Clinical trial NCT05198193: Evaluation and Development of Falls Prevention and Management in the Community for Older Adults
Official title: Evaluation and Development of Falls Prevention and Management in the Community of Central and North of Singapore for Older Adults
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Falls Risk
Falls Prevention
Lead sponsor: National University of Singapore
Sponsor class: OTHER
First posted: 2022-01-20
Enrollment: 1200
Sex: ALL
Minimum age (years): 30
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: BASIC_SCIENCE

Brief summary: This study investigates how differently-framed messages can affect people's attitude towards falls risk and prevention in older adults. This study considers the potentiality of adult children acting as change agents in influencing parents in falls prevention.

Detailed description: A randomized controlled trial (RCT) will be conducted to test the effectiveness of two messaging types (positively vs negatively framed) via two target audiences (older vs younger adults).

The RCT evaluates the effectiveness of the differently-framed messages delivered to older and younger adults in affecting people's attitude toward falls risk and motivating them to learn about preventing falls. Also, the potential of adult children acting as change agents to positively influence parents in preventing falls is explored.

Older and younger adults who are eligible to participate in this study are randomly given one message. For older adults, the objective is to study which message is more effective in affecting their attitude towards falls risk and motivating them to learn about preventing falls. For younger adults, the aim is to understand which message is more effective in motivating them to learn about preventing falls for their parents.

Hypotheses:

H1: The negatively framed message is more effective than the positively framed counterpart in motivating older adults to find out about preventing falls. However, this effect decreases as the socioeconomic status decreases.

H2: The negatively framed message is more effective than the positively framed counterpart in motivating younger adults to find out about preventing falls.

Eligibility criteria: Inclusion Criteria:

* Singaporean or Permanent Residents (PRs)
* Read/speak English, Mandarin, or Malay
* Either age 60 years old and above, walk independently with or without assistive devices, have no self-reported/detected dementia or cognitive impairments or age between 30 and 59 years old and have either one of the parents age 60 years old and above who walk independently with or without assistive devices

Exclusion Criteria:

* Not Singaporean or PRs
* Do not read/speak English, Chinese, and Malay
* Age 29 years old and below
* Cannot walk independently with and without assistive devices
* Have self-reported/detected dementia or cognitive impairments

Primary outcomes:
measure: How much does the participant want to find out about preventing falls for himself/herself or his/her father/mother?
timeFrame: After being given a message during the survey, an average of 2 minutes
Secondary outcomes:
measure: Whether the participant or the participant's father/mother has fallen in the past 12 months
timeFrame: After being given a message during the survey, an average of 2 minutes
measure: Whether the participant or the participant's father/mother is concerned about falling
timeFrame: After being given a message during the survey, an average of 2 minutes
measure: Whether the participant or the participant's father/mother feels like s/he is going to fall when standing or walking
timeFrame: After being given a message during the survey, an average of 2 minutes
Other outcomes:
Locations:
city: Singapore
country: Singapore
facility: National University of Singapore
Study officials:
affiliation: The Global Asia Institute, The National University of Singapore
name: Noah Lim, PhD
role: STUDY_DIRECTOR
affiliation: Master Program in Global Health and Development, Taipei Medical University
name: Tuo-Yu Chen, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: The Global Asia Institute, The National University of Singapore
name: Su-Chin Hsu, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: The Global Asia Institute, The National University of Singapore
name: Lianjun Li, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Department of Marketing, The Chinese University of Hong Kong
name: Catherine Yeung, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Dickinson A, Machen I, Horton K, Jain D, Maddex T, Cove J. Fall prevention in the community: what older people say they need. Br J Community Nurs. 2011 Apr;16(4):174-80. doi: 10.12968/bjcn.2011.16.4.174.
citation: Liu X, Shuster MM, Mikels JA, Stine-Morrow EAL. Doing What Makes You Happy: Health Message Framing for Younger and Older Adults. Exp Aging Res. 2019 Jul-Sep;45(4):293-305. doi: 10.1080/0361073X.2019.1627491. Epub 2019 Jun 12.