Qualitative findings: ease of use supports engagement and confidence, but challenge must be tailored to ability and content must be culturally relatable¶

Claim · All claims
Evidence · 1 study (2 entries) · causal r3 · q2
Currency · newest study 2026 · 1 of 2 entries checked against their sources (automated) · not reviewed by a person

Subclaims¶

q2 i? Older adults found KOKU easy to use including those with lower digital literacy, with eCoach demonstrations enhancing confidence and motivation; some faced technical glitches and unclear exercise dosage that reduced motivation. → French Chloe 2026 q2 i? Participants and staff recommended more difficult exercises for higher-functioning users and cultural adaptation for ethnically diverse and non-English-speaking older adults. → 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

q2 · i? · qualitative · r3

Reflexive thematic analysis (Braun and Clarke six-phase approach) of 20 semi-structured interviews and one focus group (with three social care staff) involving 13 older adults, purposively sampled for diversity, and 10 social care staff; interviews were conducted by researchers not involved in delivering KOKU to the included participants.

"The demonstration of exercises by the eCoach enhanced KOKU's usability and increased both the confidence and motivation of some participants in engaging with and completing prescribed exercises."

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

q2 · i? · causal · r3

Theme 3 from older-adult interviews and Theme 2 from care-provider interviews (13 older adults, 10 social care staff): several staff felt KOKU felt relatable only to White Caucasian older adults and suggested cultural adaptation to enhance inclusivity.

"Providing the option of more difficult exercises for higher functioning users was recommended to ensure all participants were appropriately challenged and able to continue making progress throughout the intervention."

Discussion¶

Learner Variables¶

• Self-Efficacy — outcome: instruction changes it

Related Claims¶

• Minimal guidance is less effective for novices than explicit instruction — the general claim this finding bears on, with the studies behind it
• The 12-week KOKU programme is dominant over usual care in cost-effectiveness, with a significant QALY gain and non-significant cost savings — related
• Older adults rated the KOKU digital programme with excellent usability and high acceptability — related
• 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 — 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
• The most cited barriers to adult learning are situational, but adults also face internal barriers such as low confidence in their ability to learn — related
• Teachers reported student gains in motivation and confidence to engage in literacy and mathematics learning activities — related
• Students perceived AIvaluate assessments as reducing social pressure and offering flexible pacing and ease of use, but noted technical challenges and lack of dynamic human interaction — related