Clinical trial NCT01778972: Fall Prevention for Old Community-dwelling People
Official title: Fall Prevention for Old Community-dwelling People in Uppsala, Västerås and Sörmland
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Physical Activity
Keywords: Fall prevention
Home exercise
Strength training
Balance training
Lead sponsor: Uppsala University
Sponsor class: OTHER
First posted: 2013-01-29
Enrollment: 420
Sex: ALL
Minimum age (years): 75
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Fall-related injuries are a major health problem in the growing older population. Most older people are not aware of that physical training can decrease the risk of falling. The aim of tha study is to investigate the effect of the Otago home exercise programme with and without motivational interviewing in community-dwelling people 75 years or older on frequence of falls, fall-related injuries, physical capacity, fall-related self-efficacy, quality of life, mortality and health-related costs.

Detailed description: Participants in the two intervention groups will exercise at home with supervision from physiotherapist week one, two, four and eight. They will then be contacted for telephone follow-up month five, seven and twelve after the start of training. The control group is encouraged to live as usual.

All participants are assessed at baseline, after three, 12 and 24 months from inclusion in the study.

Eligibility criteria: Inclusion Criteria:

75 years or older, community-dwelling, in need of homecare or rollator

Exclusion Criteria:

Cognitive impairment (below 25 on Mini Mental test) Not able to transfer independently indoors -

Primary outcomes:
measure: Frequence of falls will be measured with a monthly fall-calender
timeFrame: Two year
Secondary outcomes:
measure: Fall-related injuries will be measured by telephone interviews.
timeFrame: Two years
measure: Physical performance will be measured with Short Physical Performance Battery (SPPB)
timeFrame: Two years
measure: Dynamic balance will be assessed with Mini-BESTest
timeFrame: Two years
Other outcomes:
measure: Fall-related self-efficacy will be measured with Fall efficacy scale, Swedish version.
timeFrame: Two years
measure: Grip strength will be measured with Jamar Hand Dynamometer
timeFrame: Two years
measure: Physical Activity level will be measured with Frändin/Grimby activity scale.
timeFrame: Two years
measure: Health related quality of life will be measured with European quality of life questionaire (EQ-5D).
timeFrame: Two years
Locations:
city: Uppsala
country: Sweden
facility: Homes
city: Västerås
country: Sweden
facility: Homes
Study officials:
affiliation: Uppsala University
name: Karin E Hellström, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Mälardalens University, Sweden
name: Ann-Christin Johansson, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Mälardalens University, Sweden
name: Anne Söderlund, Professor
role: PRINCIPAL_INVESTIGATOR
References:
citation: Arkkukangas M, Hultgren S. Implementation of motivational interviewing in a fall prevention exercise program: experiences from a randomized controlled trial. BMC Res Notes. 2019 May 14;12(1):270. doi: 10.1186/s13104-019-4309-x.