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Otago Exercise Program for Reducing Falls in Older Adults
N/A
Recruiting
Led By Linda Li, PhD
Research Sponsored by University of British Columbia
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
are able to walk three meters with or without an assistive device
over 70 years of age
Timeline
Screening 3 weeks
Treatment Varies
Follow Up during the 12 months after the intervention (i.e., 13-24 months)
Awards & highlights
Study Summary
This trial will compare two methods of delivering a strength and balance training program to seniors in order to reduce falls. One method will use a new coaching approach with feedback from a Fitbit, while the other will use the traditional delivery method.
Who is the study for?
This trial is for community-dwelling older adults over 70 who can walk, understand English, and use a mobile device. They must have experienced falls or be at risk of falling based on specific assessments. Participants need to consent to audio recordings during sessions and live in an area served by Vancouver Coastal Health.Check my eligibility
What is being tested?
The study compares two ways of delivering the Otago Exercise Program (OEP) aimed at reducing falls: traditional physiotherapist delivery versus a new coaching method with Fitbit feedback. The effectiveness, adherence, fall rates, walking activity participation, and cost-effectiveness will be monitored over two years.See study design
What are the potential side effects?
While not explicitly stated, exercise programs like OEP may lead to muscle soreness or strain especially when starting out. However, these are typically mild and decrease as one adapts to the routine.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I can walk three meters with or without help.
Select...
I am over 70 years old.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ during the 12 months after the intervention (i.e., 13-24 months)
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~during the 12 months after the intervention (i.e., 13-24 months)
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Older Adult-Level Outcome - rate of adherence to the Otago Exercise Program (OEP)
Physiotherapist-level outcome - Brief Action Planning (BAP) Scores
Secondary outcome measures
Older Adult-Level Outcome - Average Daily Step Count
Older Adult-Level Outcome - EuroQol-5D-5 Level version (EQ-5D-5L)
Older Adult-Level Outcome - Health Resource Utilization Questionnaire (HRU)
+2 moreTrial Design
2Treatment groups
Active Control
Placebo Group
Group I: Otago Exercise Programme+ Intervention Group (OEP+)Active Control1 Intervention
Physiotherapists receive OEP training, a 2 hour workshop on the coaching protocol using the OEP app, and online training on the Brief Action Plan Approach with 2 telephone practice sessions with an experienced Brief Action Plan counsellor.
Each PT will deliver exercise program to 8 older adults. PTs will help older adults to set-up OEP app and Fitbit. PT will return bi-weekly over the course of two months (four visits total) for follow-up. During months 3-5, PTs will call participants three times times to review the exercise plan. The last visit will be an at-home visit which will occur 6 months after the initial visit. Between Months 7-12, PTs will continue to a phone call follow-up once a month to review the exercise routine.
Older Adults will receive an OEP manual and cuff weights to be used with the strength training. They will also have access to the OEP app which allows the PT to prescribe exercises and record the participant's exercise goal.
Group II: Otago Exercise Programme Group (OEP)Placebo Group1 Intervention
Physiotherapists receive OEP Training and a 2 hour workshop on just the counselling protocol.
Each PT will deliver exercise program to 8 older adults. PTs will help older adults to set-up the Fitbit. For the first two months, PTs will provide bi-weekly home visits. During months 3-5, PTs will call participants three times times to review the exercise plan. The last visit will be an at-home visit which will occur 6 months after the initial visit.
Older Adults will receive an OEP manual and cuff weights to be used with the strength training. They will also receive a Fitbit. Between Months 7-12, older adults will receive follow-up phone calls from the research staff.
Find a Location
Who is running the clinical trial?
Simon Fraser UniversityOTHER
52 Previous Clinical Trials
9,238 Total Patients Enrolled
Arthritis Research Centre of CanadaOTHER
12 Previous Clinical Trials
9,058 Total Patients Enrolled
Vancouver General HospitalOTHER
40 Previous Clinical Trials
19,255 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- You need to score at least 24 out of 30 on a test that measures your mental abilities.You agree to have your therapy sessions recorded.I can walk three meters with or without help.You can communicate effectively in English.You can give your consent in writing to participate in the study.I have fallen without fainting in the last 6 months, confirmed by someone else.I have balance or mobility issues, shown by tests or having fallen recently.I am over 70 years old.You live in an area covered by Vancouver Coastal Health.You own a mobile phone or tablet.
Research Study Groups:
This trial has the following groups:- Group 1: Otago Exercise Programme Group (OEP)
- Group 2: Otago Exercise Programme+ Intervention Group (OEP+)
Awards:
This trial has 0 awards, including:Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Is this research endeavor still seeking recruits?
"Affirmative. The details of the trial, which were initially published on September 1st 2021, are accessible via clinicaltrials.gov and signal that recruitment is ongoing for 360 individuals across 2 sites."
Answered by AI
What is the aggregate number of participants who have registered for this research project?
"Affirmative. According to the information available on clinicaltrials.gov, this trial is actively seeking participants. The initial posting was published September 1st 2021 and it has been updated as recently as May 19th 2022. Two medical centres are recruiting 360 patients between them for the study."
Answered by AI
What are the ultimate goals of this research endeavor?
"This clinical trial's primary objective is to measure the adherence of participants to the Otago Exercise Program (OEP) over a 12-month span. Secondary outcomes include recording number of falls, average daily step count as gauged by a Fitbit ankle monitor, and Physiological Profile Assessment© scores which can predict an individual's risk for falling with 75% accuracy. PPA z-scores greater than 1 indicate moderate fall risk while values above 3 denote marked danger."
Answered by AI
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