Evaluating Technology-Based Fall Prevention Interventions

NCT03190460 | Completed Results

• 2 other identifiers: 50219R21NR015541
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Approximately one in three older adults fall annually and it is the primary cause of traumatic injury in older adults. While exercise and balance programs have been shown to be effective in reducing fall risk, maintaining behavior change is known to be difficult. Thus additional interventions need to be validated to add to our current armamentarium to reduce falls in older adults. Cognitive training (CT) involves exercises that target specific cognitive tasks, such as memory or processing speed. It has been speculated that routinely performing such tasks may increase functional ability. Recent work has pointed to an increased risk of falls in community-dwelling older adults who have alterations in specific cognitive tasks. Thus the purpose of the proposed study is to demonstrate the feasibility and to explore the effectiveness of a 16 week CT intervention to reduce risk and incidence of fall and improve outcomes up to 1 month post-intervention in a group of community dwelling older adults at risk for fall.

Conditions

Falls (Accidents) in Old Age

Outcome Measures

Primary Outcomes (1)

• Falls

  Falls and Injurious Falls as per Fall Calendar

  16 weeks

Secondary Outcomes (4)

• Disability

  8 weeks, 16 weeks, 20 weeks.

• Cognitive Assessment

  8 weeks, 16 weeks, 20 weeks

• Gait Assessment

  8 weeks, 16 weeks, 20 weeks

• Balance Assessment

  8 weeks, 16 weeks, 20 weeks

Study Arms (2)

Intervention

EXPERIMENTAL

Other: Cognitive Training

Education

OTHER

Other: Technology-based Education

Interventions

Cognitive Training OTHER

Web-based cognitive training intervention targeting specific cognitive tasks. Subjects complete 3 training sessions per week with at least 24 hours in between sessions.

Intervention

Technology-based Education OTHER

Subjects complete 16 web-based educational modules on healthy aging content. Following each module, subjects complete a learning reflection.

Education

Eligibility Criteria

• Age: 65 Years - 89 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• years old
• speak and read English
• live within 30 miles of the University of Washington
• a score of 4 or higher on the Memory Impairment Screen (MIS-T)
• regular access to a computer with internet capability (whether at home, friend/family, community center, public library, or other)
• a positive response to any of the following three fall related questions: i) Have you had two or more falls in the prior 12 months? ii) Are you responding to the advertisement because of a recent fall? iii) Do you have difficulty with walking or balance?
• \<53 seconds on 90 second balance test or gait speed \<1m/sec.

You may not qualify if:

• current participation in formal cognitive training program
• currently bedridden or wheelchair dependent

Sponsors & Collaborators

• University of Washington: lead
• National Institute of Nursing Research (NINR): collaborator

Study Sites (1)

University of Washington

Seattle, Washington, 98195, United States

Location

Related Publications (2)

• Thompson HJ, McGough E, Demiris G. Falls and Cognitive Training 2 (FaCT2) study protocol: a randomised controlled trial exploring cognitive training to reduce risk of falls in at-risk older adults. Inj Prev. 2020 Aug;26(4):370-377. doi: 10.1136/injuryprev-2019-043332. Epub 2019 Aug 26.

  PMID: 31451566 BACKGROUND

• 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

MeSH Terms

Interventions

Cognitive Training

Intervention Hierarchy (Ancestors)

Neurological Rehabilitation; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services

Results Point of Contact

• Title: Dr. Hilaire Thompson
• Organization: University of Washington School of Nursing

hilairet@uw.edu

2066165641

Study Officials

• Hilaire Thompson

  University of Washington

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: June 13, 2017
• First Posted: June 16, 2017
• Study Start: February 15, 2017
• Primary Completion: January 31, 2019
• Study Completion: February 28, 2019
• Last Updated: June 7, 2022
• Results First Posted: January 20, 2021

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)