Clinical trial NCT01961037: Translation of an Evidence-Based Fall-Prevention Program Into Rural West Virginia Churches
Official title: Translation of an Evidence-Based Fall-Prevention Program Into Rural West Virginia Churches
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Accidental Falls
Keywords: Accidental Falls
Tai Chi
Older Adults
Balance
Moving for Better Balance
Church
Congregational Intervention
Rural
West Virginia
Lead sponsor: West Virginia University
Sponsor class: OTHER
Collaborators: name: Department of Health and Human Services
name: Centers for Disease Control and Prevention
First posted: 2013-10-11
Enrollment: 236
Sex: ALL
Minimum age (years): 55
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: PREVENTION

Brief summary: Falls are the leading cause of death and injuries in adults over age 65 both nationally and in West Virginia. Rurality, age, physical inactivity, and chronic conditions, such as arthritis, are strong risk factors for falls in this population. West Virginia has a higher than average fall rate, the second oldest population, the greatest proportion of inactive adults, and the second highest prevalence of arthritis in the US. Thus, older adults in rural West Virginia are at high risk for falls and in great need of public health fall prevention programs. The Tai Chi: Moving for Better Balance (MFBB) program is a community-based, fall-prevention exercise program for older adults. A waiver of informed consent will be requested to conduct the telephone screenings to determine study eligibility. We will enroll up to 300 people in classes to be held at 20 churches in West Virginia. Classes will be held twice per week for 16 weeks and taught by certified MFBB instructors. Participants will be interviewed by telephone, have a brief physical function ability exam, and complete a questionnaire before starting the exercise class, at the end of the class, and 4 months later. The study is being conducted to answer the following questions: 1) What are the functional improvements of older adults who participate in a 16-week MFBB program; 2) What is the rate of falls for those adults; 3) What is the rate and severity of those fall-related injuries of the MFBB participants? The purpose of the study is to: 1) implement a 16-week intervention of MFBB with a 16-week follow-up, in older adults in churches in rural West Virginia; 2) describe functional and fall/injury outcomes. Ultimately, we will translate an efficacious and effective fall-prevention intervention into a new setting.


Eligibility criteria: Inclusion Criteria:

* Aged 55 years or older

Exclusion Criteria:

* None

Primary outcomes:
measure: 10-Meter Walk Test
timeFrame: 16 weeks
Secondary outcomes:
measure: Number of fall-related injuries
timeFrame: 32 weeks
measure: Number of falls
timeFrame: 32 weeks
Other outcomes:
measure: Four Square Test
timeFrame: 16 weeks
measure: Timed Up-And-Go Test
timeFrame: 16 weeks
measure: Champs Activity Questionnaire for Older Adults
timeFrame: 16 weeks
measure: SF-12
timeFrame: 16 weeks
measure: Falls Efficacy Scale
timeFrame: 16 weeks
measure: Translation of MFBB in the churches with respect to its Reach
timeFrame: 16 weeks
measure: Translation of MFBB in the churches with respect to its Adoption
timeFrame: 16 weeks
measure: Translation of MFBB in the churches with respect to its Implementation
timeFrame: 16 weeks
measure: Translation of MFBB in the churches with respect to its Maintenance (churches)
timeFrame: 32 weeks
measure: Translation of MFBB in the churches with respect to its Maintenance (participants)
timeFrame: 32 weeks
measure: 10-Meter Walk Test
timeFrame: 32 weeks
measure: Four Square Test
timeFrame: 32 weeks
measure: Timed Up-And-Go Test
timeFrame: 32 weeks
measure: Champs Activity Questionnaire for Older Adults
timeFrame: 32 weeks
measure: SF-12
timeFrame: 32 weeks
measure: Falls Efficacy Scale
timeFrame: 32 weeks
Locations:
city: Cairo
country: United States
facility: Hughes River Presbyterian Church
state: West Virginia
city: Ellenboro
country: United States
facility: Wesley United Methodist Church
state: West Virginia
city: Gandeeville
country: United States
facility: Harper Memorial Church
state: West Virginia
city: Grantsville
country: United States
facility: First Baptist Church
state: West Virginia
city: Harrisville
country: United States
facility: First Assembly of God
state: West Virginia
city: Petroleum
country: United States
facility: Cisco Community Church
state: West Virginia
city: Spencer
country: United States
facility: First Baptist Church
state: West Virginia
city: Spencer
country: United States
facility: Memorial United Methodist Church
state: West Virginia
city: Spencer
country: United States
facility: Spencer Presbyterian Church
state: West Virginia
Study officials:
affiliation: West Virginia University
name: Dina L Jones, PT, PhD
role: PRINCIPAL_INVESTIGATOR
References: