TAIC - Implementation of Student-led Otago Classes for a Falls Risk, Community Dwelling Older Adult Population
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 12
- 试验地点
- 1
- 主要终点
- Timed Up and Go
研究概览
简要总结
The National Records of Scotland population projections show the pension age population increasing by 25% over the next 25 years. Falls are a major cause of hospitalisation in older adults, one in three community dwelling older adults over 65 years of age fall each year. There is a need to explore novel methods of delivering care to a growing older adult population. A programme of exercise called OTAGO has been found to reduce the number of falls for older adults. Several studies have explored the use of students to lead exercise interventions but these have not included assessing the impact to student educational experiences and outcomes with varying degrees of success on patient outcomes and no adverse events.
Research Aim: To examine the feasibility of a student-led exercise intervention in improving falls risk outcomes for community dwelling older adults at risk of falling referred from NHS falls services.
Study Design: A feasibility study examining a single patient group undertaking a 12 week, student-led, OTAGO exercise class for community dwelling older adults at Glasgow Caledonian University. OTAGO consists of progressive strength and balance exercises.
Participants will be screened, invited to consent to the trial, asked to undertake the 12 week intervention and assessed using physical measures before and after the trial and face to face interviews after the trial.
Recruitment will be through the NHS Greater Glasgow and Clyde and Lanarkshire community falls teams and the exercise delivery is consistent with usual care, the main difference is the location and student leaders. Students are qualified OTAGO Leaders.
Funding has been received from AGILE the Chartered Society of Physiotherapists professional network working with older adults.
Student educational experiences and outcomes will be assessed over the study period and are included in a separate study protocol
详细描述
In the TAIC study we will examine the feasibility of a student-led exercise intervention in improving falls risk outcomes for community dwelling older adults at risk of falling. Additionally, we will examine the impact on students education and learning from leading an exercise intervention for community dwelling older adults at risk of a fall. Although we aim to submit this aspect of the study as a separate protocol.
The aim will be explored concurrently using a pre-post test design.
Principal Aim:
To examine the feasibility of a student-led exercise intervention in improving falls risk outcomes for community dwelling older adults at risk of falling referred from NHS Falls services.
Design and Intervention:A pre-post test single cohort design of a 12 week OTAGO exercise intervention of 3 times a week, 60 minute exercise sessions through a combination of home exercises and 1-2 face to face classes per week, dependant on availability of students and participants.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Older adults - at least 65 years of age or older
- •Referred to the NHS falls service and identified as 'at risk of a fall' by the NHS falls team - this will be based on the discretion of the referring falls team. NB participants do not need to have experienced a fall to be included.
- •Community dwelling - participants need to be living independently, this can include a package of care or family support
- •Be able to ambulate independently with a walking aid (10 meters in a straight line)
- •have self-reported visual and auditory capacities to follow the exercises
- •have the capacity to provide a signed informed-consent statement based on the Six-item screener score with 2 or more wrong answers indicating a high risk of reduced capacity (Callahan et al, 2002, Carpenter et al, 2011).
排除标准
- •Participants -
- •living in a Residential or Care Home
- •unable to follow simple instructions or guidance
- •who have a medical contraindication for physical activity, participants will be asked to self-declare in line with the Health Commitment Statement (UKACTIVE,2018)
- •unable to ambulate independently 10 meters with a walking aid
- •with a severe visual and auditory disabilities
- •with an unstable cardiovascular disease
- •with a neurological disorder that could compromise them from exercising
- •with a lower-extremity fracture in the past year
研究组 & 干预措施
Intervention
A feasibility study examining a single patient group undertaking a 12 week, student-led, OTAGO exercise class for community dwelling older adults at Glasgow Caledonian University. OTAGO consists of progressive strength and balance exercises.
干预措施: OTAGO (Other)
结局指标
主要结局
Timed Up and Go
时间窗: 5-10 minutes to administer
Functional Outcome
次要结局
未报告次要终点