Accidental Falls
Conditions
Keywords
Accidental Falls, Prevention & Control, Exercise, Exercise therapy/methods*, Aged, Aged 80 and over, Smartphone, Computers, Computers handheld, Motivation, Postural balance, Health behaviour, mHealth, eHealth
Brief summary
This five arm feasibility study aims to promote self-management in strength and balance exercises among community-living older people. The research process, implementation strategies and procedures, acceptability of the exercise programs, perceived benefits of the programs, and the ecological validity, acceptability and ability to detect change of possible outcome measurements will be evaluated before a future randomized controlled trial. A comparison of two exercise programs will be performed; a) Safe Step, a mobile technology based exercise program with motivational strategies, developed by researchers in collaboration with older adults, and b) Otago Exercise Program (OEP), home exercises presented in a booklet. The older participants will be free to select either of the intervention programs and the selection process and outcome will be studied as part of the process evaluation. The participants in three of the arms (OEP, Safe Step, and Safe Step with mentors) will be recruited through advertisements in local papers and through posters and meetings at senior citizens organisations. In the fourth and fifth arms (OEP and Safe Step) the participants will be recruited from health care centres and their registered professionals with experience of greens prescriptions (Fysisk aktivitet på recept). All five groups, with at least 10 participants in each, will be exercising for four months and will undergo testing at baseline, after two and four months and they will be asked to keep an exercise diary (digital or paper format) during the intervention.
Interventions
OTHERSafe Step
Strength and balance exercise-digital version
OTHEROEP
Strength and balance exercise -paper version
Sponsors
The Swedish Research Council
Forte
Glasgow Caledonian University
Umeå University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
70 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Independently living * Able to rise from a high chair * Able to stand without support * Experience an impaired balance
Exclusion criteria
* Progressive disease that impairs mobility * Dementia diagnosis * Intense exercising more than 3 hours / week
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adherence | after 4 month | adherence to the program from baseline to four months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change: Attitudes to Falls-Related Interventions Scale (AFRIS) | baseline, two month and four month | — |
| Change: Behavioural Regulation In Exercise Questionnaire (BREQ-2) | baseline, two month and four month | — |
| Change: Iconographical Falls Efficacy Scale (Icon-FES) | baseline and four month | Participants' falls-efficacy in certain situations |
| Change: Activity Specific Balance Confidence Scale (ABC) | baseline and four month | Participants' falls-efficacy in certain situations |
| Change: Short Physical Performance Battery | baseline and four month | Standing balance, leg muscle strength in chair stand, and gait speed |
| Change: 30 second chair-stand | baseline and four month | Leg muscle strength in chair stand |
| Usability of the programs | Up to four months | Interviews and observations |
| Uptake | baseline | Proportion of invited participants that accepted and started the program. |
| Change: Late-Life Function and Disability Instrument (LLFDI) | baseline and four month | a person's ability to do discrete actions or activities, and disability-a person's performance of socially defined life tasks |
Other
| Measure | Time frame | Description |
|---|---|---|
| Background data | Baseline | Before the study the participants will fill in a questionnaire with background data containing: self-reported health, medical diagnoses, medication, age, sex, earlier work, computer skill and number of falls previous year. |
Countries
Sweden
Outcome results
None listed