None listed
Conditions
Brief summary
This trial aims to establish the impact of a physical activity and fall prevention intervention compared to an advice brochure on physical activity levels, mobility goal attainment, fall rates, mobility disability, quality of life, fear of falling, mood and community participation in community-dwelling older people. We hypothesise that at the end of the 12 month follow-up period, intervention participants will be more physically active, have fewer falls and improve on measures of mobility goal attainment, mobility disability, quality of life, fear of falling, mood and community participation compared to control group participants.
Interventions
The intervention aims to increase physical activity participation and reduce risk of falling. It involves a fall risk assessment, tailored fall prevention and physical activity counselling using health coaching and a pedometer-based intervention enhanced with a web-interface (using the "fitbit") to provide feedback and encouragement. The intervention components mentioned above will be delivered by the research physiotherapist during one home visit, lasting approximately two hours. Participants
The intervention aims to increase physical activity participation and reduce risk of falling. It involves a fall risk assessment, tailored fall prevention and physical activity counselling using health coaching and a pedometer-based intervention enhanced with a web-interface (using the "fitbit") to provide feedback and encouragement. The intervention components mentioned above will be delivered by the research physiotherapist during one home visit, lasting approximately two hours. Participants will be encouraged to wear the pedometer during waking hours on a daily basis for the whole six months to record their daily steps and provide feedback and motivation to increase their physical activity participation. An ultimate goal of undertaking 10,000 steps/ day will be the target. The "fitbit" enhanced pedometer is designed to wirelessly synchronise with computer software to download stored physical activity information and participants will be encouraged to synchronise and download their data on a weekly basis or more often if they desire to. During the implementation of the intervention participants will be taught how to use the "fitbit" device and the associated internet-based feedback and monitoring technology. The research team will have access to all intervention participants "fitbit" data and will monitor individual adherence with the intervention. People who have not downloaded their "fitbit" data in the past week will be contacted to enquire about any problems encountered with the pedometer and to encourage compliance with the intervention protocol.
Sponsors
The University of Sydney
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
-aged 60+ -living at home -regular (weekly) use of a computer or internet-connected tablet device -leaves the house regularly (at least once per week) without physical assistance from another person.
Exclusion criteria
being “house-bound” -cognitive impairment (a diagnosis of dementia or a Memory Impairment Screen score of less than 5) -insufficient English language skills to fully participate in the program -an inability to leave the house without physical assistance from another person -a progressive neurological disease (e.g., Parkinson’s disease) -a medical condition precluding exercise (e.g., unstable cardiac disease) -or if they already meet the Australian Physical Activity Guidelines for older adults (operationalised as 30 minutes of moderate intensity physical activity 5 days a week assessed using the Incidental and Planned Exercise Questionnaire and they have had a falls risk assessment in the past year and subsequently implemented fall prevention strategies as a result of the risk assessment.
Outcome results
None listed