Effects of the Individual and Family Self-Management of Fall Prevention Program on Balance Ability and Fall Efficacy Among Chinese With Post-Stroke
NCT Number: NCT06577662
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Post-stroke People
Interventions: BEHAVIORAL: individual and family self-management (IFSM) fall prevention program
Sponsor: Chiang Mai University
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 60
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: SINGLE (OUTCOMES_ASSESSOR)|Primary Purpose: PREVENTION
Start Date: 2024-09-01
Completion Date: 2024-12-31

Summary:
This study is about exploring the effectiveness of individual and family self-management (IFSM) fall prevention programs on balance ability and fall efficacy in post-stroke people. The main intervention measures were developed based on the risk and protective factors of fall prevention in post-stroke people, including exercise, environment safety, assistant technology, medication review, and safety in daily activities. The intervention will be implemented in 10 weeks for both patients and their family members. By mastering these skills, post-stroke people may reduce the number of falls after discharge to home.

Primary Outcome Measures: Fall efficacy, Fall efficacy refers to the level of perceived confidence in undertaking everyday activities without falling, which includes self-efficacy in balance ability, preventing falls, and managing falls. Fall efficacy is the key protective factor in developing fall prevention programs among post-stroke people. People with low fall efficacy tend to display fear-related avoidance of activities and become more sedentary, with low activity participation. It is also proved that among stroke people in the sub-acute and chronic stage of recovery, a positive fall history is associated with less fall efficacy. Conversely, individuals with high fall efficacy are more likely to engage in physical activity, which can improve balance, strength, and mobility, thereby reducing the risk of falls. Therefore, it is necessary to improve patients' fall efficacy in developing fall prevention programs. Short Falls Efficacy Scale - International(FES-I) will be used to test patient's fall efficacy., Fall efficacy will be measured before the fall prevention program and after patients are discharged in 8 weeks.|Balance ability, Balance ability is the ability to maintain the body's stability, including keeping a certain posture or balance when subjected to external forces. It is one of the important physiological functions of the human body. Balance impairment increases the risk of falling, which leads to balance impairment playing a major role in the usually multi-factorial etiology of falls. In addition, it is proved that balance ability is a strong predictor of falls in post-stroke people. Therefore, balance ability will be the primary outcome of the fall prevention program. Berg Balance Scale (BBS) will be used to assess the balance ability in post-stroke people., Balance ability will be measured before the fall prevention program and after patients are discharged in 8 weeks.
Secondary Outcome Measures: Number of falls, Number of falls will be measured after patients are discharged in 8 weeks