Evidence map›Paper›PMID 41187283›Full record

ArticleJMIR aging2025

Home-Based Exercise and Fall Prevention in Older Adults: Development, Validation and Usability of the

Mateus Medeiros Leite, Alessandro de Oliveira Silva, Silvana Schwerz Funghetto, Luciano Ramos de Lima, Samuel Barbosa Mezavila Abdelmur, Hudson Azevedo Pinheiro, Calliandra Maria de Souza Silva, Maurílio Tiradentes Dutra, Marina Morato Stival

Abstract readValidation Study
PubMed Full text at PMC Publisher
In one paragraph

Article in JMIR aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Fall Prevention and Geriatric Nursing.Healthcare (Basel, Switzerland) · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Mateus Medeiros Leite *Physical Education Department, University Center of Brasilia - UniCEUB, University Center of Brasília, SEPN 707/907 - Asa Norte, Brasília - DF, 70790-075, Brasília, 70790-075, Brazil.ORCID http://orcid.org/0000-0002-0438-3833
Alessandro de Oliveira Silva *Physical Education Department, University Center of Brasilia - UniCEUB, University Center of Brasília, SEPN 707/907 - Asa Norte, Brasília - DF, 70790-075, Brasília, 70790-075, Brazil.ORCID http://orcid.org/0000-0003-3513-7034
Silvana Schwerz Funghetto *Graduate Program in Health Sciences and Technologies, Faculty of Ceilândia, Universidade de Brasília, Ceilândia Sul Campus Universitário - Centro Metropolitano, Brasília, 72220-275, Brazil, 55 61998541966.ORCID http://orcid.org/0000-0002-9332-9029
Luciano Ramos de Lima *Nursing Course, Faculty of Ceilândia, Universidade de Brasília, Brasília, Brazil.ORCID http://orcid.org/0000-0002-2709-6335
Samuel Barbosa Mezavila Abdelmur *Graduate Program in Health Sciences and Technologies, Faculty of Ceilândia, Universidade de Brasília, Ceilândia Sul Campus Universitário - Centro Metropolitano, Brasília, 72220-275, Brazil, 55 61998541966.ORCID http://orcid.org/0000-0002-1529-5871
Hudson Azevedo Pinheiro *Health Department of the Federal District, Governo do Distrito Federal, Brasília, Brazil.ORCID http://orcid.org/0000-0003-1081-4174
Calliandra Maria de Souza Silva *Graduate Program in Health Sciences and Technologies, Faculty of Ceilândia, Universidade de Brasília, Ceilândia Sul Campus Universitário - Centro Metropolitano, Brasília, 72220-275, Brazil, 55 61998541966.ORCID http://orcid.org/0000-0002-9064-0735
Maurílio Tiradentes Dutra *Federal Institute of Education, Science and Technology of Brasília, Instituto Federal de Educação, Ciência e Tecnologia de Brasília, Brasília, Brazil.ORCID http://orcid.org/0000-0001-6245-3337
Marina Morato Stival *Graduate Program in Health Sciences and Technologies, Faculty of Ceilândia, Universidade de Brasília, Ceilândia Sul Campus Universitário - Centro Metropolitano, Brasília, 72220-275, Brazil, 55 61998541966.ORCID http://orcid.org/0000-0001-6830-4914

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The global aging population and the high incidence of falls among this population highlight the need for effective preventive strategies. Home-based exercise programs, such as the Otago protocol, have demonstrated efficacy in reducing fall risk but often face barriers related to user adherence. Mobile health (mHealth) apps offer promising tools to support health promotion and enhance autonomy in older adults. Objective: This study aims to develop and validate a prototype mobile app, Mais Equilíbrio (More Balance), designed to guide older adults in performing home-based physical exercises adapted from the Otago protocol. Methods: This methodological study was conducted in two phases: (1) content validation by 22 experts in physical education and physiotherapy using the Suitability Assessment of Materials (SAM) scale, and (2) usability testing with 24 older adults (aged 60 to 80 y), using the System Usability Scale (SUS). An overall score above 70% on the SAM and above 85 on the SUS were considered indicators of high quality and excellent usability, respectively. Results: The Mais Equilíbrio (More Balance) app was developed based on the Otago protocol and tailored for independent home use. A Content Validity Index above 0.95 was observed for all items. An overall average score of 81.20 (SD 15.78) on the SAM scale was found, classifying the material as "superior." Usability tests with older adults showed an average score of 95.98 (SD 5.58) on the SUS, indicating excellent usability. The highest scores were observed in "ease of use" and "user confidence." Conclusions: The Mais Equilíbrio (More Balance) app, distinct for digitally adapting the Otago protocol to the Brazilian context and for its dual validation process with experts and older adults, has proven to be a valid and highly usable tool for guiding home-based physical exercise in older adults, with potential to promote fall prevention and autonomy.

Indexed as

Accidental FallsExerciseExercise TherapyMobile ApplicationsAgedAged, 80 and overFemaleHumansMaleMiddle AgedReproducibility of Resultselderlyfall preventionmHealth interventionsmobile appsolder adultsphysical exercise

Identifiers

PMID41187283
PMCPMC12584999

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.