Fall Prevention for Old Community-dwelling People
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Purpose
Fall-related injuries are a major health problem in the growing older population. Most older people are not aware of that physical training can decrease the risk of falling. The aim of tha study is to investigate the effect of the Otago home exercise programme with and without motivational interviewing in community-dwelling people 75 years or older on frequence of falls, fall-related injuries, physical capacity, fall-related self-efficacy, quality of life, mortality and health-related costs.
| Condition | Intervention |
|---|---|
|
Physical Activity |
Other: Otago home exercise programme Other: Motivational interviewing plus Otago |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Fall Prevention for Old Community-dwelling People in Uppsala, Västerås and Sörmland |
- Frequence of falls will be measured with a monthly fall-calender [ Time Frame: Two year ] [ Designated as safety issue: No ]A fall-calender with registration of falls on a monthly bases will be used to record falls. The fall-calender should be sent in each month. Falls will be followed-up with telephone interviews.
- Fall-related injuries will be measured by telephone interviews. [ Time Frame: Two years ] [ Designated as safety issue: No ]
- Physical performance will be measured with Short Physical Performance Battery (SPPB) [ Time Frame: Two years ] [ Designated as safety issue: No ]SPPB measures balance, functional leg strength and walking speed.
- Dynamic balance will be assessed with Mini-BESTest [ Time Frame: Two years ] [ Designated as safety issue: No ]Mini-BESTest assess dynamic balance impairments in 14 items. The items covers a broad spectrum of performance tasks, including transitions and anticipatory postural adjustments, postural responses to to perturbation, sensory orientation and dynamic stability in gait.
- Fall-related self-efficacy will be measured with Fall efficacy scale, Swedish version. [ Time Frame: Two years ] [ Designated as safety issue: No ]
- Grip strength will be measured with Jamar Hand Dynamometer [ Time Frame: Two years ] [ Designated as safety issue: No ]
- Physical Activity level will be measured with Frändin/Grimby activity scale. [ Time Frame: Two years ] [ Designated as safety issue: No ]
- Health related quality of life will be measured with European quality of life questionaire (EQ-5D). [ Time Frame: Two years ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 420 |
| Study Start Date: | November 2012 |
| Estimated Study Completion Date: | January 2016 |
| Estimated Primary Completion Date: | June 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Otago home training programme
Otago home exercise programme was designed specifically to prevent fall. It consists of a set of leg muscle strengthening and balance retraining exercises progressing in difficulty, and a walking plan. The exercise are individually prescribed and increase in difficulty during a series of five home visits by a physiotherapist. |
Other: Otago home exercise programme
Otago home exercise program was designed specifically to prevent falls. It consists of a set of leg muscle strengthening and balance retraining exercises progressing in difficulty, and a walking plan. The exercise are individually prescribed and increase in difficulty during a series of five home visits by a physiotherapist. |
|
Experimental: Motivational interviewing plus Otago
This group is not only exercising at home but also getting motivational interviewing from the physiotherapist at he five home visits. The physiotherapists doing motivational interviewing are specially trained in motivational interviewing.
|
Other: Motivational interviewing plus Otago
This group is not only exercising at home but also getting motivational interviewing from the physiotherapist at he five home visits. The physiotherapists doing motivational interviewing are specially trained in motivational interviewing.
|
|
No Intervention: Control grop
Participants are instructed to live their ordinary lives.
|
Detailed Description:
Participants in the two intervention groups will exercise at home with supervision from physiotherapist week one, two, four and eight. They will then be contacted for telephone follow-up month five, seven and twelve after the start of training. The control group is encouraged to live as usual.
All participants are assessed at baseline, after six, 12 and 24 months from inclusion in the study.
Eligibility| Ages Eligible for Study: | 75 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
75 years or older, community-dwelling, in need of homecare or rollator
Exclusion Criteria:
Cognitive impairment (below 25 on Mini Mental test) Not able to transfer independently indoors -
Contacts and Locations| Sweden | |
| Homes | Recruiting |
| Uppsala, Sweden | |
| Contact: Susanna Tuvemo, PhD student +46 18 471 47 73 susanna.tuvemo.johnson@neuro.uu.se | |
| Principal Investigator: Karin E Hellström, PhD | |
| Homes | Recruiting |
| Västerås, Sweden | |
| Contact: Ann-Christine Johansson, PhD +46 21 17 58 87 ann-christine.johansson@mdh.se | |
| Principal Investigator: Ann-Christine Johansson, PhD | |
| Principal Investigator: | Karin E Hellström, PhD | Uppsala University |
| Principal Investigator: | Ann-Christin Johansson, PhD | Mälardalens University, Sweden |
| Principal Investigator: | Anne Söderlund, Professor | Mälardalens University, Sweden |
More Information
No publications provided
| Responsible Party: | karin hellstrom, PhD, Senior Lecturer, Uppsala University |
| ClinicalTrials.gov Identifier: | NCT01778972 History of Changes |
| Other Study ID Numbers: | Fall prevention UV, 307301 |
| Study First Received: | January 16, 2013 |
| Last Updated: | January 25, 2013 |
| Health Authority: | Sweden: The National Board of Health and Welfare |
Keywords provided by Uppsala University:
|
Fall prevention Home exercise Strength training Balance training |
ClinicalTrials.gov processed this record on May 19, 2013