AUTHOR=Yi Jungeun , Lee Sunhee , Lee Seon Heui 

TITLE=The effect of the Smart Health Continuous Feedback For Elderly Exercise (SHe CoFFEE) program on mobility: a randomized controlled pilot study

JOURNAL=Frontiers in Public Health

VOLUME=12

YEAR=2024

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1442064

DOI=10.3389/fpubh.2024.1442064

ISSN=2296-2565

ABSTRACT=<sec id="sec1"><title>Objectives</title><p>This study determined the effectiveness of a comprehensive home-based online exercise program called “Smart Health Continuous Feedback for elderly exercise (SHe CoFFEE)” on mobility.</p></sec><sec id="sec2"><title>Methods</title><p>Sixty community-dwelling seniors were randomized in a 1:1 ratio to intervention or control group. Intervention was an 8-week “SHe CoFFEE” program, featuring continuous feedback, self-monitoring, and fall prevention exercises. The primary outcome was mobility, measured at 8 weeks with the Timed Up and Go (TUG) test. Secondary outcomes included TUG at 4 weeks, 10 m walking test, 30-s chair stand test, falls efficacy scale, activity-specific balance confidence, and Euro Quality of Life 5 Dimensions 5 Levels.</p></sec><sec id="sec3"><title>Results</title><p>At 8 weeks, the intervention group showed improved TUG scores compared with the control group (MD = −1.87, 95% CI, −2.60 to −1.14; <italic>η<sub>p</sub></italic><sup>2</sup> = 0.326) in the adjusted intention-to-treat analysis. The per-protocol analysis data showed similar results. All secondary outcomes apart from quality of life improved with intervention to a greater degree than in control.</p></sec><sec id="sec4"><title>Conclusion</title><p>Smart healthcare and self-managed exercise programs may be viable for community-based health promotion and fall prevention in older adults unfamiliar with online technology.</p></sec>