The Impact of Expanding a Community-Based Exercise Program on Social Connectedness and Falls Prevention in Older Adults: Leveraging Exercise to Age in Place (LEAP)
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Cedars-Sinai Medical Center
- Enrollment
- 671
- Locations
- 9
- Primary Endpoint
- Change in Social Isolation
Study Overview
Brief Summary
The goal of this study is to reduce risk of falls and social isolation in older adults age 50+ through participation in community based health and exercise programs.
Detailed Description
PRIMARY HYPOTHESES: In community-dwelling ambulatory older adults (age ≥50 years) participation in a community-based group program will improve the Duke Social Support Index (DSSI) score by four points measured after six to eight participation in the program when compared to the DSSI score prior to participation in the program. This increase will be sustained at 26 week follow-up.
SECONDARY HYPOTHESES: Participants in the community-based group exercise activities will have decreased fall risk when measured after six to eight weeks participation in the program when compared to pre-participation as based on responses to the fall risk questionnaire. Cedars-Sinai patients who participate in the community-based programs will have a decrease in health care utilization (as measured by physician visits, Emergency Department visits, and hospitalizations) in the 26 weeks after program enrollment compared to the 26 weeks prior to program enrollment.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 50 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Must be cognitively stable and must be 50 years or older
Exclusion Criteria
- •<50 years
- •Cognitive impairment
Arms & Interventions
Community Exercise Program
Participation in Health Class including: Arthritis Exercise Foundation Exercise Class, Tai Chi for Arthritis, EnhanceFitness Class, or Healthier Living Class.
Intervention: Exercise (Other)
Community Exercise Program
Participation in Health Class including: Arthritis Exercise Foundation Exercise Class, Tai Chi for Arthritis, EnhanceFitness Class, or Healthier Living Class.
Intervention: Health Class (Other)
Outcomes
Primary Outcomes
Change in Social Isolation
Time Frame: Change in Duke Social Support Index from baseline will be measured at 8 weeks and 6 months.
The Duke Social Support Index (DSSI) is an 11 item questionnaire with a total score between 11 and 33 with higher scores indicating increased social connection and lower scores indicating higher social isolation.
Secondary Outcomes
- Number of falls with injury in the past 3 months - Reduce Falls(Items will be measured at Baseline, 8 weeks, and 6 months)
- Number of falls in the past 3 months - Reduce Falls(Items will be measured at Baseline, 8 weeks, and 6 months)
- Change in Loneliness(Items will be measured at Baseline, 8 weeks, and 6 months; assessing a change in loneliness from baseline to 8 weeks and 6 months)
Investigators
Allison Mays
Principal Investigator
Cedars-Sinai Medical Center