Table 1 OF-Care key elements of the intervention

 Interventions starting in the patient’s home early after discharge from inpatient rehabilitation

• Exercise continuity after rehabilitation period (transitional care)

• Long-term care counselling addressing new support needs and other adaptation issues at home for both, care recipient and caregiver.

 Professional exercise instructor (physiotherapist, sports scientist)

• Appropriate exercise selection and progression to improve strength and balance.

• Physical activity promotion and goal setting

• Addressing fall and safety risks in the patient’s home and during training

• Demonstration of additional self-exercises to patient and family member

• Training and supervision of lay instructor

 Lay-instructor

• Ensuring exercise continuity through regular home visits

• Spending some additional time with enjoyable activities together with the fracture patient (positive reinforcement for the whole program)

 Social worker

• Assessment of care needs

• Organisation of support if necessary (case management)

• Addressing caregiver issues

 Linking of intervention to long-term care counselling

• Standardized communication and shared analysis of patient’s needs and activity goals between social worker and exercise instructor

 Individual goal setting

• Application of an iconographical card sorting task to facilitate goal setting in this target group

• Enhancing intrinsic motivation and training adherence

 Exercise program

• Individually tailored, progressive, supervised exercise regime, 2 times per week (details see Table 2)

• Additional self-exercises to promote activity on the days without supervised training, 1–4 times per week

• (Supervised) physical activities, gradual progression by splitting instrumental activities in single components first

 Long-term

 care counselling

• Structured assessment of needs and wishes of patients with focus on care issues and social participation

• Structured problem-solving with the main caregiver (if existing)