Practicing Getting Up From the Floor to Reduce Fear of Falling and Improve Floor-Rise Ability in Community-Dwelling Older Adults: A Pilot Study

NCT06823882 | Completed

• 1 other identifier: AHP/A23/004
• Study Type: interventional
• Target: 61
• Locations: 1 country
• Sites: 1

Brief Summary

Goal: This pilot study aims to determine whether practicing getting down to and standing up from the floor reduces fear of falling (FoF) and improves older adults' ability to complete this task. The study compares this to a control group that watches educational videos on the same topic. This practice is referred to as Floor-Rise Training (FRT). Main Questions:

• A group receiving 20 minutes of FRT weekly for 5 weeks.
• A control group watching FRT videos followed by discussions over the same period. Changes in floor-rise ability and FoF will be assessed to determine the effectiveness of FRT. Participants: Participants will be recruited from five Otago exercise classes (a falls prevention program without FRT) in Renfrewshire. Each class will be randomly assigned to either:
• The FRT intervention group (3 classes).
• The control group (2 classes) watching videos that include an FRT demonstration. Participants will complete questionnaires (to assess FoF) and timed floor-rise tests before and after the intervention. Some may also be invited to focus groups to share their experiences with the intervention, videos and with our recruitment procedures.

Conditions

Fear of Falling; Floor-Rise Ability; Falls; Post-Fall Recovery; Older Adults (65 Years and Older)

Outcome Measures

Primary Outcomes (1)

• Falls Efficacy Scale-International (FES-I)

  A 16-item questionnaire that assesses concern about falling during daily activities. Scores range from 16 (no concern) to 64 (severe concern). A lower score indicates a lower fear of falling.

  Baseline and 1 week following the intervention (6 weeks post-baseline).

Secondary Outcomes (7)

• Timed Floor-Rise (Supine to Standing)

  Baseline and 1 week following the intervention (6 weeks post-baseline).

• Timed Floor-Rise (Sitting to Standing)

  Baseline and 1 week following the intervention (6 weeks post-baseline).

• Timed Floor-Rise (Kneeling to Standing)

  Baseline and 1 week following the intervention (6 weeks post-baseline).

• Perceived Ability to Manage Falls (PAMF)

  Baseline and 1 week following the intervention (6 weeks post-baseline).

• Fear of Falling Visual Analog Scale (VAS) - Indoor

  Baseline and 1 week following the intervention (6 weeks post-baseline).

Study Arms (2)

Floor-Rise Training Group

EXPERIMENTAL

Participants practiced getting up from the floor using a structured approach called the Backward Chaining Method (BCM). Sessions lasted 20 minutes weekly for 5 weeks, led by an instructor.

Behavioral: Floor-Rise Training

Video Demonstration Group

ACTIVE COMPARATOR

Participants watched a 20-minute instructional video called "Upwards and Onwards", available on the NHS Inform website. The video explains how to get up from the floor safely and how to practice. It was divided into shorter sections over 5 weeks, with group discussions ensuring a total of 20 minutes per week.

Behavioral: Video Demonstration

Interventions

Floor-Rise Training BEHAVIORAL

Practicing getting up from the floor using the Backward Chaining Method (BCM) for 20 minutes per week for 5 weeks

Also known as: Backward Chaining Method

Floor-Rise Training Group

Video Demonstration BEHAVIORAL

Watching a 20-min video on floor-rise technique and over 5 weeks, with discussions. This video explains how to get up safely from the floor and how to practice.

Video Demonstration Group

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Aged 65 or older
• Able to provide written informed consent
• Currently engaged with ROAR and attending the Otago exercise classes

You may not qualify if:

• Requiring a walking frame indoors to mobilise
• Have any medical condition that renders it inadvisable to descend to the floor (e.g. such as awaiting knee replacement surgery)
• Any uncontrolled medical condition requiring medical input
• BM I≥ 30 kg/m2
• Lacking capacity to consent to participate
• Unable to comprehend FRT instructions

Sponsors & Collaborators

• Glasgow Caledonian University: lead

Study Sites (1)

Glasgow Caledonian University

Glasgow, Scotland, G4 0BA, United Kingdom

Location

Study Officials

• Dawn A Skelton, PhD

  Glasgow Caledonian University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Doctor of Physiotherapy (DPT) Student

Model Details: Cluster Randomization

Study Record Dates

• First Submitted: February 7, 2025
• First Posted: February 12, 2025
• Study Start: January 15, 2024
• Primary Completion: March 1, 2024
• Study Completion: March 19, 2024
• Last Updated: February 12, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: Starting 6 months after publication and ending 5 years after publication.
• Access Criteria: Qualified researchers affiliated with academic institutions will be able to access the de-identified participant-level data for primary and secondary outcome measures and study protocol by contacting the principal investigator.

Locations

GB (1)