Generic health relevance in ageing older adults who have had a fall in the past year Signs and Symptoms
Conditions
Interventions
This is a single-arm, non-randomised feasibility study. There are two phases in the study:
Phase 1 – supervised group exercise 1 day/week + self-directed exercise at home 2 days/week for 12 weeks.
Su
Sponsors
University of Birmingham
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Are aged 65 years and above 2. Can give informed consent 3. Demonstrate sufficient cognition/hearing/vision to follow instructions of the assessment and the exercise programme 4. Can stand with one hand support on the current walking aid for at least 60 seconds 5. Can stand up from a chair independently and walk independently with the current walking aid for 6 meters 6. Are self-toileting 7. Own or have access to a smartphone/iPad/iPod touch/tablet 8. Have fallen more than once in the last 12 months
Exclusion criteria
Exclusion criteria: 1. Have an unstable or acute medical condition that precluded exercise participation 2. Suffer from a progressive neurological condition (such as Parkinson’s disease or multiple sclerosis) 3. Are not recommended to undertake any forms of unsupervised exercise by their GPs or secondary healthcare team; for example, having uncontrolled blood pressure, postural hypotension, acute/unstable cardiac issues, and dizziness brought on by exercise or changing posture, or 4. Are currently participating in a different research study for managing their fall risks
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility outcomes: The following will be assessed at the end of the study: 1. Recruitment rate measured using the screening log and the consent record by calculating the percentage of participants recruited 2. Adherence measured using self-reported diaries by the number of actual exercise days/number of exercise days offered (x100%) at the end of weeks 12 and 24 3. Attrition measured using the REDCap week 24 questionnaire by the number of withdrawals from the study and/or no follow-up data available 4. Usability, perceived effectiveness and satisfaction measured using a self-reported online EXIT survey at weeks 12 and 24 (moved from secondary outcome measures on 08/11/2024) | — |
Secondary
| Measure | Time frame |
|---|---|
| Exploratory outcomes: 1. Physical assessment measured using the Timed Up and Go (TUG) test at week 12 and 24 2. Everyday Cognitive Score measured using the Measurement of Everyday Cognition (ECog 12) questionnaire at baseline and 24 weeks 3. Fear of Falls measured using the Falls Efficiency Scale-International at baseline and 24 weeks 4. Quality of life is measured using the EuroQol health-related quality of life EQ-5D-5L questionnaire at baseline and 24 weeks 5. Self-reported number of falls measured using the REDCap questionnaire reported by participants during the study period 6. Use of healthcare services evaluated using the ModRum questionnaire at baseline and 24 weeks (added 08/11/2024) | — |
Countries
England, United Kingdom
Contacts
Public ContactShin-Yi (Chloe) Chiou
Outcome results
None listed