The KOKU digital programme improves balance function at 12 weeks compared with standard care in community-dwelling older adults, with the effect increasing over time¶

Claim · All claims
Evidence · 1 study (2 entries) · causal r2–r3 · q3
Currency · newest study 2026 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q3 i? Participants receiving KOKU had a higher mean Berg Balance Score at 12 weeks than those receiving standard care, with a between-group difference of 6.35 points (95% CI 4.48, 8.22). → French Chloe 2026 q3 i? The treatment-by-time interaction was statistically significant (P < .001), indicating the intervention effect increased over time, with a larger improvement at 12 weeks than at 6 weeks. → French Chloe 2026 (2)

Evidence¶

French Chloe 2026¶

French Chloe, Parchment Amelia, Odebiyi Bolanle, Shi Chunhu, Bashir Saima, Dowding Dawn, Kislov Roman, Thompson Alexander, Skelton Dawn A, Clarke Margaret, Sylvestre Garcia Yvonne, Ahmed Saima S, Todd Chris J, Bower Peter, Stanmore Emma. (2026). Effectiveness and cost-effectiveness of the Keep-On-Keep-Up digital falls prevention programme in community-dwelling older adults: results of a randomised controlled trial. Age and Ageing. https://doi.org/10.1093/ageing/afag291

q3 · i? · causal · r2

Primary outcome of a two-arm parallel-group randomised controlled trial analysed by mixed models for repeated measures on a modified intention-to-treat basis, adjusting for baseline scores. The adjusted between-group difference in BBS at 12 weeks was "6.35 points (95% CI: 4.48, 8.22)".

"At 12-weeks, participants receiving KOKU (n = 91) had a higher mean BBS score (indicating greater balance function) than participants receiving standard care (n = 89), with a between group difference of 6.35 points (95% CI: 4.48, 8.22; Table 2)."

French Chloe 2026 (2)¶

French Chloe, Parchment Amelia, Odebiyi Bolanle, Shi Chunhu, Bashir Saima, Dowding Dawn, Kislov Roman, Thompson Alexander, Skelton Dawn A, Clarke Margaret, Sylvestre Garcia Yvonne, Ahmed Saima S, Todd Chris J, Bower Peter, Stanmore Emma. (2026). Effectiveness and cost-effectiveness of the Keep-On-Keep-Up digital falls prevention programme in community-dwelling older adults: results of a randomised controlled trial. Age and Ageing. https://doi.org/10.1093/ageing/afag291

q3 · i? · causal · r3

MMRM analysis of the primary outcome across the 6- and 12-week timepoints in the randomised trial; the omnibus treatment-by-time interaction for BBS was significant at P < .001, with the 6-week difference of 3.76 points smaller than the 12-week difference.

"The treatment-by-time interaction was statistically significant (P < .001), indicating that the effect of the intervention increased over time, with a larger improvement observed at 12 weeks than at 6 weeks."

Discussion¶

Related Claims¶

• The 12-week KOKU programme is dominant over usual care in cost-effectiveness, with a significant QALY gain and non-significant cost savings — related
• KOKU improves lower-limb function, concerns about falling and health-related quality of life, but not mood, physical activity, fatigue or fall rate — related
• Older adults rated the KOKU digital programme with excellent usability and high acceptability — related
• Qualitative findings: ease of use supports engagement and confidence, but challenge must be tailored to ability and content must be culturally relatable — related