TAIC: Student-led Exercise for Older Adults at Risk of Falling

NCT03961750 | Completed

• 1 other identifier: TAIC
• Study Type: interventional
• Target: 12
• Locations: 1 country
• Sites: 1

Brief Summary

The National Records of Scotland population projections show the pension age population increasing by 25% over the next 25 years. Falls are a major cause of hospitalisation in older adults, one in three community dwelling older adults over 65 years of age fall each year. There is a need to explore novel methods of delivering care to a growing older adult population. A programme of exercise called OTAGO has been found to reduce the number of falls for older adults. Several studies have explored the use of students to lead exercise interventions but these have not included assessing the impact to student educational experiences and outcomes with varying degrees of success on patient outcomes and no adverse events. Research Aim: To examine the feasibility of a student-led exercise intervention in improving falls risk outcomes for community dwelling older adults at risk of falling referred from NHS falls services. Study Design: A feasibility study examining a single patient group undertaking a 12 week, student-led, OTAGO exercise class for community dwelling older adults at Glasgow Caledonian University. OTAGO consists of progressive strength and balance exercises. Participants will be screened, invited to consent to the trial, asked to undertake the 12 week intervention and assessed using physical measures before and after the trial and face to face interviews after the trial. Recruitment will be through the NHS Greater Glasgow and Clyde and Lanarkshire community falls teams and the exercise delivery is consistent with usual care, the main difference is the location and student leaders. Students are qualified OTAGO Leaders. Funding has been received from AGILE the Chartered Society of Physiotherapists professional network working with older adults. Student educational experiences and outcomes will be assessed over the study period and are included in a separate study protocol

Conditions

Falls; Exercise

Keywords

Older Adult; OTAGO; Student led

Outcome Measures

Primary Outcomes (1)

• Timed Up and Go

  Functional Outcome

  5-10 minutes to administer

Study Arms (1)

Intervention

EXPERIMENTAL

A feasibility study examining a single patient group undertaking a 12 week, student-led, OTAGO exercise class for community dwelling older adults at Glasgow Caledonian University. OTAGO consists of progressive strength and balance exercises.

Other: OTAGO

Interventions

OTAGO OTHER

12 Week exercise class programme

Also known as: Otago exercise classes

Intervention

Eligibility Criteria

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

You may qualify if:

• Older adults - at least 65 years of age or older
• Referred to the NHS falls service and identified as 'at risk of a fall' by the NHS falls team - this will be based on the discretion of the referring falls team. NB participants do not need to have experienced a fall to be included.
• Community dwelling - participants need to be living independently, this can include a package of care or family support
• Be able to ambulate independently with a walking aid (10 meters in a straight line)
• have self-reported visual and auditory capacities to follow the exercises
• have the capacity to provide a signed informed-consent statement based on the Six-item screener score with 2 or more wrong answers indicating a high risk of reduced capacity (Callahan et al, 2002, Carpenter et al, 2011).

You may not qualify if:

• Participants -
• living in a Residential or Care Home
• unable to follow simple instructions or guidance
• who have a medical contraindication for physical activity, participants will be asked to self-declare in line with the Health Commitment Statement (UKACTIVE,2018)
• unable to ambulate independently 10 meters with a walking aid
• with a severe visual and auditory disabilities
• with an unstable cardiovascular disease
• with a neurological disorder that could compromise them from exercising
• with a lower-extremity fracture in the past year

Sponsors & Collaborators

• Glasgow Caledonian University: lead
• NHS Greater Glasgow and Clyde: collaborator
• NHS Lanarkshire: collaborator

Study Sites (1)

Glasgow Caledonian University

Glasgow, United Kingdom

Location

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Dawn Skelton, PhD

  Glasgow Caledonian University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Pre Post test single cohort feasibility study

Study Record Dates

• First Submitted: May 22, 2019
• First Posted: May 23, 2019
• Study Start: October 1, 2019
• Primary Completion: October 27, 2021
• Study Completion: September 1, 2023
• Last Updated: February 23, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)