Increasing the Accessibility of a Falls Prevention Intervention for Community Dwelling Older Adults With Low Vision

Not Applicable

Completed

• Conditions: Low Vision; Fall
• Interventions: Behavioral: Adapted SAFE Intervention; Behavioral: Original SAFE Intervention

• Registration Number: NCT03028493
• Lead Sponsor: Sarah Blaylock

Brief Summary

This study serves to test a previously evaluated falls prevention intervention recommended by the Centers for Disease Control and Prevention, entitled the Study of Accidental Falls in the Elderly (SAFE) Health Behavior and Exercise Intervention, to evaluate if the intervention is accessible to older adults with low vision receiving services from the Southeastern Blind Rehabilitation Center (SBRC). This study also serves to pilot a version of the SAFE intervention that has been adapted to be accessible for individuals with low vision at SBRC.

Detailed Description

This study serves to compare the comprehension and retention of individuals completing a version of the SAFE falls prevention intervention adapted for low vision versus individuals receiving the original intervention. One group of participants will complete the standard SAFE intervention format while another group will complete the same intervention with written materials adapted for those with vision loss. One intervention (either standard or adapted SAFE program) will be delivered at a time. The SAFE intervention is comprised of four, 90-minute group classes that address environmental, behavioral, and physical falls risk factors. Classes involve lecture and group discussions as well as review of low intensity exercises. The adapted content is presented in large print with high contrast and has been rewritten on a lower grade level. A nutritionist, a physical therapist, a physician, 5 older adults with low vision, 10 low vision occupational therapist, and 5 health literacy experts provided feedback to strengthen the adapted intervention.

Study Timeline

• Study Start: 2017-01-18
• Study First Submitted: 2017-01-18
• Study First Submitted QC: 2017-01-19
• Study First Posted: 2017-01-23
• Primary Completion: 2017-12-15
• Study Completion: 2017-12-15
• Status Verified: 2018-01
• Last Update Submitted: 2018-01-02
• Last Update Posted: 2018-01-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 9

Inclusion Criteria

• 60 and older;
• Visual impairment with some remaining reading ability.

Exclusion Criteria

• Less than age 60;
• Complete blindness;
• Vertebral osteoporosis.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Arm && Interventions

Group	Intervention	Description
Adapted SAFE Intervention	Adapted SAFE Intervention	Adapted version of the SAFE Health Behavior and Exercise intervention.
Original SAFE Intervention	Original SAFE Intervention	Original version of the SAFE intervention.

Primary Outcome Measures

Name	Time	Method
Change in knowledge of falls prevention	Pre and post (2 weeks after start of intervention delivery)	10 multiple choice questions based on the SAFE intervention content

Secondary Outcome Measures

Name	Time	Method
PROMIS Participation Scale	Pre	Measures daily participation
PROMIS Depression Scale	Pre	Measures depression
PROMIS Global Health	Pre	Measures general health
Short Physical Performance Battery	Pre	Measures of balance, gait, and sit to stand
UAB Life-Space Inventory	Pre	Measures places travelled within past month

Trial Locations

Locations (1)

Department of Veteran Affairs; 🇺🇸 Birmingham, Alabama, United States