VISIBLE Study (Visual Intervention Strategy Incorporating Bifocal & Long-Distance Eyewear)
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Purpose
The purpose of this study is to determine whether the provision of supplementary plain distance glasses for outdoor use to older users multifocal glasses will reduce falls rates over a 12 month period.
| Condition | Intervention |
|---|---|
|
Falls |
Behavioral: Outdoor use of plain distance glasses with counselling |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | Randomised Controlled Falls Prevention Trial of Plain Distance Glasses in Elderly Multifocal Wearers. |
- Falls rates, Falls diaries [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Quality of life, SF-36 [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Instrumental Activities of Daily Living, Adelaide Activities Profile [ Time Frame: 12 months ] [ Designated as safety issue: No ]
- Modified Falls Efficacy Scale [ Time Frame: 12 months ] [ Designated as safety issue: No ]
| Enrollment: | 606 |
| Study Start Date: | June 2005 |
| Study Completion Date: | December 2008 |
| Primary Completion Date: | August 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Provision of single lens glasses, glasses aids, counselling, updated multifocal glasses if required
|
Behavioral: Outdoor use of plain distance glasses with counselling
Provision of single lens glasses, glasses aids, counselling, updated multifocal glasses if required
|
|
No Intervention: 2
Usual care, updated multifocal glasses if required
|
Behavioral: Outdoor use of plain distance glasses with counselling
Provision of single lens glasses, glasses aids, counselling, updated multifocal glasses if required
|
Detailed Description:
Background: Bi-, tri- and multi- focal ('multifocal') glasses have been associated with increased rates of falls in older people (Lord et al 2002).
Study Aim: To determine whether the provision of supplementary plain distance glasses for outdoor use to older users multifocal glasses will reduce falls rates over a 12 month period.
Study Design: A randomised controlled assessor-blinded trial with two parallel groups in 580 participants. Study inclusion criteria are: outdoor use of multifocal glasses 3 or more times per week, community-dwelling persons aged 65+ years with a recent fall OR persons aged 80+ years regardless of falls history, Folstein Mini Mental score of 24+, and adequate visual contrast sensitivity (Melbourne Edge Test score of 16+dB). All participants will receive an optometry assessment and updated multifocal glasses (if required) at baseline. Intervention group subjects will receive a pair of plain distance glasses and counselling for their use in predominantly outdoor situations. Control group participants will use their multifocal glasses in their usual manner. Falls rates and compliance with the intervention will be recorded on monthly falls diaries returned by the participants.
Eligibility| Ages Eligible for Study: | 65 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- outdoor use of multifocal glasses 3 or more times per week
- community-dwelling persons aged 65+ years with a recent fall OR persons aged 80+ years regardless of falls history
- Folstein Mini Mental score of 24+
- adequate visual contrast sensitivity (Melbourne Edge Test score of 16+dB)
Exclusion Criteria:
- nursing home residents
Contacts and Locations| Australia, New South Wales | |
| Prince of Wales Medical Research Institute | |
| Sydney, New South Wales, Australia, 2031 | |
| Principal Investigator: | Stephen R Lord, PhD | University of New South Wales |
More Information
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Professor Stephen Lord, Prince of Wales Medical Research institute |
| ClinicalTrials.gov Identifier: | NCT00350389 History of Changes |
| Other Study ID Numbers: | 350855 |
| Study First Received: | July 6, 2006 |
| Last Updated: | February 13, 2009 |
| Health Authority: | Australia: National Health and Medical Research Council |
Keywords provided by The University of New South Wales:
|
Falls, Older persons |
Additional relevant MeSH terms:
|
Amphetamine Methamphetamine Central Nervous System Stimulants Physiological Effects of Drugs Pharmacologic Actions Central Nervous System Agents Therapeutic Uses Sympathomimetics Autonomic Agents |
Peripheral Nervous System Agents Dopamine Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Adrenergic Agents Adrenergic Uptake Inhibitors Neurotransmitter Uptake Inhibitors Dopamine Uptake Inhibitors |
ClinicalTrials.gov processed this record on May 22, 2013