Fall, Social Isolation
Conditions
Brief summary
The goal of this study is to reduce risk of falls and social isolation in older adults age 50+ through participation in community based health and exercise programs.
Detailed description
PRIMARY HYPOTHESES: In community-dwelling ambulatory older adults (age ≥50 years) participation in a community-based group program will improve the Duke Social Support Index (DSSI) score by four points measured after six to eight participation in the program when compared to the DSSI score prior to participation in the program. This increase will be sustained at 26 week follow-up. SECONDARY HYPOTHESES: Participants in the community-based group exercise activities will have decreased fall risk when measured after six to eight weeks participation in the program when compared to pre-participation as based on responses to the fall risk questionnaire. Cedars-Sinai patients who participate in the community-based programs will have a decrease in health care utilization (as measured by physician visits, Emergency Department visits, and hospitalizations) in the 26 weeks after program enrollment compared to the 26 weeks prior to program enrollment.
Interventions
OTHERExercise
Community based exercise programs held 2-3 times per week
OTHERHealth Class
Community based health class held 1 time per week
Sponsors
Jewish Family Service
Partners In Care Foundation
AARP Foundation
Cedars-Sinai Medical Center
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Pre-post study
Eligibility
Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Must be cognitively stable and must be 50 years or older
Exclusion criteria
* \<50 years * Cognitive impairment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Social Isolation | Change in Duke Social Support Index from baseline will be measured at 8 weeks and 6 months. | The Duke Social Support Index (DSSI) is an 11 item questionnaire with a total score between 11 and 33 with higher scores indicating increased social connection and lower scores indicating higher social isolation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of falls in the past 3 months - Reduce Falls | Items will be measured at Baseline, 8 weeks, and 6 months | Number of falls in the past 3 months |
| Number of falls with injury in the past 3 months - Reduce Falls | Items will be measured at Baseline, 8 weeks, and 6 months | Number of falls with injury in the past 3 months |
| Change in Loneliness | Items will be measured at Baseline, 8 weeks, and 6 months; assessing a change in loneliness from baseline to 8 weeks and 6 months | University of California Los Angeles 3 item Loneliness scale is a 3 item questionnaire with a total score between 3 and 9 with higher scores indicating increased loneliness. |
Countries
United States
Outcome results
None listed