Translating a Functional Exercise Program for Fall Prevention among Diverse Older Adults in Urban, Medically Underserved Areas: A Feasibility Study

Aims: The aim of this study was to test the feasibility of a fall prevention exercise program, Diverse Older Adults Doing the Lifestyle-integrated Functional Exercise program (DO LiFE). DO LiFE was developed for a diverse aging population and to improve low adherence to structured exercise. Methods: Older adults with high fall risk and who resided in medically underserved (MU) U.S. zip codes were assigned to DO-LiFE or the control group. Feasibility outcomes of reach, adherence, fidelity, and acceptance were collected. Results: DO LiFE established high reach/adherence, could be delivered with fidelity, and had high acceptance. Additional barriers were identified for a revision of DO LiFE before proceeding to a larger study. Conclusion: Results of this study show that DO LiFE demonstrates good feasibility and lay the foundation for larger-scale studies. Although some unexpected issues may require a revision of DO-LiFE, this evidence-based program is feasible for in-need, diverse aging populations in real-world settings.