FallSensing Multiplayer Games for Fall Risk Prevention in Senior Care Centers

Study Overview
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Brief Summary
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Fall prevention programs should include strength and balance training, home hazard assessment and intervention, vision assessment and referral and also medication review with modification/withdrawal. Evidence exists that a tailored exercise program can reduce falls by as much as 54%. The FallSensing games software include 3 mini-games to be played by two teams with up to 3 players each will compete against each other alternately. The players will perform an initial evaluation with FallSensing screening tool, 16 sessions of group games (2 times a week/8weeks) with FallSensing multiplayer games and a final evaluation also with FallSensing screening tool. Both initial and final evaluation include six functional tests (Grip Strength, Timed Up and Go, 30 seconds Sit-to-Stand, Step test, 4 Stage Balance test modified and 10 meters Walking Speed) and a questionnaire concerning self-efficacy for Exercise.

Official Title
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FallSensing Multiplayer Games for Fall Risk Prevention in Senior Care Centers

Conditions
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Accidental Fall

Intervention / Treatment
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* Other: FallSensing multiplayer games


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: adults aged 50 years or over; Community-dweller; independent to be standing and walking, with or without walking aids; interest to participate in the study. Exclusion Criteria: individuals with severe sensorial impairments (deafness or blindness) individuals with cognitive impairments which precludes the ability to comprehend the questionnaire, functional tests and exercises included in the protocol.

Ages Eligible for Study
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Minimum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Exercise group<br>Group games, including two teams of seniors aged 50 years or older. The FallSensing games software include 3 mini-games to be played by two teams with up to 3 players each will compete against each other alternately. The players will perform an initial evaluation with FallSensing screening tool, 16 sessions of group games (2 times a week/8weeks) with FallSensing multiplayer games and a final evaluation also with FallSensing screening tool. Both initial and final evaluation include six functional tests (Grip Strength, Timed Up and Go, 30 seconds Sit-to-Stand, Step test, 4 Stage Balance test modified and 10 meters Walking Speed) and a questionnaire concerning self-efficacy for Exercise. | Other: FallSensing multiplayer games<br>* FallSensing multiplayer games is a technological solution based on an interactive (exer)game. Players will wear a strap on the lower limbs contaning an inertial sensor. This device enables movement identification on the characterization in real time, triggering actions in the game. The exercise games are based on a validated fall prevention exercise plan - the Otago Exercise Programme. The exercises were designed to promote mobility and improve muscle strength and balance.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 30 seconds Sit-to-Stand | number of stands | Change from baseline 30 seconds Sit-to-Stand score up to 8 weeks | 
| 4 Stage Balance Test Modified | last position accomplished | Change from baseline 4 Stage Balance Test Modified score up to 8 weeks | 
| Self-efficacy for Exercise | Score 5 to 20 points (the higher the score, the better Self-efficacy) | Change from baseline Self-efficacy for exercise score up to 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Timed Up and Go | seconds | Outset and up to 8 weeks | 
| Grip Strength | Kilogram-force | Outset and up to 8 weeks | 
| Step Test | number of steps | Outset and up to 8 weeks | 
| 10 meters Walking Speed | meters per second | Outset and up to 8 weeks |