MOVE Together: Reduce falls. Evaluating a program developed Together with people from culturally and linguistically diverse communities to support older people to MOVE better and Reduce Falls

The MOVE Together: Reduce Falls program provides 10-12 individually tailored sessions, delivered by a physiotherapist, over 12-months to older people from culturally and linguistically diverse communities. The sessions will include: - Prescription of an individually tailored exercise program, to be done with the participant in their home, with a focus on balance and functional exercises (e.g. Exercises which incorporate functional movements such as standing up from a chair). - Behavior change strategies (e.g. goal setting and review, education, modelling of the behaviour, instruction, and social support) to support long term engagement. Each physiotherapy session will run for 30-45min. Sessions will generally take place in participants’ homes, either in-person via a home visit or via telehealth (video or phone call). Participants will also have the option to attend their sessions at a centre if this is their preference. Information and education provided to participant via conversations that will be supported by infographics (pdf format) and animated videos regarding falls prevention and exercise in their preferred language. These resources have been codesigned with clinicians and older people from CALD communities specifically for this study. Participants will also be asked to perform a regular home exercise program and offered the opportunity to take part in peer support sessions via zoom. The following intervention elements will be tailored to the individual participant's need and personal preferences: • Interpreters will be provided for physiotherapy sessions as needed • Use, amount and mode of telehealth (telephone or videoconference) and support to use telehealth will be tailored to individual participants needs as guided by a physiotherapy telehealth suitability checklist. • The home exercise program will be individually prescribed by the physiotherapist. Exercise type, dosage and intensity will be tailored to individual patient needs and preferences (e.g. health conditions, level of function, personal beliefs around exercise). Exercise type will consist of a combination of balance, strength and functional exercise. Examples include sit to stand, step ups, squats, single leg stance, dynamic balance tasks. Participants will be encouraged to exercise most days of the week (e.g 5 -7 days). Intensity will be at a level to provide sufficient challenge to improve balance and strength, while maintaining participant safety and considering other personal needs/ preferences (e.g. participant concerns around exercising). The program will support participants to achieve 3 hours exercise per week, however participants will start at a dosage appropriate for their current level of function. Exercises will be reviewed by the physiotherapist and progressed to ensure they continue to provide sufficient challenge. Note: The therapist can prescribe exercises for which videos and instructions are not already developed, in this situation they will provide individualised video/instruction as appropriate. Participants will have the option to record completion of the program in an exercise diary to track/ monitor progress if this is their preference. (Exercise diaries will be collected from all participants for a 2 week period at each assessment time point to monitor adherence). • Mode of resources delivery used to support conversation topics and other information relevant to the study (e.g. via video, pdf, hard copy). • The timing of 10-12 sessions over the 12-month period - however a suggested frequency is provided (including the first 5 sessions in the first 3 months (initially fortnightly); the second 5 sessions in the next 6 months (reducing frequency, monthly moving to bimonthly); two additional optional sessions can be used as ‘boosters’ to assist people reengage with the program if required (e.g. after an illness or absence) or address any other issues that arise. • The order in which conversation topics are discussed with participants. • The application of the 2 'Booster' sessions, these will be applied in discussion with the participants for the purpose of addressing individual issues impacting goal achievement. • Attendance at optional monthly peer support sessions that will be conducted via zoom. Participants can choose to opt into these sessions. • Behaviour change support will be tailored to respond to individualised barriers and enabler identified within physiotherapy sessions.