The Development and Validation of the Arabic Otago Exercise Program: A Feasibility Controlled Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Jordan
- Enrollment
- 20
- Locations
- 1
- Primary Endpoint
- Incidence of Falls in the previous 12 months
Study Overview
Brief Summary
Falls are common in older adults and may lead to disability or even death. Therefore, exercise programs that focus on preventing falls by improving strength and balance are important to investigate in older adults. One of the home-based exercise programs that was found effective in reducing the risk of falling and the rate of subsequent falls in older adults is the Otago exercise program (OEP). The OEP is an individualized home based retraining program that works mainly on balance and lower extremity strength through several progressive resistive exercises.
The OEP is available in English language since late 1990. However, its use in the Arabic-speaking countries is limited due to the language barrier. Therefore, translating such a program to the Arabic language would facilitate its use among Arabic-speaking older adults.
Therefore, this study aims:
- To translate the Otago Exercise Program (OEP) into the Arabic language.
- To assess the feasibility of the Arabic OEP in a pilot sample of Arabic-speaking older adults.
Detailed Description
- Research ethics: This study got the ethics approval from the IRB at Jordan University Hospital at University of Jordan. A consent form that contains the study procedures will be prepared and signed from all participants. To insure the privacy of participants, every older adult will be assigned a study identification number. All results will be stored in a locked cabinet/computer only accessible by the researchers.
- Participants: Data will be collected prospectively from older adults in Jordan. Older adults will be approached to complete the program via Jordan University Hospital, community based organizations (e.g. Help-Age International Jordan) and social media platforms such as Facebook and WhatsApp.
Design:
Phase 1: Translation and cultural adaptation of the Otago Exercise Program (OEP) into the Arabic language.
- The permission of translating the program will be granted from its developers.
- English version of the program will be translated into the Arabic language in accordance with the World Health Organization (WHO) forward/backward translation protocol (https://www.who.int/substance_abuse/research_tools/translation/en/ ).
- An Arabic booklet of the OEP will be prepared.
Phase 2: Assessing feasibility of the OEP on a pilot sample of Arabic-speaking older adults using a focus group and a pilot Trial.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 60 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Adults who are 60 years of age and older.
- •Who can read and write in Arabic language.
- •Who are able to walk outdoors with no more support than a single point cane.
Exclusion Criteria
- •Who have a serious orthopedic condition (e.g., recent lower limb surgery, severe arthritis of a lower limb) or major neurological disorder (e.g., stroke with unilateral or bilateral paresis, Parkinson disease or multiple sclerosis) that could restrict functional mobility.
- •Who are unable to comprehend study information and consent processes due to any illness including dementia.
Arms & Interventions
Otago Exercise Program
Older adults will receive the Arabic Otago Exercise Program for 8 weeks plus health awareness videos.
Intervention: Otago Exercise Program (Other)
Control group
Older adults will receive only health awareness videos every 2 weeks.
Outcomes
Primary Outcomes
Incidence of Falls in the previous 12 months
Time Frame: Previous 12 months
Incidence of Falls and Falls Circumstances in the previous 12 months
Incidence of falls during the treatment period (8 weeks)
Time Frame: Immediately post intervention.
Incidence of falls during the treatment period (previous 2 months) to assess the effect of the intervention on the incidence of falls.
Secondary Outcomes
- The severity of Anxiety and Depression (using Hospital Anxiety and Depression Scale)(Immediately post intervention.)
- Fear of Falling (using the Falls Efficacy Scale-International)(Immediately post intervention.)
- Balance (using Chair balance test and Four test balance scale)(Immediately post intervention.)
- Mobility (using Timed-Up and go)(Immediately post intervention.)
- Grip strength (using a hand held dynamometer)(Immediately post intervention.)
- The Quality of Life (using Medical Outcomes Study Short Form 12)(Immediately post intervention.)
- Pain (using pain rating scale)(Immediately post intervention.)
- The severity of fatigue (using the Modified Fatigue Impact Scale)(Immediately post intervention.)
Investigators
Alia A. Alghwiri
Professor
University of Jordan