Evaluating a Taekwondo-based Fall Prevention Exercise Program in Older Adults: a Feasibility Study
试验速览
- 阶段
- 1 期
- 状态
- 进行中（未招募）
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Recruitment Feasibility
研究概览
简要总结
Falls in older adults are a public health crisis, as 30% of older adults fall each year, with a mortality rate of 78%.1 Fall-related healthcare costs are over 50 billion dollars.1 Therefore, preventing older adults from falling is important in both individual and public health aspects by increasing their quality of life and reducing healthcare costs. However, the current fall-prevention exercise programs have a limitation in maintaining exercise adherence behaviors or increasing physical activities once the intervention is completed.2 The theory-based exercise program shows a higher adherence and retention rate.3,4 Taekwondo (TKD), one type of martial arts, can be a potential channel to deliver a theory-based fall prevention exercise program. Therefore, this study aims to test the feasibility of the potential 12 Taekwondo-based fall prevention exercise program for older adults and its preliminary efficacy using a randomized controlled trial.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 55 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Older adults ages 55 and above
- •Adequate physical ability to perform walking independently
- •Able to use a smartphone app without assistance
- •Capable of providing informed consent
- •Agree to be randomized to the group
排除标准
- •Plan to have surgery or relocate outside the area within the next 3 months
- •Currently participate in other studies involving physical activity or fall-prevention research studies
- •Frail older adults screened by the FRAIL questionnaire
研究组 & 干预措施
Taekwondo exercise arm
Participants will received 12 sessions of Taekwondo-based fall prevention exercises. The exercise will be delivered twice a week for 6-weeks at the local recreational center. Each sessions includes three components: static and dynamic stretching warm-up, basic Taekwondo movement exercises, and kicking exercises. Static and dynamic warm-up was developed based on the evidence-based fall prevention exercise, The Otago Exercise Program. The basic Taekwondo movement exercises include three basic stances (walking, front, and horse riding stances) , and hand movements (low, middle, and high block, and middle punch). Kicking exercise includes target kicking using front kicks.
干预措施: Fall prevention exercise using Taekwondo (Behavioral)
Fall prevention education arm
Participants will received the Live Strong and Safe Program on Fall Prevention online education program. It includes three modules. Module1 has three sessions that providing overview of fall prevention such as fall statistics, and preventable risk factors. Module2 has eight sessions that provides tips to ensure home safety for fall prevention. Module3 has 12 sessions that provides tips for personal safety from nutrition to mental health. Participants will complete this module at their own pace, and report their progress through email or text message each week.
干预措施: Live Strong and Safe Program on Fall Prevention (Behavioral)
结局指标
主要结局
Recruitment Feasibility
时间窗: Post-intervention at week 7.
The number of participants enrolled in the study per month; The number of participants who provided consent over the eligible participants.
Intervention Satisfaction
时间窗: Post intervention at week 7
8-item questionnaire with 7-point Likert (adapted from Physical Activity Enjoyment Scale). The response scale ranges from 1-7, spanning from the lowest degree (=1) to the highest degree (=7).
Perceived feasibility
时间窗: Post intervention at week 7
Using 5 points Likert Scale, and the response scale is (1): Completely disagree; (3) Neither agree or disagree; to (5): Completely agree. These items ask about participants' perceived program acceptability, appropriateness, and feasibility
Intervention fidelity
时间窗: Every exercise session
Fidelity checklist scored by the independent rater
Adherence rate
时间窗: Post intervention (At Week 7)
Number of sessions each participant attended / total sessions provided (i.e., 12)
Intention to reparticipate
时间窗: Post intervention (At Week 7)
Use 4-item questionnaire with 5-point Likert Scale. The response scale is (1): Strongly disagree; (3) Neither agree or disagree, to Maximum (5): Strongly agree
Adverse event
时间窗: Anytime during the intervention period
The number of grade 1 adverse events occurred across all exercise sessions.
次要结局
- Physical function(Baseline (Week 0) and post-intervention (Week 7))
- Fear of falling(Baseline (Week 0) and post-intervention (Week 7))
- Activity and Sedentary fragmentation(Baseline (Week 0) and post-intervention (Week 7))
研究者
Chih-Hsiang Yang
Associate Professor
University of South Carolina