Clinical trial NCT05971420: Virtual Reality Activity-based Training for Preventing Falls for Older Adults With Mild Cognitive Impairment
Official title: Virtual Reality Activity-based Training for Preventing Falls Among Community-dwelling Older Adults With Mild Cognitive Impairment: A Pilot Randomized Control Trial Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Mild Cognitive Impairment
Fall Prevention
Virtual Reality
Exercise Training
Keywords: Fall risk
VR
MCI
Ageing
Lead sponsor: University of Southern Queensland
Sponsor class: OTHER
Collaborators: name: The Hong Kong Polytechnic University
First posted: 2023-08-02
Enrollment: 18
Sex: ALL
Minimum age (years): 65
Maximum age (years): 85
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

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.

Detailed description: A pilot randomized control trial study was applied to compare the effects on falls prevention between participants who experienced a full-immersive VR training and group-based exercise (Baduanjin) training. Eighteen participants were recruited from ausing convenience sampling and were randomly assigned into the VR group and the exercise group (non-VR). The participants in both wo groups' participants attended 16 falls prevention training sessions over eight weeks. Eligible participants identified with a higher risk of mild cognitive impairment and early dementia undertook three measurements, pretest (T1), post-test (T2) and follow up (T3). The primary outcomes assessed included changes in physical risks factor of falls, and the secondary outcomes assessed included changes in cognition and fall efficacy.

Eligibility criteria: Inclusion Criteria:

1. aged 65 years to 85 years inclusive;
2. had a history of a fall within the past 2 years;
3. community-dwelling older adults;
4. 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);
5. walk independently e.g. able to access publicly - VR research center centre or local community aged care facilities.

Exclusion Criteria:

if they had a medical diagnosis of unstable health conditions

1. dizziness;
2. Meniere's disease;
3. Epilepsy;
4. Parkinson's disease;
5. Severe hearing impairment and visual impairments;
6. Mental illness.

Primary outcomes:
measure: Berg balance test (BBS) - change is being assessed
timeFrame: At prettest, postest (up to 8 weeks) and post 3 months follow up
measure: Time up and go test (TUG) - change is being assessed
timeFrame: At prettest, postest (up to 8 weeks) and post 3 months follow up
measure: Six minutes walk test (6MWT) - change is being assessed
timeFrame: At prettest, postest (up to 8 weeks) and post 3 months follow up
Secondary outcomes:
measure: Cognitive status assessed by Montreal Cognitive Assessment Scale- change is being assessed
timeFrame: At prettest, postest (up to 8 weeks) and post 3 months follow up
measure: Executive functioning tests by Trail making test A and test B *TMTA/B) - change is being assessed
timeFrame: At prettest, postest (up to 8 weeks) and post 3 months follow up
measure: Fall efficacy by fall efficacy international scale (FESI) - change is being assessed
timeFrame: At prettest, postest (up to 8 weeks) and post 3 months follow up
Other outcomes:
Locations:
city: Hong Kong
country: Hong Kong
facility: The Hong Kong Polytechnic University, St. James Settlement Hong Kong, Salvation Army Hong Kong
state: China
Study officials:
affiliation: University of Southern Queensland
name: WING KEUNG IP
role: PRINCIPAL_INVESTIGATOR
References: