Engaging Older Adults in Fall Prevention Using Motivational Interviewing (MI)

NCT04612842 | Completed Results DMC

• 2 other identifiers: IRB00008993K23NR018672
• Study Type: interventional
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

This mixed-methods, two-arm, randomized controlled trial will evaluate the impact of Motivational Interviewing (MI) as a follow-up care to patients who received fall prevention recommendations at Oregon Health \& Science University Internal Medicine and Geriatrics Clinic provided over 12 months.

Conditions

Fall; Motivation; Behavior; Coping Behavior

Keywords

Fall prevention; Motivational Interviewing

Outcome Measures

Primary Outcomes (2)

• Falls Self-Efficacy Scale-International (FES-I) Results

  A 7-item scale, 1-4 self-report rating, widely used to measure levels of concern related to preventing falls. Minimum value is 7 and maximum value is 28. Higher FES-I scores is a worse value since it has been positively correlated with decreased activities, future falls, and injury.

  3-, 6-, and 12-months

• Fall Behavioral (FAB) Scale Results

  A 24-item, 1-4 self-report rating to measure frequency of protective strategies to prevent falling and risky behaviors that facilitate a fall. The average value is calculated with a minimum value of 1 and maximum value of 4. Higher FAB score is a better value since it indicates more consistent fall protective behaviors.

  3-, 6-, and 12-months

Secondary Outcomes (9)

• Patient Activation Measure Results

  3-, 6-, and 12-months

• Level of Confidence to Prevent Falls

  3-, 6-, and 12-months

• Level of Importance to Prevent Falls

  3-, 6-, and 12-months

• Balance Measure (Feet Side by Side)

  6- months

• Balance Measure (Semi-tandem Stand)

  6- months

Study Arms (2)

Motivational Interviewing (MI) goup

EXPERIMENTAL

The MI experimental group will receive the same measurements as the control group, and in addition, receive MI-based communication about fall prevention at eight occasions during the 6-month period. MI is an evidence-based communication approach for various health behavior change.

Behavioral: Motivational Interviewing

Control group

NO INTERVENTION

The control group participants will take part in study measurements (self-report and physiologic assessment) for 12-months. Primary assessment measures are at baseline, 6-, and 12-months and will be conducted via phone survey, video assessment, or mail-in calendar.

Interventions

Motivational Interviewing BEHAVIORAL

The PI and two study staff members (interventionists) will conduct study visits and phone calls. The same person will complete participant follow-ups to establish rapport and consistency. All of the study encounters will be audio recorded with participants' permission and study encounter notes will be completed by the interventionist. Interventionists will facilitate MI sessions using the MI guide and a participant handout. The goal of each MI session is to identify a specific fall prevention behavior, the participant's goal with this behavior, readiness to change, specific plan to move toward the goal, barriers and facilitators, and the participant's commitment level to change.

Motivational Interviewing (MI) goup

Eligibility Criteria

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

You may qualify if:

• Oregon Health \& Science University (OHSU) Internal Medicine and Geriatrics Clinic patients
• years old or older
• Moderate-to-high risk for falling using the STEADI fall screening and management algorithm
• Cognitively oriented (Mini-Cog≥ 3)
• Able to converse audibly and coherently in English
• Living independently in the community
• Able to receive study phone calls
• Ambulatory with or without assistive device use

You may not qualify if:

• Cognitively impaired patients (Mini-Cog\< 2)
• Patients who have sensory difficulty with verbal communication (hard-of-hearing despite the use of hearing aids or speech is hard to understand despite a talking device)
• Living in institutions with 24-hour care such as skilled nursing facilities
• Unable to stand without assistance by others
• Life-expectancy of less than 3-months
• Patients participating in other studies that may impact fall-related behavior change

Sponsors & Collaborators

• Oregon Health and Science University: lead
• National Institute of Nursing Research (NINR): collaborator

Study Sites (1)

Oregon Health & Science University

Portland, Oregon, 97239, United States

Location

MeSH Terms

Conditions

Behavior

Interventions

Motivational Interviewing

Intervention Hierarchy (Ancestors)

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

Limitations and Caveats

Study enrollment \& data collection were conducted during the COVID-19 pandemic in Oregon.

Results Point of Contact

• Title: Dr. Hiroko Kiyoshi-Teo (Assistant Professor)
• Organization: Oregon Health & Science University

kiyoshi@ohsu.edu

5034943858

Study Officials

• Hiroko Kiyoshi-Teo, PhD

  Oregon Health and Science University

  PRINCIPAL INVESTIGATOR

Publication Agreements

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: October 8, 2020
• First Posted: November 3, 2020
• Study Start: September 9, 2020
• Primary Completion: March 24, 2023
• Study Completion: September 28, 2023
• Last Updated: August 13, 2024
• Results First Posted: August 13, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)