Digital program to improve balance and prevent falls in older adults

The Effectiveness of a Digital Falls Prevention Programme (KOKU) Versus Usual Care to Improve Balance, Falls Risk and Function in Older Adults

Not applicable Interventional University of Manchester · NCT06687135

This study is testing a digital app that helps older adults improve their balance and prevent falls by guiding them through exercises and safety tips over 12 weeks.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment196 (estimated)
Ages60 Years and up
SexAll
SponsorUniversity of Manchester Academic / other
Locations2 sites (Manchester, Greater Manchester and 1 other locations)
Trial IDNCT06687135 on ClinicalTrials.gov

What this trial studies

This trial investigates the effectiveness of the Keep-On-Keep-Up (KOKU) digital health app designed for older adults to enhance balance and reduce the risk of falls. Participants will engage with the app three times a week for 12 weeks, performing progressive exercises while also receiving information on home safety and health. A control group will receive traditional exercise information without the app. Assessments will be conducted at baseline, 6 weeks, and at the end of the 12-week period to evaluate improvements in balance and function. Focus groups will gather feedback on the program's usability and effectiveness from participants and caregivers.

Who should consider this trial

Good fit: Ideal candidates are older adults aged 60 and above who can understand and use the digital app.

Not a fit: Patients with severe cognitive impairment or those currently using other digital exercise technologies may not benefit from this study.

Why it matters

Potential benefit: If successful, this program could significantly reduce falls and improve the quality of life for older adults.

How similar studies have performed: Previous studies have shown success with digital interventions for falls prevention, indicating potential for this approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Older adults (aged 60 years and older, inclusive of all genders and ethnicities)
* Are able and willing to provide informed consent (to participate in the study)
* Are able to understand and speak English (to communicate with researchers and understand what the research involves)
* Are able to see and safely use the tablet-based program and read instructions with or without glasses as assessed by the trained research staff (in order to access the intervention)

Exclusion Criteria:

* Inability to understand the study procedures
* Currently using other digital technologies to exercise (would not be a true experimental or control group participant)
* Medical contraindications to exercise e.g. acute illness, severe congestive cardiac failure, uncontrolled hypertension, recent fracture or surgery; myocardial infarction or stroke in past 6 months; severe cognitive impairment; orthopaedic surgery in last 6 months, or on waiting list to have orthopaedic surgery; wheelchair users; severe auditory or visual impairment; and peripheral neuropathy or other uncontrolled medical (conditions that are likely to compromise the ability to exercise)

Where this trial is running

Manchester, Greater Manchester and 1 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions BalanceFalls PreventionFunctional DeclineOlder PeopleGerotechnologyRehabilitation
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.