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Secondary outcomes: fall rate (per person), proportion of people with falls, SPPB components (sit\u2010to\u2010stand performance, balance, gait speed), pain (visual analogue scale), mobility goal attainment, physical activity (Incidental and Planned Exercise Questionnaire), quality of life (EQ\u20105D\u20105L visual analogue scale).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1348 people were screened at 27 sites, and 242 eligible people were recruited for the trial (mean age, 83 years [standard deviation, 8 years]; 158 women [65%]); 92 of 120 intervention group participants and 100 of 122 control group participants completed the six\u2010month. After adjusting for baseline mobility scores, the mean difference in mobility score at six months (intervention\n                      <jats:italic>v<\/jats:italic>\n                      control group) was 2.1 (95% confidence interval [CI], 1.4\u20132.7) points. Sit\u2010to\u2010stand performance was more likely to improve in intervention than control participants (adjusted odds ratio, 2.7; 95% CI, 1.3\u20134.3); intervention participants reported greater quality of life (EQ\u20105D\u20105L visual analogue scale: adjusted mean difference, 6.2 [95% CI, 1.8\u201310.7] points) and less pain (visual analogue scale: adjusted mean difference, \u20131.1 [95% CI, \u20131.8 to \u20130.3] points), and a smaller proportion experienced falls (29, 32%\n                      <jats:italic>v<\/jats:italic>\n                      44, 44%; risk ratio, 0.62; 95% CI, 0.42\u20130.92). Of 1348 screened people, 242 enrolled in the trial (18.0%), of whom 186 (77%) completed the trial, and 62 of 66 surveyed participants (94%) endorsed the intervention. No serious adverse events were recorded.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The TOP\u2010UP program safely improved mobility, reduced fall risk and pain, and improved quality of life for people receiving aged care. Telephysiotherapy could be incorporated into aged care to improve the lives of older Australians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>Australian New Zealand Clinical Trials Registry, ACTRN 12621000734864 (prospective).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5694\/mja2.70004","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T03:04:39Z","timestamp":1753067079000},"page":"205-213","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The Telephysiotherapy for Older People (\n                    <scp>TOP<\/scp>\n                    \u2010\n                    <scp>UP<\/scp>\n                    ) program for improving mobility in people receiving aged care: a hybrid type 1 effectiveness\u2013implementation randomised controlled trial"],"prefix":"10.5694","volume":"223","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9652-4711","authenticated-orcid":false,"given":"Rik","family":"Dawson","sequence":"first","affiliation":[{"name":"The University of Sydney  Sydney NSW"},{"name":"Sydney Local Health District  Sydney NSW"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Pinheiro","sequence":"additional","affiliation":[{"name":"The University of Sydney  Sydney NSW"},{"name":"Sydney Local Health District  Sydney NSW"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliana","family":"Oliveira","sequence":"additional","affiliation":[{"name":"The University of Sydney  Sydney NSW"},{"name":"Gold Coast University Hospital  Gold Coast QLD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abby","family":"Haynes","sequence":"additional","affiliation":[{"name":"The University of Sydney  Sydney NSW"},{"name":"Sydney Local Health District  Sydney NSW"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasikaran","family":"Naganathan","sequence":"additional","affiliation":[{"name":"The University of Sydney  Sydney NSW"},{"name":"Sydney Local Health District  Sydney NSW"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morag E","family":"Taylor","sequence":"additional","affiliation":[{"name":"The University of New South Wales  Sydney NSW"},{"name":"Neuroscience Research Australia  Sydney NSW"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nina","family":"Bowes","sequence":"additional","affiliation":[{"name":"Uniting AgeWell  Melbourne VIC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karn","family":"Nelson","sequence":"additional","affiliation":[{"name":"Whiddon Group  Sydney NSW"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny","family":"Rayner","sequence":"additional","affiliation":[{"name":"The University of Sydney  Sydney NSW"},{"name":"Sydney Local Health District  Sydney NSW"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Sherrington","sequence":"additional","affiliation":[{"name":"The University of Sydney  Sydney NSW"},{"name":"Sydney Local Health District  Sydney NSW"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,20]]},"reference":[{"key":"e_1_2_9_1_1","unstructured":"EagarK WesteraA SnoekM et\u00a0al.How Australian residential aged care staffing levels compare with international and national benchmarks. 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