Adapting an Evidence-Based Exercise Program for Remote Delivery to Rural Older Adults
试验速览
- 阶段
- 不适用
- 入组人数
- 15
- 试验地点
- 2
- 主要终点
- Feasibility and Acceptability of Tele-Enhance Fitness
研究概览
简要总结
: Falls are the primary cause of injury and a leading cause of disability and mortality among older adults. Risk factors for falling are common among older adults with knee osteoarthritis (OA) - a highly prevalent condition. Physical exercise is consistently the most efficacious intervention for preventing falls in older adults. However, access to these programs is severely limited in rural settings. Considering that rural communities have a higher disease burden and higher proportion of older adults than non-rural areas, there is a critical need to (1) adapt evidence-based exercise programs for remote delivery to increase access for rural older adults and (2) develop pathways to implement exercise programs in rural health care systems that consistently reach and engage patients with knee OA. Accordingly, the proposed project aims to refine a protocol for remote delivery of Enhance Fitness (EF). EF is an evidence-based, group exercise program involving strength, endurance, and balance training that is recommended for falls prevention and OA management
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 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
- 否
入选标准
- •Community-dwelling
- •English-speaking
- •Physician diagnosed knee osteoarthritis
- •Knee pain that occurs almost daily for at least the past 3 months and is moderate to severe in intensity
- •Knee pain-related difficulty with walking or climbing stairs
- •resident of a rural county
排除标准
- •cognitive impairment determined by a Mini Montreal Cognitive Assessment score of <11
- •any of the following in the past 6 months: cancer requiring treatment (except for non- melanoma skin cancer), heart attack, stroke, hip fracture, hip/knee replacement, spinal surgery, heart surgery, deep vein thrombosis, or pulmonary embolus; and temporary exclusions
- •hospitalization within the last month
- •≥3 falls within the past month
结局指标
主要结局
Feasibility and Acceptability of Tele-Enhance Fitness
时间窗: 12 weeks
Feasibility outcomes include intervention engagement and adherence, retention, fidelity of tele-EF treatment, and adverse events. Multiple dimensions of acceptability will be assessed from qualitative interviews with participants and instructors.
次要结局
- Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function 8-item Short Form(Change from baseline PROMIS physical function score at 12 weeks)
- Knee injury and Osteoarthritis Outcome Score (KOOS) Physical Function Subscale(Change from Baseline KOOS Physical Function Subscale score at 12 weeks)
研究者
Kushang Patel
Research Associate Professor
University of Washington