Comparative Effectiveness and Cost-effectiveness of a Fall Prevention Intervention: Tai Ji Quan: Moving for Better Balance
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 670
- 试验地点
- 1
- 主要终点
- Change in the number of falls
研究概览
简要总结
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).
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 70 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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.
排除标准
- •any medical or physical conditions deemed unacceptable by their physician or healthcare provider,
- •planned to leave the study area within the next 12 months.
研究组 & 干预措施
Tai Ji Quan: Moving for Better Balance
This protocol involves training 2 times a week for 6 months.
干预措施: Tai Ji Quan: Moving for Better Balance (Behavioral)
Multimodal Exercise
This protocol involves training 2 times a week for 6 months.
干预措施: Multimodal Exercise (Behavioral)
Stretching
This protocol involves participation of 2 times a week for 6 months.
干预措施: Stretching (Behavioral)
结局指标
主要结局
Change in the number of falls
时间窗: 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.
次要结局
- 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)