A Feasibility Study of a Mobile Application Intervention to Promote Strength and Balance Exercises in Older People

Not Applicable

Completed

• Conditions: Accidental Falls

• Registration Number: NCT02916849
• Lead Sponsor: Umeå University

Brief Summary

This five arm feasibility study aims to promote self-management in strength and balance exercises among community-living older people. The research process, implementation strategies and procedures, acceptability of the exercise programs, perceived benefits of the programs, and the ecological validity, acceptability and ability to detect change of possible outcome measurements will be evaluated before a future randomized controlled trial. A comparison of two exercise programs will be performed; a) Safe Step, a mobile technology based exercise program with motivational strategies, developed by researchers in collaboration with older adults, and b) Otago Exercise Program (OEP), home exercises presented in a booklet. The older participants will be free to select either of the intervention programs and the selection process and outcome will be studied as part of the process evaluation.

The participants in three of the arms (OEP, Safe Step, and Safe Step with mentors) will be recruited through advertisements in local papers and through posters and meetings at senior citizens organisations. In the fourth and fifth arms (OEP and Safe Step) the participants will be recruited from health care centres and their registered professionals with experience of greens prescriptions (Fysisk aktivitet på recept). All five groups, with at least 10 participants in each, will be exercising for four months and will undergo testing at baseline, after two and four months and they will be asked to keep an exercise diary (digital or paper format) during the intervention.

Detailed Description

Not available

Study Timeline

• Status Verified: 2016-09
• Study Start: 2016-09
• Study First Submitted: 2016-09-13
• Study First Submitted QC: 2016-09-23
• Study First Posted: 2016-09-28
• Primary Completion: 2017-03-31
• Study Completion: 2017-03-31
• Last Update Submitted: 2017-12-14
• Last Update Posted: 2017-12-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 69

Inclusion Criteria

• Independently living
• Able to rise from a high chair
• Able to stand without support
• Experience an impaired balance

Exclusion Criteria

• Progressive disease that impairs mobility
• Dementia diagnosis
• Intense exercising more than 3 hours / week

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Adherence	after 4 month	adherence to the program from baseline to four months

Secondary Outcome Measures

Name	Time	Method
Change: Late-Life Function and Disability Instrument (LLFDI)	baseline and four month	a person's ability to do discrete actions or activities, and disability-a person's performance of socially defined life tasks
Change: Attitudes to Falls-Related Interventions Scale (AFRIS)	baseline, two month and four month
Change: Behavioural Regulation In Exercise Questionnaire (BREQ-2)	baseline, two month and four month
Change: 30 second chair-stand	baseline and four month	Leg muscle strength in chair stand
Usability of the programs	Up to four months	Interviews and observations
Change: Iconographical Falls Efficacy Scale (Icon-FES)	baseline and four month	Participants' falls-efficacy in certain situations
Change: Activity Specific Balance Confidence Scale (ABC)	baseline and four month	Participants' falls-efficacy in certain situations
Change: Short Physical Performance Battery	baseline and four month	Standing balance, leg muscle strength in chair stand, and gait speed
Uptake	baseline	Proportion of invited participants that accepted and started the program.

Trial Locations

Locations (1)

Caring Science Buildning, Umeå University; 🇸🇪 Umeå, Sweden