2019 ACTION SENIORS TRIAL Effect of a home-based exercise program on subsequent falls among community-dwelling high-risk older adults after a fall Parallel-group, single-blind, randomized clinical trial Objective: To assess the effect of a home-based exercise program as a fall prevention strategy in older adults who were referred to a fall prevention clinic after an index fall. 345 patients Inclusion criteria: Adults aged ≥ 70 years with h/o non syncopal fall, recruited from a fall prevention clinic within past 12 months with high risk of future falls, MMSE score > 24 & life expectancy >12 months 236 Exercise group (n=172) PRIMARY OUTCOME Usual care group (n=172) Number of falls over 12 months IRR 0.64; 95% CI, 0.46-0.90; P = 0.009 366 1.4 Fall rate incidence per person-year Diff 0.74; 95% CI, 0.04-1.78; P=0.006 2.1 SECONDARY OUTCOME Diff in physiological profile at 12M from 0.14 baseline 0.07 Diff 0.07; 95% CI, -0.19-0.33; P=0.59 Conclusion: Among older adults receiving care at a fall prevention clinic after a fall, a home-based strength and balance retraining exercise program significantly reduced the rate of subsequent falls compared with usual care. Liu-Ambrose et al. JAMA. 2019;321(21):2092-2100.