Assessment and Referral Versus Exercise in Primary Prevention of Falls: PA Healthy Steps Program
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 189
- 试验地点
- 1
- 主要终点
- Falls
研究概览
简要总结
Older adults at high risk of falls will complete the PA Healthy Steps program. This program will be implemented by research staff who will follow the training manual and implement the program as it was designed to assess the effectiveness of the program. Participants will then be randomly assigned to three arms: (i) Follow-up only; (ii) Falls case management, in which adherence to physician and home safety assessments will be facilitated; and (iii) Healthy Steps in Motion, a 4-week group exercise program designed to complement Healthy Steps. All participants will be followed monthly for 6 months through personal and automated telephone interview protocols to ascertain falls and injuries.
详细描述
This falls prevention program is offered in 11 senior housing sites. Trained instructors from the research team provide the Healthy Steps in Motion exercise classes. Participants provide a signed form indicating physician clearance for participation. Falls case management involves monthly calls to speak with participants about home safety checks, perceived risk for falls, and physician contact or other visits to health care professionals to reduce falls risk.
This study is a pilot. The research team is interested in participation and adherence, as well as the primary outcome of falls incidence.
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
- 50 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Able to provide informed consent
- •Willing to be randomized
- •Scoring in the lowest tertile on at least one test in the Healthy Steps lower extremity performance battery
排除标准
- •Hospice enrollee or life-threatening illness
- •Active cancer treatment
- •Neurologic disease linked to falls risk, such as Parkinson's
- •Unable to ambulate indoors
- •High likelihood of moving in next 6 months
研究组 & 干预措施
Healthy Steps
Healthy Steps program as currently implemented by the PA Department of Aging
干预措施: Assessment and education (Behavioral)
Healthy Steps with Falls Case Management
Healthy Steps program augmented with research interventionist guidance on seeking physician care and home safety assessment
干预措施: Healthy Steps with Falls Case Management (Behavioral)
Healthy Steps in Motion
Healthy Steps program augmented with Healthy Steps in Motion, a 4-week, twice a week program of group exercise.
干预措施: Healthy Steps in Motion (Behavioral)
结局指标
主要结局
Falls
时间窗: 6 months
Falls ascertained in automated monthly telephone contact
次要结局
- Fall-related injuries requiring hospitalization/emergency department care(6 months)
研究者
Steven M. Albert
Professor
University of Pittsburgh