{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T12:18:21Z","timestamp":1788265101437,"version":"build-2803163510"},"reference-count":27,"publisher":"Becaris Publishing Limited","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Comp. Eff. Res."],"published-print":{"date-parts":[[2026,9]]},"abstract":"\n Aim:<\/jats:bold>\n To evaluate the clinical effectiveness of a digitally delivered balance program relative to an attention-control comparison group in older adults at risk for falls.\n Materials & methods:<\/jats:bold>\n This nonrandomized controlled trial recruited adults aged 65\u00a0years and older with moderate-to-high fall risk. Participants were assigned to a digital balance program (exercise therapy, education and health coaching) or an attention-control group (education materials). Outcomes were assessed via self-report surveys at baseline and 3\u00a0months. Analyses including all assigned participants evaluated changes in fall rate, fall severity, physical function and medical care utilization.\n Results:<\/jats:bold>\n A total of 687 participants were included in the analysis (intervention: n\u00a0=\u00a0344; attention-control: n\u00a0=\u00a0343). The mean age was 68.8\u00a0years, and 74.1% of participants were female. In the primary analysis, adjusting for baseline factors, the intervention group demonstrated a 37% lower fall rate compared with the attention-control group at 3 months (IRR: 0.63, 95% CI: 0.48\u20130.82, p\u00a0<\u00a00.001). The intervention group also demonstrated significant improvement in physical functioning (\u03b2\u00a0=\u00a06.86, 95% CI: 3.80\u20139.92, p\u00a0<\u00a00.001) and lower odds of emergency department visits (OR: 0.43, 95% CI: 0.24\u20130.76, p\u00a0=\u00a00.004). Intervention participants engaged in an average of 25.2 exercise therapy sessions over the 12-week period.\n Conclusion:<\/jats:bold>\n Findings suggest that participation in the digital balance program was associated with reductions in self-reported fall rates, improvements in self-reported physical function, and lower odds of emergency department utilization. High engagement levels further indicate that digitally delivered programs offer a viable option for improving health outcomes in this population.\n <\/jats:p>\n \n Trial Registration:<\/jats:bold>\n Clinicaltrials.gov\n NCT06868680<\/jats:ext-link>\n retrospectively registered 6 March 2025.\n <\/jats:p>","DOI":"10.57264\/cer-2026-0070","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T12:31:37Z","timestamp":1784637097000},"source":"Crossref","is-referenced-by-count":0,"title":["Clinical effectiveness of a digitally delivered balance program for older adults: a nonrandomized controlled trial"],"prefix":"10.57264","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1361-7133","authenticated-orcid":false,"given":"Folasade","family":"Phillips","sequence":"first","affiliation":[{"name":"Hinge Health, Inc., 455 Market Street, Suite 700, San Francisco, CA 94105, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6840-3784","authenticated-orcid":false,"given":"Sandhya","family":"Yadav","sequence":"additional","affiliation":[{"name":"Hinge Health, Inc., 455 Market Street, Suite 700, San Francisco, CA 94105, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6860-4095","authenticated-orcid":false,"given":"Cynthia Castro","family":"Sweet","sequence":"additional","affiliation":[{"name":"Hinge Health, Inc., 455 Market Street, Suite 700, San Francisco, CA 94105, USA"},{"name":"Midi Health, Inc., 195 Page Mill Road, Suite 103, Palo Alto, CA 94306, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1583-4668","authenticated-orcid":false,"given":"Rachel NS","family":"Foster Kirk","sequence":"additional","affiliation":[{"name":"Hinge Health, Inc., 455 Market Street, Suite 700, San Francisco, CA 94105, USA"},{"name":"Bonafide Health, LLC. 500 Mamaroneck Avenue, Suite 510, Harrison, NY 10528, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2755-3812","authenticated-orcid":false,"given":"Mindy","family":"Hong","sequence":"additional","affiliation":[{"name":"Hinge Health, Inc., 455 Market Street, Suite 700, San Francisco, CA 94105, USA"},{"name":"Teladoc Health, Inc., 2 Manhattanvillle Road, Purchase, NY 10577, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6380-9662","authenticated-orcid":false,"given":"Samuel","family":"Mink","sequence":"additional","affiliation":[{"name":"Hinge Health, Inc., 455 Market Street, Suite 700, San Francisco, CA 94105, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6794-3052","authenticated-orcid":false,"given":"Jeffrey","family":"Krauss","sequence":"additional","affiliation":[{"name":"Hinge Health, Inc., 455 Market Street, Suite 700, San Francisco, CA 94105, USA"},{"name":"Stanford University School of Medicine, Division of Physical Medicine & Rehabilitation, 450 Broadway Street, Redwood City, CA 94063, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"36897","reference":[{"issue":"18","key":"e_1_3_10_3_2","doi-asserted-by":"crossref","first-page":"509","DOI":"10.15585\/mmwr.mm6718a1","article-title":"Deaths from falls among persons aged \u226565 years \u2014 United States, 2007\u20132016","volume":"67","author":"Burns E","year":"2018","unstructured":"Burns E, Kakara R. 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