Effectiveness, Feasibility of Integrating Lifestyle Functional Exercise and Its Modified Versions in Falls Prevention Among Older Adults [A071] Har passerat
Onsdag 6 maj 2026 09:00 - 11:15 Poster Arena
Rapportör: LISHAN HUANGSpår: Poster session, People of Old Age
Background Currently, most fall-prevention exercise programmes are highly structured and often struggle to maintain participants’ adherence. The Lifestyle-integrated Functional Exercise (LiFE) programme and its modified versions have emerged as alternative interventions, offering advantages in time flexibility and long-term adherence. This systematic review aims to synthesis the effectiveness of LiFE and its modified versions on fall prevention and risk reduction. It also synthesis qualitative and quantitative evidence on their feasibility and acceptability as fall prevention intervention programmes among community-based older adults. Methods Studies that implemented the LiFE programme or its modified versions as interventions in community-based settings and were published in English or Chinese were included. No restrictions were applied to study design. Abstract-only papers and thesis were excluded. Studies reporting fall-related or proxy outcomes were eligible for inclusion. Six databases were searched from inception to May 2025. The Cochrane Risk of Bias (RoB 2) tool and the Joanna Briggs Institute (JBI) Critical Appraisal Tools were used for quality assessment. Meta-analysis and forest plots were applied to examine the effectiveness of falls reduction, while descriptive thematic analysis was used to synthesis data on feasibility and acceptability. Results A total of 13 studies were included, comprising 547 participants from RCTs and 141 from non-RCTs. The included studies consisted of four RCTs, three single-arm feasibility studies, two mixed-methods studies with single-arm feasibility designs, and two qualitative studies. Preliminary outcomes showed LiFE and its modified versions demonstrated improvements in fall reduction, balance, strength, and quality of life. Participants reported positive experiences; nevertheless, barriers such as paperwork burden and health-related issues (e.g., knee pain) were frequently mentioned. Discussion The findings suggest that more RCTs with long-term follow-up are needed to strengthen the evidence base. Future studies should also include more diverse ethnic groups to enhance the generalisability of the findings.
Konferens
GCPCC
GCPCC Kod
PCC168
Föreläsare
LISHAN HUANG Rapportör
PhD student
University of Manchester
Title:
Co-designing and testing a culturally adapted LiFE (CLiFE)
programme for Chinese older adults in the UK
Purpose
Adapted lifestyle-integrated exercise (aLiFE) programme, which seamlessly integrates balance and strength exercises into daily routines, is an alternative exercise intervention for falls prevention. This study aims to develop a Chinese version of aLiFE (CLiFE) and test its feasibility.
Method
There are four stages in my project. Stage 1 involved focus groups and individual interviews to explore initial perceptions of the aLiFE programme. Stage 2 used an advisory PPIE to draft the CLiFE programme. A four-week pre–post feasibility study, followed by follow-up interviews, was conducted to examine the feasibility and acceptability of the CLiFE programme. Descriptive statistics and content analysis were used.
Results
The CLiFE programme was developed following Stage 2 advisory PPIE with seven older Chinese adults. Compared with aLiFE, CLiFE included a Chinese-translated manual, more pictures instead of text demonstrations, group
teaching rather than individual home visits, simplified movement difficulty, and an easier daily data collection method. In Stage 3, 15 participants (aged 64–87) completed a 4-week pre–post feasibility test with follow-up interviews. Preliminary findings suggested high acceptability and feasibility of CLiFE among community-dwelling older Chinese adults in the UK. Reported barriers included health-related conditions, memory difficulties, low literacy, and the paper burden of data collection.