Use of Tele-Exercise for Translating an Evidence-Based Fall-Prevention Program for Older Adults in West Virginia

NCT03714100 | Completed

• 1 other identifier: 3R49CE002109-05S1
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

West Virginia (WV) has a critical need for resources to reach more of its older adults with fall-prevention programming. The Tai Ji Quan: Moving for Better Balance® (TJQMBB) program is an evidence-based, Centers for Disease Control and Prevention (CDC)-approved, community-delivered, physical activity fall-prevention intervention for older adults. The program is efficacious and effective in reducing falls in older adults, and has been translated into clinical and community settings. Programs delivered in one setting; however, may not automatically translate to others. Using telehealth technology to deliver exercise classes (i.e. tele-exercise) is one alternative to the traditional, face-to-face, group exercise classes where the instructor and participants are in the same room. We propose delivering tele-TJQMBB to older adults using a computer, television, and the internet. This delivery mode will allow us to recruit instructors from any location (e.g., urban areas), and with possibly more experience, yet still reach older adults in communities without instructors.

Conditions

Accidental Falls

Outcome Measures

Primary Outcomes (1)

• Four Square Test

  Balance will be assessed using the Four Square Test which requires participants to step over low objects and move in 4 directions.

  At 16 weeks after start of intervention

Secondary Outcomes (12)

• Gait Speed: 5-meter walk test

  Collected at end of the intervention (16 weeks)

• Mobility: Timed up-and-go test

  Collected at end of the intervention (16 weeks)

• Lower extremity strength: 5-chair stands test

  Collected at end of the intervention (16 weeks)

• Physical Activity: National Health Interview Survey (NHIS)

  Collected at end of the intervention (16 weeks)

• Health-related quality of life: Short Form-12 (SF-12)

  Collected at end of the intervention (16 weeks)

Study Arms (1)

MFBB intervention

EXPERIMENTAL

All participants will attend Tai Ji Quan: Moving for Better Balance classes twice a week for 16 weeks. Groups of participants will gather at a local community site that has videoconferencing capabilities. The instructor will be teaching the class from a different location via a live video feed.

Behavioral: Tai Ji Quan: Moving for Better Balance

Interventions

Tai Ji Quan: Moving for Better Balance BEHAVIORAL

Participants will attend one-hour Tai Ji Quan: Moving for Better Balance classes twice a week for 16-weeks. Groups of participants will gather at a local community site that has videoconferencing capabilities. The instructor will be teaching the class from a different location via a live video feed.

Also known as: Tai Chi, Physical Activity, Exercise

MFBB intervention

Eligibility Criteria

• Age: 55 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adults age 55 and older
• Community-dwelling
• Able to attend 2, 1-hour Tai Ji Quan: Moving for Better Balance classes a week for 16 weeks
• Able to attend 2 testing sessions for data collection (Testing sessions will be scheduled the week before classes begin and the week after the classes end)
• Able to walk at least 2 city blocks with or without an assistive device

You may not qualify if:

• Lack reliable transportation
• Unable to speak English

Sponsors & Collaborators

• West Virginia University: lead

Study Sites (1)

West Virginia University

Morgantown, West Virginia, 26505, United States

Location

MeSH Terms

Interventions

Tai Ji; Exercise

Intervention Hierarchy (Ancestors)

Mind-Body Therapies; Complementary Therapies; Therapeutics; Exercise Movement Techniques; Physical Therapy Modalities; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Dina L Jones, PT, PhD

  West Virginia University

  PRINCIPAL INVESTIGATOR

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: Professor

Study Record Dates

• First Submitted: October 11, 2018
• First Posted: October 22, 2018
• Study Start: November 1, 2018
• Primary Completion: January 31, 2020
• Study Completion: January 31, 2020
• Last Updated: October 14, 2020

Record last verified: 2020-10

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)