{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T07:40:24Z","timestamp":1771054824795,"version":"3.50.1"},"reference-count":36,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2023,8,27]],"date-time":"2023-08-27T00:00:00Z","timestamp":1693094400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"SUNY Binghamton University","award":["1174765"],"award-info":[{"award-number":["1174765"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>Home-based rehabilitation programs for older adults have demonstrated effectiveness, desirability, and reduced burden. However, the feasibility and effectiveness of balance-intervention training delivered through traditional paper-versus novel smartphone-based methods is unknown. Therefore, the purpose of this study was to evaluate if a home-based balance-intervention program could equally improve balance performance when delivered via smartphone or paper among adults over the age of 65. A total of 31 older adults were randomized into either a paper or phone group and completed a 4-week asynchronous self-guided balance intervention across 12 sessions for approximately 30 min per session. Baseline, 4-week, and 8-week walking and standing balance evaluations were performed, with exercise duration and adherence recorded. Additional self-reported measures were collected regarding the enjoyment, usability, difficulty, and length of the exercise program. Twenty-nine participants completed the balance program and three assessments, with no group differences found for any outcome measure. Older adults demonstrated an approximately 0.06 m\/s faster gait velocity and modified balance strategies during walking and standing conditions following the intervention protocol. Participants further self-reported similar enjoyment, difficulty, and exercise effectiveness. Results of this study demonstrated the potential to safely deliver home-based interventions as well as the feasibility and effectiveness of delivering balance intervention through a smartphone-based application.<\/jats:p>","DOI":"10.3390\/s23177451","type":"journal-article","created":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T06:10:22Z","timestamp":1693203022000},"page":"7451","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Smartphone- and Paper-Based Delivery of Balance Intervention for Older Adults Are Equally Effective, Enjoyable, and of High Fidelity: A Randomized Controlled Trial"],"prefix":"10.3390","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7226-6260","authenticated-orcid":false,"given":"Vipul","family":"Lugade","sequence":"first","affiliation":[{"name":"Division of Physical Therapy, Decker College of Nursing and Health Sciences, SUNY Binghamton University, 4400 Vestal Parkway East, Binghamton, New York, NY 13902, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Molly","family":"Torbitt","sequence":"additional","affiliation":[{"name":"Division of Physical Therapy, Decker College of Nursing and Health Sciences, SUNY Binghamton University, 4400 Vestal Parkway East, Binghamton, New York, NY 13902, USA"},{"name":"Department of Physical Therapy Education, College of Health Professions, SUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8965-178X","authenticated-orcid":false,"given":"Suzanne R.","family":"O\u2019Brien","sequence":"additional","affiliation":[{"name":"Division of Physical Therapy, Decker College of Nursing and Health Sciences, SUNY Binghamton University, 4400 Vestal Parkway East, Binghamton, New York, NY 13902, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patima","family":"Silsupadol","sequence":"additional","affiliation":[{"name":"Division of Physical Therapy, Decker College of Nursing and Health Sciences, SUNY Binghamton University, 4400 Vestal Parkway East, Binghamton, New York, NY 13902, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,8,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e12861","DOI":"10.1111\/acel.12861","article-title":"Trends in age-related disease burden and healthcare utilization","volume":"18","author":"Atella","year":"2019","journal-title":"Aging Cell"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1567","DOI":"10.1001\/jama.2019.2633","article-title":"Novel Therapies for an Aging Population: Grappling with Price, Value, and Affordability","volume":"321","author":"Gurwitz","year":"2019","journal-title":"JAMA"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1093\/ageing\/19.2.136","article-title":"Circumstances and Consequences of Falls Experienced by a Community Population 70 Years and over during a Prospective Study","volume":"19","author":"Campbell","year":"1990","journal-title":"Age Ageing"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1028","DOI":"10.1093\/oxfordjournals.aje.a115594","article-title":"The Incidence of Fall Injury Events among the Elderly in a Defined Population","volume":"131","author":"Sattin","year":"1990","journal-title":"Am. 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