Developing a Mobile-Based Exercise Program to Reduce Fear of Falling

Purpose: This study aimed to develop a mobile-based exercise program using cognitive behavioral principles to reduce fear of falling (FOF) in older adults after hip fracture surgery. Methods: We developed a mobile application in the analysis-design-development-implementation-evaluation order. The mobile-based exercise application comprised multimedia education using the cognitive behavioral principles, resistance training video, coping cards, and positive feedback, which was developed from March to August 2023. Results: Four experts provided feedback on the content and usability. All experts perceived that the mobile application was useful and applicable in reducing FOF. There were also some comments for further improvement, and the mobile application was revised according to the experts’ comments. In addition, ten older adults who had undergone hip fracture surgery evaluated the application’s usability and satisfaction. Most older adults rated the application as reliable, easy to understand, helpful in reducing FOF, with a readable font and size, and satisfactory in its design. Conclusion: This program will likely contribute to FOF reduction in older adults after hip fracture surgery by replacing negative emotions with positive ones and improving physical strength and balance.