Prevention of Falls Among Older Adults in Community Settings
- Conditions
- Fall
- Interventions
- Behavioral: StretchingBehavioral: Multimodal Exercise
- Registration Number
- NCT02287740
- Lead Sponsor
- Oregon Research Institute
- Brief Summary
Objective: To conduct a comparative efficacy and cost-effectiveness study of an evidence-based fall prevention program-Tai Ji Quan: Moving for Better Balance (TJQMBB).
- Detailed Description
To determine the effectiveness and cost-effectiveness of the two evidence-based exercise programs (Multimodal Exercise,TJQMBB) relative to stretching, a proxy for a minimum practice standard, in reducing falls among older adults at risk of falling.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 670
- aged 70 years or older living independently in the community
- at least one fall in the preceding 12 months and a referral from a healthcare provider indicating the participant is at risk of falls due to gait/balance impairment or medication use or impaired mobility as evidenced by Timed Up and Go result of >13.5 seconds
- no participation in daily and/or structured vigorous physical activity or walking for exercise that lasted 15 minutes or longer at a time or muscle-strengthening activities on 2 or more days a week in the previous 3 months
- walking independently, with or without the use of an assistive device,
- no severe cognitive impairment (Mini-Mental State Examination score ≥20)
- able to exercise safely as determined by their healthcare provider,
- a willingness to be randomly assigned to an intervention condition and complete the 6-month intervention and 6 month follow-up.
- any medical or physical conditions deemed unacceptable by their physician or healthcare provider,
- planned to leave the study area within the next 12 months.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Stretching Stretching This protocol involves participation of 2 times a week for 6 months. Multimodal Exercise Multimodal Exercise This protocol involves training 2 times a week for 6 months.
- Primary Outcome Measures
Name Time Method Change in the number of falls Baseline, 6 Months Using a daily diary "fall calendar," falls reported by participants across the 24-week surveillance period will be collected, starting from the date of first intervention class and continuing until participants withdrew, had died or were lost to follow-up.
- Secondary Outcome Measures
Name Time Method Functional Reach Baseline, 6 Months assessing the maximal distance (in inch) participants one can reach forward, beyond arm's length, while maintaining a fixed based of support in the standing position. Differences between baseline and 6 months scores will be calculated to assess change.
Cost per fall prevented Baseline, 6 Months determined by calculating total intervention cost estimates divided by number of falls observed during the 6 month intervention.
Instrumented Timed Up and Go Baseline, 6 Months assessing the time to complete a series of functional tasks (sit-to-stand, 180 degree turn, turn-to-sit.) while walking through a 7-meter walkway (7 meters towards a line, turn, and 7 meters towards the chair). The measure is assessed in second. Differences between baseline and 6 months scores will be calculated to assess change.
Physical Performance Baseline, 6 Months The physical performance measure consists of 4-meter walk at usual pace, a timed repeated chair stand, and 3 increasingly difficult standing balance tests. Each measure is assigned a categorical score ranging from 0 (inability to complete the test) to 4 (best performance). A summary score ranging from 0 (worst performance) to 12 (best performances) will be calculated by summing the 3 components scores.
Cognitive function Baseline, 6 Months Montreal Cognitive Assessment (in points). Differences between baseline and 6 months scores will be calculated to assess change.
Trial Locations
- Locations (1)
Oregon Research Institute
🇺🇸Eugene, Oregon, United States