"key":"e_1_2_10_14_2","doi-asserted-by":"publisher","DOI":"10.1249\/tjx.0000000000000078"},{"key":"e_1_2_10_15_2","volume-title":"Training.Gov.Au. Qualification Details: Certificate IV in Fitness","year":"2025"},{"key":"e_1_2_10_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2019.1570357"},{"key":"e_1_2_10_17_2","first-page":"55","article-title":"Knowledge Outcomes and Retention of a University-based Falls Prevention Education Program (Unifpep)","volume":"15","author":"Pascoe D.","year":"2013","journal-title":"Focus on Health Professional Education: A Multidisciplinary Journal"},{"key":"e_1_2_10_18_2","doi-asserted-by":"publisher","DOI":"10.17061\/phrp30342013"},{"key":"e_1_2_10_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(07)61602-x"},{"key":"e_1_2_10_20_2","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1680"},{"key":"e_1_2_10_21_2","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2040"},{"key":"e_1_2_10_22_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g1687"},{"key":"e_1_2_10_23_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-020-01819-x"},{"key":"e_1_2_10_24_2","doi-asserted-by":"publisher","DOI":"10.1249\/01.mss.0000121945.36635.61"},{"key":"e_1_2_10_25_2","volume-title":"Acsm\u2019s Guidelines for Exercise Testing and Prescription","author":"American College of Sports Medicine","year":"2022"},{"key":"e_1_2_10_26_2","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e3181915670"},{"key":"e_1_2_10_27_2","unstructured":"National Institute for Health and Care Excellence (Nice) Falls: Assessment and Prevention in Older People and People 50 and over at Higher Risk 2025 https:\/\/www.nice.org.uk\/guidance\/ng249."},{"key":"e_1_2_10_28_2","unstructured":"Ausactive Exercise Guideline on Resistance Exercise Prescriptions for Healthy Adults 2024 https:\/\/ausactive.org.au\/policies_category\/exercise-guidelines\/."},{"key":"e_1_2_10_29_2","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2021.2023928"},{"key":"e_1_2_10_30_2","volume-title":"A Rapid Review of Evidence: Elearning for Health Professionals","author":"Scott K.","year":"2015"},{"key":"e_1_2_10_31_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.cd011736.pub2"},{"key":"e_1_2_10_32_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11010007"},{"key":"e_1_2_10_33_2","doi-asserted-by":"publisher","DOI":"10.3352\/jeehp.2022.19.36"}],"container-title":["Journal of Aging Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/jare\/2427862","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/jare\/2427862","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/jare\/2427862","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T06:49:45Z","timestamp":1791182985000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/jare\/2427862"}},"subtitle":[],"editor":[{"given":"Abdi D","family":"Osman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":33,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/jare\/2427862"],"URL":"https:\/\/doi.org\/10.1155\/jare\/2427862","archive":["Portico"],"relation":{},"ISSN":["2090-2204","2090-2212"],"issn-type":[{"value":"2090-2204","type":"print"},{"value":"2090-2212","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-06-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"2427862"}}