Fall Prevention for Old Community-dwelling People

NCT01778972 | Completed

• 2 other identifiers: Fall prevention UV307301
• Study Type: interventional
• Target: 420
• Locations: 1 country
• Sites: 2

Brief Summary

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.

Conditions

Physical Activity

Keywords

Fall prevention; Home exercise; Strength training; Balance training

Outcome Measures

Primary Outcomes (1)

• Frequence of falls will be measured with a monthly fall-calender

  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.

  Two year

Secondary Outcomes (3)

• Fall-related injuries will be measured by telephone interviews.

  Two years

• Physical performance will be measured with Short Physical Performance Battery (SPPB)

  Two years

• Dynamic balance will be assessed with Mini-BESTest

  Two years

Other Outcomes (4)

• Fall-related self-efficacy will be measured with Fall efficacy scale, Swedish version.

  Two years

• Grip strength will be measured with Jamar Hand Dynamometer

  Two years

• Physical Activity level will be measured with Frändin/Grimby activity scale.

  Two years

Study Arms (3)

Otago home training programme

EXPERIMENTAL

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

Motivational interviewing plus Otago

EXPERIMENTAL

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

Control grop

NO INTERVENTION

Participants are instructed to live their ordinary lives.

Interventions

Otago home exercise programme OTHER

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.

Otago home training programme

Motivational interviewing plus Otago OTHER

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.

Motivational interviewing plus Otago

Eligibility Criteria

• Age: 75 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• years or older, community-dwelling, in need of homecare or rollator

You may not qualify if:

• Cognitive impairment (below 25 on Mini Mental test) Not able to transfer independently indoors -

Sponsors & Collaborators

• Uppsala University: lead

Study Sites (2)

Homes

Uppsala, Sweden

Location

Homes

Västerås, Sweden

Location

Related Publications (2)

• Drahota A, Udell JE, Mackenzie H, Pugh MT. Psychological and educational interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2024 Oct 3;10(10):CD013480. doi: 10.1002/14651858.CD013480.pub2.

  PMID: 39360568 DERIVED

• Arkkukangas M, Hultgren S. Implementation of motivational interviewing in a fall prevention exercise program: experiences from a randomized controlled trial. BMC Res Notes. 2019 May 14;12(1):270. doi: 10.1186/s13104-019-4309-x.

  PMID: 31088557 DERIVED

MeSH Terms

Conditions

Motor Activity

Interventions

Motivational Interviewing

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Directive Counseling; Counseling; Mental Health Services; Behavioral Disciplines and Activities; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Karin E Hellström, PhD

  Uppsala University

  PRINCIPAL INVESTIGATOR

• Ann-Christin Johansson, PhD

  Mälardalens University, Sweden

  PRINCIPAL INVESTIGATOR

• Anne Söderlund, Professor

  Mälardalens University, Sweden

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD, Senior Lecturer

Study Record Dates

• First Submitted: January 16, 2013
• First Posted: January 29, 2013
• Study Start: November 1, 2012
• Primary Completion: December 1, 2018
• Study Completion: December 1, 2019
• Last Updated: September 29, 2021

Record last verified: 2019-04

Data Sharing

• IPD Sharing: Will not share

Locations

SE (2)