Effect of a Falls-prevention Exercise Program on Health-related Quality of Life in Older Fallers Receiving Home Care. A Randomized Controlled Trial
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Accidental Falls
- Sponsor
- Oslo Metropolitan University
- Enrollment
- 155
- Locations
- 6
- Primary Endpoint
- Short Form 36 Health Survey Summary Scores
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
The aim of this study is to investigate the effect of a falls-prevention exercise programme on health-related quality of life, fear of falling, falls and physical function in older people receiving home care. Participants in the intervention group perform the Otago exercise programme. Participants in the control group continue their usual activities.
Detailed Description
Falls and falls-related injuries are considered a serious public health issue in the older population. Strength and balance exercise in combination with information about falls prevention seems to be effective in reducing falls, but less is known about the effect of this kind of intervention on quality of life. This randomized controlled trial investigates the effect of a falls prevention program on health-related quality of life, fear of falling, falls and physical function in community-dwelling older people who receive home care.
Investigators
Maria Bjerk
PhD Research Fellow
Oslo Metropolitan University
Eligibility Criteria
Inclusion Criteria
- •has fallen at least one time in the last 12 months
- •receives home-help services
- •able to walk independently indoors with or without walking aid
Exclusion Criteria
- •medical contraindication to exercise
- •life expectancy \<1 year
- •scores under 23 points on Mini Mental Scale Examination
- •participating in another falls prevention programme during the 12 weeks of the programme, for example a falls prevention group
Outcomes
Primary Outcomes
Short Form 36 Health Survey Summary Scores
Time Frame: Baseline, 3 months, 6 months
Changes in the Short Form 36 Health Survey (SF-36) summary scores from baseline to 3-months follow-up. SF-36 measures health-related quality of life. Its summary score is comprised of a physical component summary (PCS) and a mental component summary (MCS). The scores range from 0-100 (worst-best) in each scale. A positive change in the summary score indicates a better health-related quality of life.
Secondary Outcomes
- 4-meter Walk Test(Baseline, 3 months, 6 months)
- EQ-5D(Baseline, 3 months, 6 months)
- Berg Balance Scale(Baseline, 3 months, 6 months)
- Sit-to-stand Test(Baseline, 3 months, 6 months)
- Mini Nutritional Assessment(Baseline, 3 months, 6 months)
- No. of Participants Exercising Post-intervention(3 months and 6 months)
- No. of Falls(3 months and 6 months)
- Falls Efficacy Scale - International(Baseline, 3 months, 6 months)
- Instrumental Activities of Daily Living(Baseline, 3-months, 6-months)
- Exercise According to the Protocol. Adherence(Baseline and 3 months)
- Walking Habits(Baseline, 3 months, 6 months)