"Action Seniors!: A 12 Month Randomized Controlled Trial of a Home Based Strength and Balance Retraining Program in Reducing Falls.
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 344
- Locations
- 1
- Primary Endpoint
- Falls over a 12 month period.
Study Overview
Brief Summary
This study will be a randomized controlled trial to determine the efficacy of the Otago Exercise Program (OEP) on falls among seniors with a history of falls.
Detailed Description
A total of 344 community-dwelling adults aged 70 years and older who are referred to a falls clinic secondary to seeking medical attention due to a fall will be randomized to either the 12-month OEP group or usual care. There will be three measurement sessions: baseline, 6 months, and 12 months.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 70 Years to — (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Adults older than or 70 years attending a Falls Prevention Clinic Service;
- •Understands, speaks, and reads English proficiently;
- •MMSE 8 score > 24/30;
- •Had one documented non-syncopal fall in the last 12 months and one of the following: a) A Physiological Profile Assessment (PPA) score of at least 1 SD above normal; OR 2) Timed Up and Go Test (TUG) performance of greater than 15 seconds; OR 3) One additional documented non-syncopal fall in the previous 12 months;
- •Expected to live greater than 12 months;
- •Community-dwelling (i.e., not residing in a nursing home, extended care unit, or assisted-care facility);
- •Able to walk 3 meters with or without an assistive device; and
- •Able to provide written informed consent.
Exclusion Criteria
- •Diagnosed with a neurodegenerative disease (e.g., Parkinson's disease);
- •Diagnosed with dementia (of any type);
- •Had a stroke;
- •Have clinically significant peripheral neuropathy or severe musculoskeletal or joint disease; or
- •Have a history indicative of carotid sinus sensitivity (i.e., syncopal falls).
Arms & Interventions
2
CON (control; usual care)
Intervention: control; usual care (Behavioral)
1
OEP (Otago Exercise Program; home-based balance and strength retraining program)
Intervention: Home-based balance and strength retraining exercise program. (Behavioral)
Outcomes
Primary Outcomes
Falls over a 12 month period.
Time Frame: 12 months
Secondary Outcomes
- Secondary outcomes of interest include: 1) physiological falls risk; 2) mobility; 3) cognitive function; and 4) economic evaluation.(12 months)
Investigators
Teresa Liu-Ambrose
Principal Investigator
University of British Columbia