Virtual Reality Activity-based Training for Preventing Falls for Older Adults With Mild Cognitive Impairment

NCT05971420 | Completed

• 1 other identifier: USQ AEC H21REA071
• Study Type: interventional
• Target: 18
• Locations: 1 country
• Sites: 1

Brief Summary

Using a Virtual Reality (VR) games-based application is as an innovative falls prevention technology in an aged care service. The VR intervention has promising effects on improving the physical and balance performances in the older adults.The study explored and evaluated the effects of VR activity-based training on falls prevention among community-dwelling older adults with mild cognitive impairment.

Conditions

Mild Cognitive Impairment; Fall Prevention; Virtual Reality; Exercise Training

Keywords

Fall risk; VR; MCI; Ageing

Outcome Measures

Primary Outcomes (3)

• Berg balance test (BBS) - change is being assessed

  To test the balance performance and assess the fall risk. Total score is 56 ( score below 51 indicated predictive of fall risk)

  At prettest, postest (up to 8 weeks) and post 3 months follow up

• Time up and go test (TUG) - change is being assessed

  To assess functional mobility and assess the fall risk. Score over 12 seconds indicates higher risk of fall for the older adults

  At prettest, postest (up to 8 weeks) and post 3 months follow up

• Six minutes walk test (6MWT) - change is being assessed

  To assess the walking speed and performance. Walking distance within 6 minutes measured the length (m/metre)

  At prettest, postest (up to 8 weeks) and post 3 months follow up

Secondary Outcomes (3)

• Cognitive status assessed by Montreal Cognitive Assessment Scale- change is being assessed

  At prettest, postest (up to 8 weeks) and post 3 months follow up

• Executive functioning tests by Trail making test A and test B *TMTA/B) - change is being assessed

  At prettest, postest (up to 8 weeks) and post 3 months follow up

• Fall efficacy by fall efficacy international scale (FESI) - change is being assessed

  At prettest, postest (up to 8 weeks) and post 3 months follow up

Study Arms (2)

VR group

EXPERIMENTAL

VR activity-based training

Other: VR activity-based

Exercise group

ACTIVE COMPARATOR

Exercise-based training (Baduanjin)

Other: Exercise-based (Baduanjin)

Interventions

VR activity-based OTHER

VR games activities were chosen for simulated cognitive-motor training in the VR group. The VR training modules for this study included fire drill, walking exercise, balancing game activities and community shopping practices. These training modules involved dual task components; the participant was expected to train up his/her physical and cognitive motor performances in an 8-week VR activity-based program. VR group participants received 2-sessions per week, 16 training sessions in total.

VR group

Exercise-based (Baduanjin) OTHER

The exercise group used a traditional Chinese Qigong Baduanjin exercise incorporating with a fall prevention education strategy.

Exercise group

Eligibility Criteria

• Age: 65 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• aged 65 years to 85 years inclusive;
• had a history of a fall within the past 2 years;
• community-dwelling older adults;
• at a higher risk of mild cognitive impairment and dementia, assessed by a validated screening tool of Hong Kong Montreal Cognitive assessment test (HK-MoCA score=21/22);
• walk independently e.g. able to access publicly - VR research center centre or local community aged care facilities.

You may not qualify if:

• if they had a medical diagnosis of unstable health conditions
• dizziness;
• Meniere's disease;
• Epilepsy;
• Parkinson's disease;
• Severe hearing impairment and visual impairments;
• Mental illness.

Sponsors & Collaborators

• University of Southern Queensland: lead
• The Hong Kong Polytechnic University: collaborator

Study Sites (1)

The Hong Kong Polytechnic University, St. James Settlement Hong Kong, Salvation Army Hong Kong

Hong Kong, China, 0000, Hong Kong

Location

MeSH Terms

Conditions

Cognitive Dysfunction

Condition Hierarchy (Ancestors)

Cognition Disorders; Neurocognitive Disorders; Mental Disorders

Study Officials

• WING KEUNG IP

  University of Southern Queensland

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 8, 2023
• First Posted: August 2, 2023
• Study Start: July 1, 2021
• Primary Completion: December 30, 2021
• Study Completion: January 15, 2022
• Last Updated: August 2, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

HK (1)