Digitally Delivered Exercise for Falls Prevention
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores a digital exercise program designed to prevent falls in older adults. The researchers aim to determine if this program effectively reduces fall risk by comparing two groups: one begins the exercise immediately, while the other waits. It suits individuals aged 60 or older who are mobile, including those using a cane or walker, and have internet access. Participants must also complete a short questionnaire to assess their fall risk. As a Phase 2 trial, this research measures the program's effectiveness in an initial, smaller group, offering participants a chance to contribute to important findings.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that this digitally delivered exercise program is safe for fall prevention in older adults?
Research has shown that digital exercise programs to prevent falls are generally safe for participants. Past studies focusing on exercises to improve strength and balance have successfully reduced the risk of falls. These exercises form a key part of the digital program being tested.
One study found that these digital programs are not only effective but also popular with older adults. Most studies reported no injuries, and any minor injuries were rare, indicating that participants handle the exercises well.
In summary, evidence supports the safety of digital exercise programs for preventing falls. These programs are safe and usually receive positive feedback from participants.12345Why are researchers excited about this trial?
Researchers are excited about digitally delivered exercise for falls prevention because it offers a unique approach to improving balance and strength without needing in-person classes or sessions. Unlike traditional exercise programs, which often require regular visits to a gym or therapy center, this method allows participants to engage in tailored exercises from the comfort of their homes using digital platforms. This digital approach not only increases accessibility for those who may have mobility issues or live in remote areas but also provides a personalized experience that can adapt to individual progress. By making exercise more accessible and convenient, there's potential to significantly reduce the risk of falls, a major concern for older adults.
What evidence suggests that this digitally delivered exercise program is effective for fall prevention?
Research has shown that exercise programs delivered through digital platforms can help reduce the risk of falls in older adults. One study found that video-based exercises lowered fall incidents by 45% for older adults living in the community. Additionally, exercises focused on building strength and improving balance have consistently reduced fall risk. Reviews of multiple studies highlight a 9% reduction in falls for older adults at risk when using digital exercise games. This trial will compare two approaches: Group A will start their 12-week exercise program immediately, while Group B will begin after a 12-week lead-in period. These findings suggest that such programs could be a promising way to help prevent falls among older individuals.12678
Who Is on the Research Team?
Caroline Kumstra, PhD
Principal Investigator
Sanford Burnham Prebys
Ryan Moran, MD, MPH
Principal Investigator
University of California, San Diego
Are You a Good Fit for This Trial?
This trial is for older adults interested in preventing falls. Participants should be at lower to moderate risk of falling and willing to engage in a digitally delivered exercise program. The study includes an initial 12-week intensive exercise phase, with an optional additional 12 weeks for those who complete most classes, followed by a washout period.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Intensive Exercise
Group A starts a 12-week intensive exercise program, while Group B has a 12-week life as normal period.
Maintenance Exercise
Participants who complete the intensive exercise are invited to a 12-week maintenance exercise program.
Washout
Group A undergoes a 12-week washout period, while Group B starts their intensive exercise.
Follow-up
Participants are monitored for safety and effectiveness after the exercise programs.
What Are the Treatments Tested in This Trial?
Interventions
- Digitally Delivered Exercise
Trial Overview
The trial tests a fall-prevention exercise program delivered digitally. Group A starts immediately with exercises and has a follow-up maintenance phase and washout period. Group B lives normally during Group A's first phase, then follows the same exercise regimen without the washout.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
• Group A: who will start their 12-week exercise program with the Intensive Intervention within 4 weeks of baseline measurement. For those who qualify (see below) this will be followed by a 12-week maintenance program. This group will finish the program with 12 weeks life as usual.
• Broup B: who willl have a 12 week lead in period of life as usual. They will then begin their 12-week intensive intervention. Those who qualify, this will be followed by a 12-week maintenance program.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of California, San Diego
Lead Sponsor
Sanford Burnham Prebys
Collaborator
Citations
study protocol for the Safe Step randomised controlled trial
The main objective of this study is to compare the effectiveness of a self-managed digital exercise programme, Safe Step, in combination with monthly ...
Strong Evidence: Randomized Digitally Delivered Fall ...
Specifically, targeted strength and balance exercise have consistently been shown to improve fall risk, and accordingly, the Centers for Disease ...
Usability and Feasibility P
This 12-week fall prevention program was well accepted and showed promise related to reducing fall risk in an older adult population. The ...
Effect of a video-assisted fall prevention program on ...
Video based exercise intervention can reduce the incidence of fall by 45 % in community-dwelling older adults. •. Strengthening, balance training, gait and dual ...
Opportunities to Digitally Enable Falls Prevention in Older ...
Two systematic reviews and meta-analyses demonstrated that exergames lead to a 9% reduction in falls incidence for at-risk older adults and ...
Nonrandomized Interventional Study of a Novel, Digitally ...
Targeted exercise has been shown to improve fall risk, and recommendations for identifying and referring older adults for exercise-based ...
Feasibility of a Multicomponent Digital Fall Prevention ...
This study has successfully demonstrated that a multicomponent digital fall prevention exercise intervention is feasible and acceptable for at-risk older adults ...
Digitally Delivered, Group-Based Exercise Interventions for ...
Among the studies that provided data on adverse events, most were conducted without injuries or reported only minor injuries. More than 60% of ...
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