Exercise Engagement in People Over 60 at Risk of Falls

NCT06100445 | Recruiting

• 1 other identifier: DEV072
• Study Type: observational
• Target: 10
• Locations: 1 country
• Sites: 1

Brief Summary

It is a qualitative study, using semi structured interviews to explore patient's experiences of falls and their perceptions on facilitators and barriers to exercise. Aim: To explore reasons for and against engaging with exercises at home in participants over the age of 60 at risk of falls. To explore:

1. 1.Patients' preferences to exercise format and type eg/ leaflet, online, access, such as the Chartered Society of Physiotherapy (CSP) chair exercises leaflet or individual personalized rehabilitation programme handouts
2. 2.The ability to discuss falls risk with health professionals.
3. 3.If health inequalities exist with people at risk of falls and exercising.
4. 4.Sustainability of exercise, in order to reduce the risk of falls in this population.
5. 5.The need to develop MSK internal and external facing falls management pathways.

Conditions

Musculoskeletal Injury; Frailty; Physical Inactivity; Health Behavior

Outcome Measures

Primary Outcomes (1)

• Explore reasons for and against engaging with exercises at home.

  By identifying themes during anaylsis of study interviews

  Through study completion, an average of 1 year

Secondary Outcomes (1)

• Patients' thoughts on service materials, provision and communication

  Through study completion, an average of 1 year

Interventions

Semi structured interviews BEHAVIORAL

Gaining qualitative data

Eligibility Criteria

• Age: 60 Years - 95 Years
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

This is a single centre study, based at Rossendale Health Centre. The MSK Physiotherapy Service is part of an integrated model in East Lancashire Hospitals NHS Trust (ELHT) for managing musculoskeletal, rheumatology, orthopaedic and pain conditions (https://elht.nhs.uk/services/integrated-msk-pain-and-rheumatology-service). The aim is to deliver the highest quality of care and support for patients with musculoskeletal conditions. This includes patients who have been referred following falls resulting in fractures or soft tissue injuries, and painful long-term conditions such as osteoarthritis which can impact mobility. A third of the caseload in MSK physiotherapy consists of patients over the age of 60.

You may qualify if:

• Aged 60 years or over
• At risk of falls or had a fall due to a musculoskeletal cause (pain, muscle weakness, balance issue)
• Has capacity to consent, as deemed by the direct care team and researcher
• Can communicate in English OR the use of a translation service - Able to independently participate in an interview either face-to-face or via remote means OR can use a translation service

You may not qualify if:

• \- Aged under 60
• Have a medical cause of falls OR currently under investigation for a medical cause of falls (eg/ dizziness, cardiac, visual impairment reported as being the cause of the fall as opposed to weakness or pain in lower limbs/balance issues or unsteady on feet)
• Moderate to severe cognitive impairment impairing capacity to consent

Sponsors & Collaborators

• East Lancashire Hospitals NHS Trust: lead
• National Institute for Health Research, United Kingdom: collaborator

Study Sites (1)

East Lancashire Hospitals NHS Trust

Blackburn, Lancashire, BB2 3HH, United Kingdom

RECRUITING

Related Links

• Older adult perceptions of exercise in the community
• National falls data and fragility priority and frameworks
• NICE guidelines, updated 2024
• WHO guidelines

MeSH Terms

Conditions

Frailty; Sedentary Behavior; Health Behavior

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms; Behavior

Study Officials

• James Boateng

  East Lancashire Hospitals NHS Trust

  STUDY CHAIR

• Elizabeth Lightbody

  National Institute for Health Research, United Kingdom

  STUDY CHAIR

Central Study Contacts

Michelle Thirlwall

CONTACT

01706 235398; michelle.thirlwall@elht.nhs.uk

Michelle Stephens

CONTACT

07976152397; michelle.stephens@elht.nhs.uk

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: October 13, 2023
• First Posted: October 25, 2023
• Study Start: January 26, 2024
• Primary Completion: December 31, 2024
• Study Completion: December 31, 2024
• Last Updated: June 21, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)