Fall Prevention for Old Community-dwelling People

Not Applicable

Completed

• Conditions: Physical Activity
• Interventions: Other: Otago home exercise programme; Other: Motivational interviewing plus Otago

• Registration Number: NCT01778972
• Lead Sponsor: Uppsala University

Brief Summary

Fall-related injuries are a major health problem in the growing older population. Most older people are not aware of that physical training can decrease the risk of falling. The aim of tha study is to investigate the effect of the Otago home exercise programme with and without motivational interviewing in community-dwelling people 75 years or older on frequence of falls, fall-related injuries, physical capacity, fall-related self-efficacy, quality of life, mortality and health-related costs.

Detailed Description

Participants in the two intervention groups will exercise at home with supervision from physiotherapist week one, two, four and eight. They will then be contacted for telephone follow-up month five, seven and twelve after the start of training. The control group is encouraged to live as usual.

All participants are assessed at baseline, after three, 12 and 24 months from inclusion in the study.

Study Timeline

• Study Start: 2012-11
• Study First Submitted: 2013-01-16
• Study First Submitted QC: 2013-01-25
• Study First Posted: 2013-01-29
• Primary Completion: 2018-12
• Status Verified: 2019-04
• Study Completion: 2019-12
• Last Update Submitted: 2021-09-28
• Last Update Posted: 2021-09-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 420

Inclusion Criteria

75 years or older, community-dwelling, in need of homecare or rollator

Exclusion Criteria

Cognitive impairment (below 25 on Mini Mental test) Not able to transfer independently indoors -

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Otago home training programme	Otago home exercise programme	Otago home exercise programme was designed specifically to prevent fall. It consists of a set of leg muscle strengthening and balance retraining exercises progressing in difficulty, and a walking plan. The exercise are individually prescribed and increase in difficulty during a series of five home visits by a physiotherapist.
Motivational interviewing plus Otago	Motivational interviewing plus Otago	This group is not only exercising at home but also getting motivational interviewing from the physiotherapist at he five home visits. The physiotherapists doing motivational interviewing are specially trained in motivational interviewing.

Primary Outcome Measures

Name	Time	Method
Frequence of falls will be measured with a monthly fall-calender	Two year	A fall-calender with registration of falls on a monthly bases will be used to record falls. The fall-calender should be sent in each month. Falls will be followed-up with telephone interviews.

Secondary Outcome Measures

Name	Time	Method
Physical performance will be measured with Short Physical Performance Battery (SPPB)	Two years	SPPB measures balance, functional leg strength and walking speed.
Fall-related injuries will be measured by telephone interviews.	Two years
Dynamic balance will be assessed with Mini-BESTest	Two years	Mini-BESTest assess dynamic balance impairments in 14 items. The items covers a broad spectrum of performance tasks, including transitions and anticipatory postural adjustments, postural responses to to perturbation, sensory orientation and dynamic stability in gait.

Trial Locations

Locations (1)

Homes; 🇸🇪 Västerås, Sweden