Engaging Older Adults in Fall Prevention Using Motivational Interviewing (MI)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 200
- 试验地点
- 2
- 主要终点
- Falls Self-Efficacy Scale-International (FES-I) Results
研究概览
简要总结
This mixed-methods, two-arm, randomized controlled trial will evaluate the impact of Motivational Interviewing (MI) as a follow-up care to patients who received fall prevention recommendations at Oregon Health & Science University Internal Medicine and Geriatrics Clinic provided over 12 months.
详细描述
The goal of this mixed-methods, two-arm, randomized controlled trial of MI intervention for fall prevention is to evaluate the impact of Motivational Interviewing (MI) as a follow-up care to patients who received fall prevention recommendations at Oregon Health & Science University Internal Medicine and Geriatrics Clinic provided over 12-months. Older adult participants (older than 65) who are at increased risk for falling will be enrolled into the study. Patients will be randomly assigned to two groups: MI and the standard of care group. All participants will have a baseline and 6-months study visit that will include self-report and physiologic assessment. In addition, all participants will receive study measurement phone call at 3-, and 12-months. MI will be provided via video, phone, or in-person one week after the initial visit and then monthly for 6 months. All MI sessions will be recorded and encounter notes will be completed. Purposefully selected participants' MI sessions will be transcribed for qualitative analysis.
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
- 否
入选标准
- •Oregon Health & Science University (OHSU) Internal Medicine and Geriatrics Clinic patients
- •65 years old or older
- •Moderate-to-high risk for falling using the STEADI fall screening and management algorithm
- •Cognitively oriented (Mini-Cog≥ 3)
- •Able to converse audibly and coherently in English
- •Living independently in the community
- •Able to receive study phone calls
- •Ambulatory with or without assistive device use
排除标准
- •Cognitively impaired patients (Mini-Cog< 2)
- •Patients who have sensory difficulty with verbal communication (hard-of-hearing despite the use of hearing aids or speech is hard to understand despite a talking device)
- •Living in institutions with 24-hour care such as skilled nursing facilities
- •Unable to stand without assistance by others
- •Life-expectancy of less than 3-months
- •Patients participating in other studies that may impact fall-related behavior change
结局指标
主要结局
Falls Self-Efficacy Scale-International (FES-I) Results
时间窗: 3-, 6-, and 12-months
A 7-item scale, 1-4 self-report rating, widely used to measure levels of concern related to preventing falls. Minimum value is 7 and maximum value is 28. Higher FES-I scores is a worse value since it has been positively correlated with decreased activities, future falls, and injury.
Fall Behavioral (FAB) Scale Results
时间窗: 3-, 6-, and 12-months
A 24-item, 1-4 self-report rating to measure frequency of protective strategies to prevent falling and risky behaviors that facilitate a fall. The average value is calculated with a minimum value of 1 and maximum value of 4. Higher FAB score is a better value since it indicates more consistent fall protective behaviors.
次要结局
- Level of Importance to Prevent Falls(3-, 6-, and 12-months)
- Balance Measure (Tandem Stand)(6-months)
- Patient Activation Measure Results(3-, 6-, and 12-months)
- Balance Measure (Semi-tandem Stand)(6- months)
- Balance Measure (One-leg Stand)(6- months)
- Level of Confidence to Prevent Falls(3-, 6-, and 12-months)
- Balance Measure (Feet Side by Side)(6- months)
- 30-second Sit-to-stand Assessment(6-months)
- Number of Participants With Self-reported Falls(1-year)
研究者
Hiroko Kiyoshi-Teo
Principal Investigator
Oregon Health and Science University