The goal of this pilot study is to evaluate the feasibility, acceptability, and short-term effects of a culturally adapted and strengthened fall prevention program in older adults aged 60 years and above living in urban Karachi, Pakistan. The study aims to understand whether a structured, community-based intervention can improve mobility, confidence, and overall well-being, while reducing the risk of falls. The main questions it aims to answer are: 1. Is the adapted and strengthened fall prevention program feasible and acceptable for older adults in Karachi? 2. Does participation in the program improve mobility, balance, fall-related self-efficacy, and emotional well-being among participants? Participants will: 1. Take part in a 7-week group-based fall prevention program that includes strength and balance exercises, home safety education, medication awareness, and behavioural strategies 2. Receive a follow-up home visit to reinforce safety practices and environmental modifications 3. Attend a booster session after 3 months to support continued engagement 4. Complete assessments at baseline and follow-up, including mobility, cognitive function, quality of life, and emotional well-being 5. Maintain monthly fall logs to report any fall incidents during the study period
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Feasibility of the Adapted Fall Prevention Intervention: Recruitment Rate
Timeframe: From baseline to the end of recruitment (up to 2 months)
Feasibility of the Adapted Fall Prevention Intervention: Retention Rate
Timeframe: From baseline to the end of the intervention and follow-up (up to 6 months)
Feasibility of the Adapted Fall Prevention Intervention: Session Attendance
Timeframe: From baseline to the end of the intervention and follow-up (up to 6 months)
Feasibility of the Adapted Fall Prevention Intervention: Adherence to Intervention
Timeframe: From baseline to the end of intervention and follow-up (up to 6 months)
Acceptability of the Adapted Fall Prevention Intervention: Acceptability Score
Timeframe: From baseline to the end of the intervention anf follow-up (up to 6 months)
Acceptability of the Adapted Fall Prevention Intervention: Participant Experience (Qualitative)
Timeframe: At the end of the intervention and follow-up (up to 1 month)
Acceptability of the Adapted Fall Prevention Intervention: Facilitator Evaluation
Timeframe: At the end of the intervention and follow-up (up to 1 month)