Effect of Sleep Report Feedback With Health Guidance Using a Sleep Monitoring Device for Improving Sleep in Community-Dwelling Older People: A Three-Arm Randomized Controlled Trial.

Falls among Australians aged 65 years and older cost the healthcare system A$2.8 billion annually, with nearly half of aged care residents experiencing a fall each year [, ]. Falls are often linked to impaired physical or cognitive function []. Exercise reduces falls by 23% in community‐dwelling older adults, particularly when balance and functional movements, such as sit to stand, are targeted []. The World Health Organization recommends these exercise approaches, yet access to evidence‐based, physiotherapist‐led exercise programs and restorative care services remains limited, especially in rural and underserved aged care settings, as highlighted by the Australian Royal Commission into Aged Care Quality and Safety [, ]. The TOP UP program was developed to address this gap by connecting older people receiving aged care services with physiotherapists through digital platforms such as Zoom and a dedicated website delivering moderate intensity balance and strength exercises designed to improve mobility, prevent falls and enhance quality of life (Figure ). The program was evaluated in the TOP UP trial, a six‐month hybrid Type 1 effectiveness‐implementation randomised controlled trial conducted between September 2021 and December 2023 []. The trial tested synchronous telephysiotherapy via Zoom alongside asynchronous support through exercise videos with assistance from care staff. A total of 242 older people receiving aged care services were recruited.