Project GROW: Establishing and Testing a New Intergenerational Falls Prevention Gardening Programme to Improve Physical Activity Levels, Health and Wellbeing in Older People at Risk of Falling
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 16
- 试验地点
- 1
- 主要终点
- Health
研究概览
简要总结
Wandsworth Integrated Falls and Bone Health Service (IF & BHS) provides an evidence-based falls prevention exercise programme, but yearly about 500 of 1800 patients decline participation or do not continue to exercise. Our study seeks to address this efficiency gap by developing a gardening programme as an alternative to traditional exercise. In a preparation period (4/17-5/17) we will explore the special needs of the target population through interviews and create an age appropriate gardening site at "Growhampton", a gardening project run by the University of Roehampton; from 5/17 to 9/17 a falls prevention gardening group will be implemented and evaluated.
详细描述
The key purpose of the study is to provide and test an intergenerational gardening project as a choice for about 30 IF & BHS patients who would otherwise decline exercise interventions. Patients previously assessed by Wandsworth Integrated Falls & Bone Health Services have identified gardening as an enjoyable alternative to exercise classes. Gardening sessions will take place weekly (aiming for 3 groups with 10 patients and 2-4 students and/or staff members of the University of Roehampton). Through engaging patients in gardening activities the study seeks to achieve 4 main aims: 1. Increase physical activity levels; 2. improve mental and physical health outcomes; 3. foster self-efficacy and social connectedness; 4. reduce the risk of falls. The at falls risk population will benefit by engaging in a meaningful activity (designed and supported by clinicians and aided by students and staff members) which delivers on the core principles of strength, power, balance and coordination.
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
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Having had a Falls and Bone Health Assessment by the Integrated Falls and Bone Health Service (IF & BHS) Wandsworth
- •Having falls or bone health risk factors but being able to mobilise without walking aids
- •Having been assessed by IF & BHS as having capacity to take part in a gardening intervention programme
- •Having indicated an interest in attending a gardening group following the IF & BHS assessment if they a) do not want to participate in any other elements of the IF & BHS programme or if they b) have completed other elements of the service offered by the IF & BHS, e.g. exercise groups, Nordic walking or Zumba gold.
排除标准
- •Having a known diagnosis of dementia
- •Not being able to adequately understand verbal explanations or written information given in English
- •Having a falls risk profile that indicates that the individual has high falls risk in this context - this is a clinical decision and will take account of a number of variables including mobility (Timed up & Go of more than 20 sec) and their general health (e.g., large postural drop, uncontrolled diabetes, significant behaviour that challenges).
结局指标
主要结局
Health
时间窗: Change in score achieved from week 1 (beginning of programme) to week 8 (end of programme)
Health (EQ-5D-5L Questionnaire)
Wellbeing
时间窗: Change in score achieved from week 1 (beginning of programme) to week 8 (end of programme)
Wellbeing (Warwick-Edinburgh Mental
Physical effects 1/3
时间窗: Change in sec needed from week 1 (beginning of programme) to week 8 (end of programme)
Timed Up and Go time (in sec)
Physical effects 3/3
时间窗: Change in numbers of steps needed from week 1 (beginning of programme) to week 8 (end of programme)
Turn test (n steps to turn 180 degrees)
Physical effects 2/3
时间窗: Change in number of stands achieved from week 1 (beginning of programme) to week 8 (end of programme)
Number stands in 30 sec Sit-to-Stand test
Falls efficacy
时间窗: Change in score achieved from week 1 (beginning of programme) to week 8 (end of programme)
Falls efficacy scale
次要结局
- Social connectedness(Change in score achieved from week 1 (beginning of programme) to week 8 (end of programme))
- Self-efficacy(Change in score achieved from week 1 (beginning of programme) to week 8 (end of programme))
- Activity levels(Change from week 1 (beginning of programme) to week 8 (end of programme))
- Falls and incidents(Number of falls/incidents recorded during the programme (week 1-8))
研究者
Sandra Klaperski
Senior Lecturer in Sport and Exercise Psychology
University of Roehampton