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)