Does Participation in a Fall Preparedness Program Improve Fall Efficacy Among Older Adults
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 30
- 试验地点
- 4
- 主要终点
- Fall Efficacy Scale International (FES-I)
研究概览
简要总结
The purpose of this study is to determine if a fall preparedness program can reduce the fear of falling in older adults and subsequently improve their function and reduce falls with injury.
Participants will perform baseline measures 4 weeks before intervention and again at the start of intervention. They will perform a 12-week intervention and then complete outcome measures again at the conclusion of the program.
详细描述
A. Methods and Procedures
- Introduction Falls are a major concern with the growing older adult population in the US1. Falls lead to injury, reduced quality of life (QOL), fear of falling (FoF), institutionalization, morbidity, and mortality1. Many evidence-based programs exist to prevent falls, however the number of falls continues to rise1,2. There are no current programs that utilize the use of floor transfers and fall landing strategies to reduce the fear of falling in older adults.
- Background
i. According to the CDC, falls are a leading cause of fatal and non-fatal injuries in older adults. Due to the increasing number of older adults, people aged sixty-five years or older, the number of falls is predicted to raise to 52 million per year by 20301. Falls cost the healthcare system $50 billion dollars annually, and that number is expected to rise with the growing number of older adults1. There are many causes that lead to falls, including weakness, vitamin D deficiency, osteoporosis, balance impairments, polypharmacy, vision impairments, foot deformities, foot pain, improper footwear, and hazards in home to name a few more common causes1. Falls can have many negative consequences, including brain injury, broken bones, and fear if falling1.
ii. Fear of falling (FoF) is described as a concern about falls that may lead to reduced balance confidence and reduced self-efficacy that can lead to limitations on daily activities2,3. FoF is present in 21-85% of the older adult population, in both fallers and non-fallers2. Reduced activity from the FoF can lead to a reduction in daily activities, that leads to weakness and reduced balance which can then cause a person to be a higher fall risk1. There is an increased risk for frailty in older adults who experience FoF4.
iii. Due to the vast list of causes of falls, there are many interventions available to treat falls and fall anxiety. Exercise interventions and programs such as tai chi, yoga, and the OTAGO have been described as mechanisms to reduce FoF2,5-7. Another option is a multifactorial program intervention that focuses on removal of trip hazards and medication review in addition to exercise7,8. Cognitive behavioral therapy and relaxation training may also be feasible treatments in reducing FoF in older adults9. A Matter of Balance is an evidenced based cognitive behavioral therapy program that helps reduce fear of falling10.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 60 Years 至 105 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Adults age 60 and up
- •able to participate in exercise program
- •Exclusion criteria:
- •Adults age <60 year old
- •severe medical condition that prohibits the ability to participate in an exercise program
- •6CIT score that indicates severely impaired cognition.
- •Severe medical conditions will be screed by a licensed Physical Therapist. Under the Ohio Practice Act, physical therapists in Ohio are permitted to differently diagnosis. The class participants will be community-dwelling older adults who are less likely to come to participate in an exercise class if they have any severe medical conditions.
- •Any participants with mild cognitive impairment who are not excluded from the study will be offered simplified instructions by the licensed physical therapist performing the assessments. They will also be offered increased verbal, visual, and tactile cues as needed throughout the program to ensure understanding.
排除标准
- 未提供
结局指标
主要结局
Fall Efficacy Scale International (FES-I)
时间窗: 4 weeks before start of intervention through completion of intervention; approximately 15 weeks
Measure of self reported fall efficacy
次要结局
- short physical performance battery (SPPB)(4 weeks before start of intervention through completion of intervention; approximately 15 weeks)
- Physical Activity Scale for the Elderly (PASE)(4 weeks before start of intervention through completion of intervention; approximately 15 weeks)