Transition from MHealth FallSA © to FallSA © 2.0: A randomized trial on enhancing behavioral and functional outcomes in community-dwelling older adults

Background Optimistic fall risk screening has been recommended in recent global fall prevention guidelines. While fall screening mobile application (FallSA © ) is acknowledged for its acceptance and reliability, its effectiveness in modifying fall prevention behaviors remains underexplored. Objectives In this study, we aimed to investigate the effects of FallSA © on fall prevention behavior and functional outcomes among community-dwelling older adults. The transition to its upgraded version, FallSA © 2.0 was also reported. Methods A six-month randomized controlled trial included 59 participants: the experimental group ( n = 30, mean age 66.2 ± 5.3 years) and the control group ( n = 29, mean age 69.2 ± 5.0 years). The experimental group received fall prevention education and used FallSA © , while the control group received the education only. Outcomes included fall prevention awareness, knowledge, balance confidence, physical function and physical activity levels. Results While no significant time × group interaction and group effects ( p > .05), time effects were observed for improvements in FallSA © risk score ( p = .03), balance confidence ( p = .009), behavior ( p = .001), and physical function ( p = .008), the experimental group demonstrated a larger mean change in fall behavior, balance confidence, FallSA © risk score, and physical activity level compared to the control group ( p < .05 for all parameters). Limitations in FallSA © were addressed in FallSA © 2.0 by incorporating an enhanced educational package, Sit-to-Stand test with normative values, and improved monitoring system for health professionals. Conclusion The findings suggest that FallSA © has the potential to enhance fall prevention behaviors and awareness, which has been successfully integrated in FallSA © 2.0. Future studies are needed for broader applicability of FallSA © 2.0 in fall prevention strategies among older adults. Registry Australian New Zealand Clinical Trials Registry. Clinical trial number ACTRN1262200112076.