OTAGO Exercise Program and Motivational Interviewing

NCT06931067 | Recruiting DMC

• 1 other identifier: 27787
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this study is to see if OTAGO instructors, who have been trained in a special communication method called motivational interviewing, can help older adults start and stick with the OTAGO exercise program. The results will help guide future research on how behavior change techniques can support other fall prevention strategies.

Conditions

Fall Risk Factors; Physical Activity; Engagement, Patient; Community-dwelling Older Adults

Keywords

OTAGO; OEP; Motivational interviewing; behavior change

Outcome Measures

Primary Outcomes (1)

• OTAGO exercise adherence

  Number of instructed OTAGO exercises completed in a week

  Baseline, 6-months & 12 months

Secondary Outcomes (3)

• 4-stage balance test

  Baseline & 6-months

• Sit-to-stand test

  Baseline & 6-months

• Falls Efficacy Scale Short International

  Baseline, 6-months, and 12-months

Study Arms (1)

Intervention arm

EXPERIMENTAL

OTAGO exercise home visits will be offered 7 times with 2 phone-based check-ins during the 6-month period. As part of OTAGO home visits, participants will receive OTAGO exercise instruction and MI. Each home visit will be approximately an hour.

Behavioral: OTAGO Exercise Program with motivational interviewing

Interventions

OTAGO Exercise Program with motivational interviewing BEHAVIORAL

OTAGO exercise home visits will be offered 7 times with 2 phone-based check-ins during the 6-month period. As part of OTAGO home visits, participants will receive OTAGO exercise instruction and MI. Each home visit will be approximately an hour.

Intervention arm

Eligibility Criteria

• Age: 60 Years - 120 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age ≥60
• At high fall risk: At least one "Yes" to 1) had a fall in the past year; 2) answer "difficult" to the question "do you find it hard to stand without using your hands"; 3) worry about falling
• Able to converse audibly and coherently in English
• Ambulatory with or without assistive device use
• Self-report challenges navigating the environment outside of the home
• At least one "some or much difficulty" or "unable to do" to:Walking one block?; Stepping up onto a curb?; Getting out of a straight back chair? Climbing one flight of stairs? Getting out of the house

You may not qualify if:

• o Receiving ongoing physical therapy with a primary focus on improving balance and strength of lower extremities
• Experiencing acute health issues such as fracture, pain, or infection that prohibits them from participating in exercises
• Able to stand on one foot for more than 10 seconds without holding onto something
• item Callahan cognitive assessment over the phone: Patients with scores of 2 or less, positive for dementia criteria, will be excluded.
• Patients participating in other studies that may impact fall-related behavior change.
• Participants engaged in routine moderate or vigorous physical activities that require lower extremity balance and strength (e.g., \>100 minutes/week for more than 3 months)

Sponsors & Collaborators

• Oregon Health and Science University: lead
• Oregon Wellness Network: collaborator

Study Sites (1)

Oregon Health & Science University

Portland, Oregon, 97239, United States

RECRUITING

MeSH Terms

Conditions

Motor Activity; Patient Participation

Interventions

Motivational Interviewing

Condition Hierarchy (Ancestors)

Behavior; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior

Intervention Hierarchy (Ancestors)

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

Central Study Contacts

Hiroko Kiyoshi-Teo, PhD, RN

CONTACT

5034943858; kiyoshi@ohsu.edu

Study Design

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

Study Record Dates

• First Submitted: April 9, 2025
• First Posted: April 16, 2025
• Study Start: February 20, 2025
• Primary Completion: February 1, 2026
• Study Completion: February 1, 2026
• Last Updated: April 16, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
• Time Frame: After the completion of all study data collection, analysis, and publication. IPD will be available for 5 years.
• Access Criteria: Individuals interested in IPD must contact the PI.

Locations

US (1)