OTAGO Exercise Program and Motivational Interviewing

Inclusion Criteria:

* Age ≥60
* At high fall risk: At least one "Yes" to 1) had a fall in the past year; 2) answer "difficult" to the question "do you find it hard to stand without using your hands"; 3) worry about falling
* Able to converse audibly and coherently in English
* Ambulatory with or without assistive device use
* Self-report challenges navigating the environment outside of the home
* At least one "some or much difficulty" or "unable to do" to:Walking one block?; Stepping up onto a curb?; Getting out of a straight back chair? Climbing one flight of stairs? Getting out of the house

Exclusion Criteria:

* o Receiving ongoing physical therapy with a primary focus on improving balance and strength of lower extremities

  * Experiencing acute health issues such as fracture, pain, or infection that prohibits them from participating in exercises
  * Able to stand on one foot for more than 10 seconds without holding onto something
  * 6-item Callahan cognitive assessment over the phone: Patients with scores of 2 or less, positive for dementia criteria, will be excluded.
  * Patients participating in other studies that may impact fall-related behavior change.
  * Participants engaged in routine moderate or vigorous physical activities that require lower extremity balance and strength (e.g., \>100 minutes/week for more than 3 months)