Standing Tall: a novel technology-based balance exercise program

An unsupervised, home-based balance exercise program delivered through a tablet computer to prevent falls in older adults.

StandingTall is an engaging balance training program that is designed specifically for use by older people. It was developed using the latest insights in geriatric and translational neuroscience, and employs mobile (tablet) technology to deliver an effective method for improving balance and reducing fall risk. StandingTall includes: effective, individually-tailored exercise prescription to improve balance ability and reduce fall risk in older people; and behavioural change techniques to enhance exercise uptake and long-term adherence, with optimal usability for older people to use independently at home. By combining technology with research in fall prevention, StandingTall provides a radically new solution to support older adults to stay independent for longer and lower healthcare-related costs caused by falls.

The StandingTall team, led by Associate Professor Kim Delbaere, has worked with over 500 community-dwelling older people since 2015, implementing a home-based balance exercise program delivered through a tablet computer. The program has been a success with our participants, evidenced by unprecedented levels of sustained adherence to prescribed balance exercises over two years. A clinical trial is currently underway to investigate whether StandingTall can prevent falls in older people.