Comparative Effectiveness and Cost-effectiveness of a Fall Prevention Intervention: Tai Ji Quan: Moving for Better Balance
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Fall
- Sponsor
- Oregon Research Institute
- Enrollment
- 670
- Locations
- 1
- Primary Endpoint
- Change in the number of falls
- Status
- Completed
- Last Updated
- 4 years ago
Overview
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •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.
Exclusion Criteria
- •any medical or physical conditions deemed unacceptable by their physician or healthcare provider,
- •planned to leave the study area within the next 12 months.
Outcomes
Primary Outcomes
Change in the number of falls
Time Frame: 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 Outcomes
- Functional Reach(Baseline, 6 Months)
- Cost per fall prevented(Baseline, 6 Months)
- Instrumented Timed Up and Go(Baseline, 6 Months)
- Physical Performance(Baseline, 6 Months)
- Cognitive function(Baseline, 6 Months)