KOKU improves lower-limb function, concerns about falling and health-related quality of life, but not mood, physical activity, fatigue or fall rate¶

Claim · All claims
Evidence · 1 study (2 entries) · causal r2–r3 · q3 · i0–i2
Currency · newest study 2026 · 1 of 2 entries checked against their sources (automated) · not reviewed by a person

Subclaims¶

q3 i2 Participants receiving KOKU had improved (lower) 5-STS time at 12 weeks (mean difference −6.85; 95% CI −10.47, −3.24) and less concern about falling (Short FES-I mean difference −3.11 at 12 weeks) than controls. → French Chloe 2026 q3 i? There was no statistically significant difference between groups in fall rate over 24-week follow-up (IRR 0.84), nor in EQ-VAS, PASE, fatigue, depression risk or FRAT fall risk. → 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 · i2 · causal · r3

Secondary outcomes of the same MMRM analysis of the randomised trial at 12 weeks. KOKU participants showed "improved (lower) 5-STS time (seconds)" and reduced Short FES-I scores; EQ-5D-5L also differed significantly at both timepoints.

"Participants who received the KOKU intervention had less concern about falling (assessed using short FES-I) at both 6- and 12-weeks compared to participants in the control group (mean difference: −3.11 at 12 weeks; 95% CI: −4.37, 2.66; Table 2). In addition, participants receiving the KOKU intervention had improved (lower) 5-STS time (seconds) at 12-weeks compared to participants in the control group (mean difference: −6.85; 95% CI: −10.47, −3.24)."

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 · i0 · causal · r2

Fall counts from self-reported fall calendars over 24 weeks compared by Poisson regression adjusting for baseline values. The trial also found no significant effect on depression risk (GDS), FRAT fall risk, EQ-VAS, PASE or fatigue at 6 or 12 weeks; equivalence was not tested.

"A total of 73 falls (52% control; 48% KOKU) were self-reported during the 24-week follow-up (IRR: 0.84, 95% CI: −0.63, 0.28) showing no significant difference in number of falls between groups."

Discussion¶

Learner Variables¶

• Physical Well-Being — outcome: instruction changes it

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
• 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
• 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
• Exergaming fosters small but significant improvements in quality of life for people living with chronic diseases, and structured programs associate with executive functioning gains — related
• Bodily health and activity make for a normal and happy emotional life, supported by serviceable physical outlets — related