Clinical trial NCT03028493: Increasing the Accessibility of a Falls Prevention Intervention for Community Dwelling Older Adults With Low Vision
Official title: Increasing the Accessibility of a Falls Prevention Intervention for Community Dwelling Older Adults With Low Vision
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Low Vision
Fall
Lead sponsor: University of Alabama at Birmingham
Sponsor class: OTHER
Collaborators: name: VA Office of Research and Development
First posted: 2017-01-23
Enrollment: 9
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: SEQUENTIAL
Primary purpose: PREVENTION

Brief summary: This study serves to test a previously evaluated falls prevention intervention recommended by the Centers for Disease Control and Prevention, entitled the Study of Accidental Falls in the Elderly (SAFE) Health Behavior and Exercise Intervention, to evaluate if the intervention is accessible to older adults with low vision receiving services from the Southeastern Blind Rehabilitation Center (SBRC). This study also serves to pilot a version of the SAFE intervention that has been adapted to be accessible for individuals with low vision at SBRC.

Detailed description: This study serves to compare the comprehension and retention of individuals completing a version of the SAFE falls prevention intervention adapted for low vision versus individuals receiving the original intervention. One group of participants will complete the standard SAFE intervention format while another group will complete the same intervention with written materials adapted for those with vision loss. One intervention (either standard or adapted SAFE program) will be delivered at a time. The SAFE intervention is comprised of four, 90-minute group classes that address environmental, behavioral, and physical falls risk factors. Classes involve lecture and group discussions as well as review of low intensity exercises. The adapted content is presented in large print with high contrast and has been rewritten on a lower grade level. A nutritionist, a physical therapist, a physician, 5 older adults with low vision, 10 low vision occupational therapist, and 5 health literacy experts provided feedback to strengthen the adapted intervention.

Eligibility criteria: Inclusion Criteria:

* 60 and older;
* Visual impairment with some remaining reading ability.

Exclusion Criteria:

* Less than age 60;
* Complete blindness;
* Vertebral osteoporosis.

Primary outcomes:
measure: Change in knowledge of falls prevention
timeFrame: Pre and post (2 weeks after start of intervention delivery)
Secondary outcomes:
measure: Short Physical Performance Battery
timeFrame: Pre
measure: PROMIS Depression Scale
timeFrame: Pre
measure: PROMIS Participation Scale
timeFrame: Pre
measure: PROMIS Global Health
timeFrame: Pre
measure: UAB Life-Space Inventory
timeFrame: Pre
Other outcomes:
Locations:
city: Birmingham
country: United States
facility: Department of Veteran Affairs
state: Alabama
Study officials:
affiliation: Birmingham VA and UAB School of Medicine
name: Cynthia Brown, MD, MSPH
role: PRINCIPAL_INVESTIGATOR
References: