MedPath

The Impact of Community Exercise on Social Connectedness and Falls in Older Adults: Leveraging Exercise to Age in Place

Not Applicable
Completed
Conditions
Fall
Social Isolation
Interventions
Other: Exercise
Other: Health Class
Registration Number
NCT03624049
Lead Sponsor
Cedars-Sinai Medical Center
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.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
671
Inclusion Criteria
  • Must be cognitively stable and must be 50 years or older
Exclusion Criteria
  • <50 years
  • Cognitive impairment

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Community Exercise ProgramExerciseParticipation in Health Class including: Arthritis Exercise Foundation Exercise Class, Tai Chi for Arthritis, EnhanceFitness Class, or Healthier Living Class.
Community Exercise ProgramHealth ClassParticipation in Health Class including: Arthritis Exercise Foundation Exercise Class, Tai Chi for Arthritis, EnhanceFitness Class, or Healthier Living Class.
Primary Outcome Measures
NameTimeMethod
Change in Social IsolationChange 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 Outcome Measures
NameTimeMethod
Number of falls with injury in the past 3 months - Reduce FallsItems will be measured at Baseline, 8 weeks, and 6 months

Number of falls with injury in the past 3 months

Number of falls in the past 3 months - Reduce FallsItems will be measured at Baseline, 8 weeks, and 6 months

Number of falls in the past 3 months

Change in LonelinessItems will be measured at Baseline, 8 weeks, and 6 months; assessing a change in loneliness from baseline to 8 weeks and 6 months

University of California Los Angeles 3 item Loneliness scale is a 3 item questionnaire with a total score between 3 and 9 with higher scores indicating increased loneliness.

Trial Locations

Locations (9)

Roxbury Park Community Center

🇺🇸

Beverly Hills, California, United States

People Coordinated Services- Crenshaw

🇺🇸

Los Angeles, California, United States

Washington Irving Branch Library

🇺🇸

Los Angeles, California, United States

Yvonne B. Burke Senior & Community Center

🇺🇸

Los Angeles, California, United States

Will and Ariel Durant Library

🇺🇸

Los Angeles, California, United States

Virtual recruiting

🇺🇸

Los Angeles, California, United States

Pan Pacific Park

🇺🇸

Los Angeles, California, United States

Poinsettia Park

🇺🇸

Los Angeles, California, United States

West Hollywood Park Auditorium

🇺🇸

West Hollywood, California, United States

© Copyright 2025. All Rights Reserved by MedPath