Project Grow: Establishing an Intergenerational Falls Prevention Gardening Programme

NCT03216031 | Completed

• 2 other identifiers: LSC/2016/55220793
• Study Type: interventional
• Target: 16
• Locations: 1 country
• Sites: 1

Brief Summary

Wandsworth Integrated Falls and Bone Health Service (IF \& BHS) provides an evidence-based falls prevention exercise programme, but yearly about 500 of 1800 patients decline participation or do not continue to exercise. Our study seeks to address this efficiency gap by developing a gardening programme as an alternative to traditional exercise. In a preparation period (4/17-5/17) we will explore the special needs of the target population through interviews and create an age appropriate gardening site at "Growhampton", a gardening project run by the University of Roehampton; from 5/17 to 9/17 a falls prevention gardening group will be implemented and evaluated.

Conditions

Fall

Keywords

Falls prevention; Gardening

Outcome Measures

Primary Outcomes (6)

• Physical effects 1/3

  Timed Up and Go time (in sec)

  Change in sec needed from week 1 (beginning of programme) to week 8 (end of programme)

• Physical effects 2/3

  Number stands in 30 sec Sit-to-Stand test

  Change in number of stands achieved from week 1 (beginning of programme) to week 8 (end of programme)

• Physical effects 3/3

  Turn test (n steps to turn 180 degrees)

  Change in numbers of steps needed from week 1 (beginning of programme) to week 8 (end of programme)

• Health

  Health (EQ-5D-5L Questionnaire)

  Change in score achieved from week 1 (beginning of programme) to week 8 (end of programme)

• Wellbeing

  Wellbeing (Warwick-Edinburgh Mental

  Change in score achieved from week 1 (beginning of programme) to week 8 (end of programme)

• Falls efficacy

  Falls efficacy scale

  Change in score achieved from week 1 (beginning of programme) to week 8 (end of programme)

Secondary Outcomes (4)

• Falls and incidents

  Number of falls/incidents recorded during the programme (week 1-8)

• Activity levels

  Change from week 1 (beginning of programme) to week 8 (end of programme)

• Self-efficacy

  Change in score achieved from week 1 (beginning of programme) to week 8 (end of programme)

• Social connectedness

  Change in score achieved from week 1 (beginning of programme) to week 8 (end of programme)

Interventions

Gardening programme BEHAVIORAL

3 groups with up to 10 patients and 2-4 students/staff members each should meet once per week for about 1 hour to engage in gardening activities at the falls prevention growing site. Each participant will attend the programme 8 times.

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Having had a Falls and Bone Health Assessment by the Integrated Falls and Bone Health Service (IF \& BHS) Wandsworth
• Having falls or bone health risk factors but being able to mobilise without walking aids
• Having been assessed by IF \& BHS as having capacity to take part in a gardening intervention programme
• Having indicated an interest in attending a gardening group following the IF \& BHS assessment if they a) do not want to participate in any other elements of the IF \& BHS programme or if they b) have completed other elements of the service offered by the IF \& BHS, e.g. exercise groups, Nordic walking or Zumba gold.

You may not qualify if:

• Having a known diagnosis of dementia
• Not being able to adequately understand verbal explanations or written information given in English
• Having a falls risk profile that indicates that the individual has high falls risk in this context - this is a clinical decision and will take account of a number of variables including mobility (Timed up \& Go of more than 20 sec) and their general health (e.g., large postural drop, uncontrolled diabetes, significant behaviour that challenges).

Sponsors & Collaborators

• University of Roehampton: lead
• St George's University Hospitals NHS Foundation Trust: collaborator

Study Sites (1)

University of Roehampton in collaboration with St George's University Hospitals NHS Foundation Trust

London, United Kingdom

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior Lecturer in Sport and Exercise Psychology

Model Details: In the implementation phase, a falls prevention gardening group will be implemented. Staff members of the Integrated Falls and Bone Health Service will offer their patients who decline to take part in the standard prevention exercise programme or who have completed the other prevention classes to participate in a gardening programme. The goal is to recruit 30 patients as participants of the gardening programme and to engage them in weekly gardening activities for 8 weeks (either 8 weeks in a row or 8 attendances over 3 months to allow for sickness / other reasons for non-attendance). 3 groups with up to 10 patients and 2-4 students/staff members each should meet once per week for about 1 hour to engage in gardening activities at the new growing site. Only participants who have passed the risk screening of the Integrated Falls and Bone Health Service and who meet all inclusion criteria will be invited to join the gardening programme.

Study Record Dates

• First Submitted: April 26, 2017
• First Posted: July 12, 2017
• Study Start: April 24, 2017
• Primary Completion: September 1, 2017
• Study Completion: September 1, 2017
• Last Updated: October 26, 2017

Record last verified: 2017-10

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)