Health Behavior Change for Fall Prevention
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- OTAGO exercise adherence
研究概览
简要总结
The goal of this study is to see if OTAGO instructors, who have been trained in a special communication method called motivational interviewing, can help older adults start and stick with the OTAGO exercise program. The results will help guide future research on how behavior change techniques can support other fall prevention strategies.
详细描述
The objective of this study is to evaluate the feasibility and impact of OTAGO instructors who are trained in motivational interviewing communication approach to facilitate older adult's uptake of the OTAGO exercises. This study will create the basis for future trials that will explore the impact of behavior change interventions on other fall prevention strategies.
We propose a single-arm quasi-experimental trial with older adults with high fall risks. The study intervention consists of OTAGO visits by study staff (MI-trained OTAGO instructor) over 6 months to improve older adults' engagement in fall prevention behaviors with a focus on OTAGO exercises. Participants will be followed for additional 6 months for the total study duration of 12 months.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 60 Years 至 120 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •At high fall risk: At least one "Yes" to 1) had a fall in the past year; 2) answer "difficult" to the question "do you find it hard to stand without using your hands"; 3) worry about falling
- •Able to converse audibly and coherently in English
- •Ambulatory with or without assistive device use
- •Self-report challenges navigating the environment outside of the home
- •At least one "some or much difficulty" or "unable to do" to:Walking one block?; Stepping up onto a curb?; Getting out of a straight back chair? Climbing one flight of stairs? Getting out of the house
排除标准
- •o Receiving ongoing physical therapy with a primary focus on improving balance and strength of lower extremities
- •Experiencing acute health issues such as fracture, pain, or infection that prohibits them from participating in exercises
- •Able to stand on one foot for more than 10 seconds without holding onto something
- •6-item Callahan cognitive assessment over the phone: Patients with scores of 2 or less, positive for dementia criteria, will be excluded.
- •Patients participating in other studies that may impact fall-related behavior change.
- •Participants engaged in routine moderate or vigorous physical activities that require lower extremity balance and strength (e.g., >100 minutes/week for more than 3 months)
结局指标
主要结局
OTAGO exercise adherence
时间窗: Baseline, 6-months & 12 months
Number of instructed OTAGO exercises completed in a week
次要结局
- 4-stage balance test(Baseline & 6-months)
- Sit-to-stand test(Baseline & 6-months)
- Falls Efficacy Scale Short International(Baseline, 6-months, and 12-months)
研究者
Hiroko Kiyoshi-Teo
Principal Investigator
Oregon Health and Science University