{"type":"trials","record":{"id":29908,"source_id":"clinicaltrials-gov","external_id":"NCT07433153","title":"Comparison of Smartphone and Community-Based Delivery of the Otago Exercise Program for Fall Risk in Older Adults","brief_summary":"The long-term goal of this project is to effectively bridge the research-clinic-community gap and to foster partnerships that support the implementation, utilization, and advocacy of evidence-based fall prevention programs in the older adult community. The Otago Exercise Program (OEP) is an evidence-based fall prevention program that has been shown to reduce falls and fall-related injuries among older adults. Traditionally, OEP is delivered in the home by a physical therapist and focuses on muscle strengthening and balance training. Despite its proven effectiveness, adherence and compliance rates have been low. The personnel and resource demands of program delivery, along with challenges in monitoring participant adherence, represent significant barriers to broader implementation. Alternative delivery systems using remote and community-based platforms may help address these limitations. Specific Aim 1: To compare the effectiveness of two delivery modes of the Otago Exercise Program: a remotely delivered, home-based smartphone program and an in-person, community-based program. Specific Aim 2: To examine the feasibility, acceptability, and usability of the Otago Exercise Program delivered through both smartphone-based and in-person formats.","overall_status":"Recruiting","phases":[],"study_type":"INTERVENTIONAL","sponsor":"Binghamton University","enrollment":36,"countries":["United States"],"start_date":"2026-02-16","completion_date":"2026-12-01","last_update_date":"2026-08-25","source_url":"https://clinicaltrials.gov/study/NCT07433153","editorial_summary":"A registered study indexed because it matched monitored longevity research terms. Registry status: Recruiting. Registration does not establish safety or effectiveness.","first_seen_at":"2026-09-25T01:16:16.485702+00:00","last_seen_at":"2026-09-25T06:10:07.378+00:00","metadata":{"sex":"ALL","acronym":null,"age_range":"55 Years","comparator":"Group In-Person Delivery","organization":"Binghamton University","interventions":["Smartphone-Based Intervention","Group-Based Intervention"],"registry_source":"ClinicalTrials.gov","outcome_measures":["Gait Velocity — Baseline (Day 0) and 1 week post-training (9 weeks later)","Injurious Falls — Up to 1-year post intervention","PPA-Short Form: Postural Sway — Baseline (Day 0) and 1 week post-training (9 weeks later)","PPA-Short Form: Finger Reaction Time — Baseline (Day 0) and 1 week post-training (9 weeks later)","PPA-Short Form: Knee Extensor Strength — Baseline (Day 0) and 1 week post-training (9 weeks later)","PPA-Short Form: Visual Contrast Sensitivity — Baseline (Day 0) and 1 week post-training (9 weeks later)","PPA-Short Form: Proprioception — Baseline (Day 0) and 1 week post-training (9 weeks later)","30-second Chair Stand — Baseline (Day 0) and 1 week post-training (9 weeks later)","TUG — Baseline (Day 0) and 1 week post-training (9 weeks later)","Four-Stage Balance — Baseline (Day 0) and 1 week post-training (9 weeks later)","Smartphone-based assessments — Weekly during 8-week training program"],"design_description":"RANDOMIZED · PARALLEL · TREATMENT · TRIPLE","source_has_results":false},"controlled_terms":["Frail Elderly","Fall","Smartphone-Based Intervention","Group-Based Intervention"],"relevance_confidence":100,"source_quality_score":100,"freshness_score":100,"publication_state":"published","match_explanation":"Title contains controlled term: exercise.","quality_checked_at":"2026-09-25T06:10:20.034853+00:00","duplicate_cluster_key":"id:nct07433153","duplicate_of_id":null,"evidence_snapshot":{"status":"structured","version":1,"duration":"2026-02-16 to 2026-12-01","comparator":"Group In-Person Delivery","confidence":"structured-source","population":"ALL · 55 Years","provenance":{"duration":"start_date and completion_date","comparator":"registry arm fields","population":"registry eligibility fields","intervention":"registry intervention fields","participants":"enrollment","study_design":"study_type and registry design fields","evidence_stage":"phases","reported_outcome":"not available","outcomes_measured":"registry outcome-measure fields"},"generated_at":"2026-09-25T06:10:07.396Z","intervention":["Smartphone-Based Intervention","Group-Based Intervention"],"participants":36,"study_design":"RANDOMIZED · PARALLEL · TREATMENT · TRIPLE","subject_scope":"Human clinical study registration","evidence_stage":"Phase not reported","safety_context":"Eligibility, adverse-event details, and clinical decisions must be checked in the official registry and with qualified clinicians.","source_support":"Structured registry protocol metadata; no finding-level conclusion is generated.","main_limitation":"This is a study registration. No reusable structured result is available here, so it cannot show whether the intervention worked or was safe.","reported_outcome":null,"outcomes_measured":["Gait Velocity — Baseline (Day 0) and 1 week post-training (9 weeks later)","Injurious Falls — Up to 1-year post intervention","PPA-Short Form: Postural Sway — Baseline (Day 0) and 1 week post-training (9 weeks later)","PPA-Short Form: Finger Reaction Time — Baseline (Day 0) and 1 week post-training (9 weeks later)","PPA-Short Form: Knee Extensor Strength — Baseline (Day 0) and 1 week post-training (9 weeks later)","PPA-Short Form: Visual Contrast Sensitivity — Baseline (Day 0) and 1 week post-training (9 weeks later)","PPA-Short Form: Proprioception — Baseline (Day 0) and 1 week post-training (9 weeks later)","30-second Chair Stand — Baseline (Day 0) and 1 week post-training (9 weeks later)","TUG — Baseline (Day 0) and 1 week post-training (9 weeks later)","Four-Stage Balance — Baseline (Day 0) and 1 week post-training (9 weeks later)","Smartphone-based assessments — Weekly during 8-week training program"],"regulatory_context":"Trial registration is not regulatory approval and does not establish that an intervention is available."},"clinical_trial_topics":[{"topic_slug":"exercise","is_published":true,"match_reasons":["Title contains controlled term: exercise.","Abstract contains controlled term: exercise.","Title supplies longevity context: older adult.","Study type is explicitly identified as INTERVENTIONAL."],"matched_fields":["title","abstract","title context","study type"],"relevance_score":100,"intelligence_topics":{"name":"Exercise","slug":"exercise"}}],"content_sources":{"name":"ClinicalTrials.gov","homepage_url":"https://clinicaltrials.gov/"}},"canonical_url":"https://www.immortal.life/trials/29908","automation_disclosure":"Generated automatically from cited source metadata. No scientist, clinician, researcher, editor, or human reviewer evaluates this publication before release."}