Project Grow: Establishing an Intergenerational Falls Prevention Gardening Programme
- Conditions
- Fall
- Registration Number
- NCT03216031
- Lead Sponsor
- University of Roehampton
- Brief Summary
Wandsworth Integrated Falls and Bone Health Service (IF \& BHS) provides an evidence-based falls prevention exercise programme, but yearly about 500 of 1800 patients decline participation or do not continue to exercise. Our study seeks to address this efficiency gap by developing a gardening programme as an alternative to traditional exercise. In a preparation period (4/17-5/17) we will explore the special needs of the target population through interviews and create an age appropriate gardening site at "Growhampton", a gardening project run by the University of Roehampton; from 5/17 to 9/17 a falls prevention gardening group will be implemented and evaluated.
- Detailed Description
The key purpose of the study is to provide and test an intergenerational gardening project as a choice for about 30 IF \& BHS patients who would otherwise decline exercise interventions. Patients previously assessed by Wandsworth Integrated Falls \& Bone Health Services have identified gardening as an enjoyable alternative to exercise classes. Gardening sessions will take place weekly (aiming for 3 groups with 10 patients and 2-4 students and/or staff members of the University of Roehampton). Through engaging patients in gardening activities the study seeks to achieve 4 main aims: 1. Increase physical activity levels; 2. improve mental and physical health outcomes; 3. foster self-efficacy and social connectedness; 4. reduce the risk of falls. The at falls risk population will benefit by engaging in a meaningful activity (designed and supported by clinicians and aided by students and staff members) which delivers on the core principles of strength, power, balance and coordination.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 16
- Having had a Falls and Bone Health Assessment by the Integrated Falls and Bone Health Service (IF & BHS) Wandsworth
- Having falls or bone health risk factors but being able to mobilise without walking aids
- Having been assessed by IF & BHS as having capacity to take part in a gardening intervention programme
- Having indicated an interest in attending a gardening group following the IF & BHS assessment if they a) do not want to participate in any other elements of the IF & BHS programme or if they b) have completed other elements of the service offered by the IF & BHS, e.g. exercise groups, Nordic walking or Zumba gold.
- Having a known diagnosis of dementia
- Not being able to adequately understand verbal explanations or written information given in English
- Having a falls risk profile that indicates that the individual has high falls risk in this context - this is a clinical decision and will take account of a number of variables including mobility (Timed up & Go of more than 20 sec) and their general health (e.g., large postural drop, uncontrolled diabetes, significant behaviour that challenges).
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Primary Outcome Measures
Name Time Method Wellbeing Change in score achieved from week 1 (beginning of programme) to week 8 (end of programme) Wellbeing (Warwick-Edinburgh Mental
Health Change in score achieved from week 1 (beginning of programme) to week 8 (end of programme) Health (EQ-5D-5L Questionnaire)
Physical effects 1/3 Change in sec needed from week 1 (beginning of programme) to week 8 (end of programme) Timed Up and Go time (in sec)
Physical effects 3/3 Change in numbers of steps needed from week 1 (beginning of programme) to week 8 (end of programme) Turn test (n steps to turn 180 degrees)
Physical effects 2/3 Change in number of stands achieved from week 1 (beginning of programme) to week 8 (end of programme) Number stands in 30 sec Sit-to-Stand test
Falls efficacy Change in score achieved from week 1 (beginning of programme) to week 8 (end of programme) Falls efficacy scale
- Secondary Outcome Measures
Name Time Method Social connectedness Change in score achieved from week 1 (beginning of programme) to week 8 (end of programme) Social connectedness scale
Self-efficacy Change in score achieved from week 1 (beginning of programme) to week 8 (end of programme) General self-efficacy scale
Activity levels Change from week 1 (beginning of programme) to week 8 (end of programme) Activity Levels (assessed by means of interview question)
Falls and incidents Number of falls/incidents recorded during the programme (week 1-8) Number of falls or other incidences during the gardening programme to judge its feasibility and risks.
Trial Locations
- Locations (1)
University of Roehampton in collaboration with St George's University Hospitals NHS Foundation Trust
🇬🇧London, United Kingdom