Working to Increase Stability Through Exercise

The intervention will be held in churches, community centers, and senior residential
facilities. Investigators will work with the exercise sites to recruit up to 125 individuals
(5 per exercise site location) to serve as the Group leaders at each site location. Group
leaders will be trained on the exercises and leadership roles to help lead the group. The
investigators will ask them to come at least once per week, so the time commitment is
minimal.

The investigators will be recruiting 2100 patients who have suffered a fragility fracture and
will randomly assign them to one of two conditions: (A) Control Group - Enhanced Usual Care
and (B) Intervention Group - Enhanced usual care plus Exercise coaching that includes
in-person and phone coach contacts to encourage and support strength, balance and walking
activities.

Inclusion Criteria:

- ≥ 65 years old

- Previous Fragility Fracture (FF) in past 10 years.

- Able to speak and understand English.

- Participants will need to be willing to try exercising and agree to annual follow-up
measurements.

Exclusion Criteria:

If the answer to the following questions are "yes", the investigators will exclude the
participant from the study Do you feel pain in your chest, neck, jaw, or arms at rest,
during your daily activities of living, OR when you do physical activity? Have you ever
been told by a health professional that you should not exercise OR exercise only when
supervised by a professional?

If the answer to the following questions are "yes", the investigators will contact
physician for permission Do you experience unpleasant awareness of a forceful or rapid
heart rate? Do you experience unreasonable breathlessness? Do you experience dizziness
fainting or blackouts? Do you experience ankle swelling? Do you have burning or cramping
sensation on your lower legs when walking short distances? Do you have diabetes?

Has a doctor, nurse or health professional ever told you that you had any of the following?
Weak or failing kidneys? A heart attack, also called a myocardial infarction? Angina or
coronary heart disease? A stroke? Any kind of heart condition or heart disease other than
the ones I just asked about?

Unable to obtain primary care provider consent (if required based on questions above)

If the participant answer "NO" to the following question: Is it ok if the investigators
contact your primary care provider?

If the participant answer "YES" to the following question:Have you been hospitalized for
psychiatric problem in past year?

If the participant is planning on moving out of the area in the next 36 months

If currently participates in the Band Together exercise program

Positive Callahan cognition screener: If participant fails 2 questions, research
coordinator will explain study in detail and ask read-back questions. The participant will
be excluded if failed read-back.