Improving Balance for Older Adults: Disseminating Tai Chi Fundamentals Through Community Organizations
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 197
- 试验地点
- 6
- 主要终点
- Rate of participants retention
研究概览
简要总结
This study will evaluate how best to disseminate and implement Tai Chi Fundamentals® (TCF) in community settings for older adults with balance problems. TCF is a program designed for older adults with pain and physical limitations to enhance balance, coordination, strength and endurance. Investigator will evaluate program implementation including Aging and Disability Resource Center (ADRC) uptake, reach, feasibility, teaching fidelity, and exercise adherence and also collect outcomes including leg strength, balance, walking ability and executive function before and after the 6-week session. The final product of this study will be recommendations to address key barriers and facilitators for implementation of TCF by community organizations serving older adults.
The primary aim for this study is to evaluate the program implementation. This is not an efficacy study. Within the limits of a Dissemination and Implementation grant budget, Investigators do take advantage of a natural experiment even if it is not the primary aim of this study. By doing so investigators plan to establish the feasibility of this multi-site data collection plan for future studies. Based on the study settings, study team will get a chance to explore the effect of TCF in real world settings since two sessions can be held in a fall season and a spring season. In addition to the pre-post tests of TCF sessions to explore TCF effectiveness, pre-test scores for session 2 are compared to post-test scores of session 1 participants since both are collected at nearly the same time. The larger sample will be for the within group pre-post comparison analyses. This will be a valuable opportunity to test data collection procedures for future trials.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •being 65 years and older
- •dwelling independently in the community
- •agreeing to be randomized
- •reporting a fall (to the ground or lower level in the last year or having a strong fear of falling.
排除标准
- •using a walker indoors
- •having a terminal illness
- •being hospitalized or in a nursing home in the past 2 months
- •anticipated absence from two tai chi sessions and
- •receiving physical therapy or a community course or balance exercise program for falls prevention in the prior 2 months
结局指标
主要结局
Rate of participants retention
时间窗: 7 week (for session 1) ,7 week ( for session 2)
Rate of participant retention in 2 sessions of TCP
Number of days participants practiced Tai-chi at home
时间窗: 7 week (for session 1) , 7 week( for session 2)
Participants will report the average time they are practicing Tai-chi every day at home
次要结局
- Change in the time taken to complete 'Trail Making Test Part B'(baseline for session 1, 7 weeks (post test for session 1) and 7 weeks (pretest for session 2))
- Change in the time taken to hold tandem stands in the 4-stage balance test(baseline for session 1, 7 weeks (post test for session 1) and 7 weeks (pretest for session 2))
- Change in the static balance as measured by Single-leg Balance(baseline for session 1, 7 weeks (post test for session 1) and 7 weeks (pretest for session 2))
- Change in time taken to complete TUG (Timed Up and Go) test(baseline for session 1, 7 weeks (post test for session 1) and 7 weeks (pretest for session 2))
- Change in the 'number of times the participant comes to a full standing position in 30 seconds'(baseline for session 1, 7 weeks (post test for session 1) and 7 weeks (pretest for session 2))
- Change in Activities-specific Balance Confidence (ABC) Scale score(baseline for session 1, 7 weeks (post test for session 1) and 7 weeks (pretest for session 2))