Implementability of a co-designed intervention “MOVE Together: Reduce Falls” at Prototype Testing Phase.

Introduction: Perspectives of older people must be considered when designing falls prevention interventions. Co-design methodology encourages active engagement with end-knowledge users. MOVE Together: Reduce Falls is a co-designed intervention to promote participation in falls prevention exercise among older people from Italian, Chinese and Arabic speaking communities. Implementability needs to be considered while designing interventions. Our study explored implementability of the MOVE Together: Reduce Falls intervention at prototype testing phase. 

Methods: This mixed methods study explored implementability in two ways (1) older people from the target communities and health professionals (n=10) reviewed intervention components in workshops; and (2) older people from the target communities (n=6) trialled one intervention session delivered by an experienced physiotherapist (n=1). Acceptability, fidelity and feasibility were explored quantitatively via a survey, and qualitatively via semi-structured interviews; both based on Theoretical Framework of Acceptability. Theory informed data analysis was completed inductively and deductively.

Results: Participants in the workshops understood the aims of the intervention and valued sessions with the physiotherapist at home, coaching and program resources. While many participants expressed preferences for group exercise and in-person sessions, there was agreement that individual sessions and telehealth session with support were acceptable and appropriate. After prototype testing, participants reported MOVE Together: Reduce Falls to be acceptable, safe, inclusive and easy to engage in. Participants were confident about participating and convinced the program could reduce falls risk and improve function by regular exercise. Flexible appointment times ensured attending sessions did not interfere with other priorities. However, completing home exercises required planning and added effort. Availability of resources and clear session outlines influenced fidelity of delivery and time management influenced enactment. 

Conclusion: Our findings provide preliminary information about the implementability of the MOVE Together: Reduce Falls intervention prototype to guide modifications and enhance readiness for pilot and effectiveness testing.