Aging Well
Conditions
Keywords
Yoga, social isolation, underserved populations, elderly, movement, activity
Brief summary
The overall purpose of this study is to deliver a 12-week yoga program to older adults (over 60 years of age) in rural WI who do not have access to yoga programming and examine the effects of the programming on activities of daily living, gait, balance, falls, activity level and social isolation.
Detailed description
Participants will be assigned to immediately begin a 12-week yoga class (2 classes per week for 75 minutes each) or complete a 12-week wait (wait-list control). The measures of interest will be examined at pretest (wait-list only), baseline, posttest and at 3-month follow-up to see what, if any, changes are maintained after completion of the program. All assessment data collections sessions will be conducted on-site at a predetermined site identified by the community partners.
Interventions
BEHAVIORALYoga Program Immediately
free 12 week yoga program, twice a week for 75 minutes each
BEHAVIORALWait-Listed Control
assigned to take the Yoga Program in 12-weeks
OTHERActivity Monitor
Garmin VivoSmart activity monitor throughout study
Sponsors
Bader Philanthropies
University of Wisconsin, Madison
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
Participants will be assigned to immediately begin a 12-week yoga class or complete a 12-week wait (wait-list control).
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Ability to independently ambulate for at least 10 minutes continuously (with or without an assistive device) * Ability to attend the yoga class for all or most of the 12 weeks * A previous fall, near-fall or identified fear of falling
Exclusion criteria
* No known contraindication for exercise (i.e. a medical doctor has told you not to exercise) * A resent injury that causes pain during movement * Current enrollment in another research study or class focused on balance
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in MiniBESTest Score | [pre-test for waitlist group 3 months prior to class], baseline, post-test (3-months), 3-month follow up (6-months) | The mini-BESTest will be used to assess balance. This 14-item, clinical battery is used to assess balance in four component areas (anticipatory transitions, postural response, sensory orientation and dynamic gait) and provides a single number summary of balance performance. Scores range from 0 to 28, with higher scores indicating higher function. |
| Change in Fall Frequency | [pre-test for waitlist group 3 months prior to class], baseline, post-test (3-months), 3-month follow up (6-months) | Change in the frequency of falls will be assessed using a forced-choice paradigm: none, once, 2 to 10 times, weekly, or daily over the last 6 months. |
| Change in the Canadian Occupational Performance Measures (COPM) | [pre-test for waitlist group 3 months prior to class], baseline, post-test (3-months), 3-month follow up (6-months) | The COPM is composed of the following steps: 1) participant identifies occupational performance problems for self-care and productivity, 2) participant rates each issue on a score of 1-10 (higher scores are more important), 3) participant chooses 5 most important problems, 4) participant rates each issue (1-10) for performance and satisfaction, 5) average score for each (performance and satisfaction) are calculated. Final score for each is 1-10 with higher scores better. |
| Change in Activities-Specific Balance Confidence Scale (ABC) | [pre-test for waitlist group 3 months prior to class], baseline, post-test (3-months), 3-month follow up (6-months) | The ABC Scale measures a fear of falling. It is a 16-item survey where participants rate their level of self-confidence (0-100, where 100 is the highest self-confidence) for each item. The average score is reported. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Standardized Gait Analysis: Gait Velocity | [pre-test for waitlist group 3 months prior to class], baseline, post-test (3-months), 3-month follow up (6-months) | Using the GaitRite® System, the temporal and spatial parameters of each participant will be captured during walking. The GaitRite® mat is a 14 foot portable electronic walkway, embedded with sensors to enable the measurement spatiotemporal variables of gait such as cadence, normalized velocity, stride length, base of support, and percent of cycle in double support. Participants will begin at a starting point two meters from the mat, then walk toward and step onto the mat to continue walking until they achieve the stop line located two meters off of the opposite side of the mat. Data will be collected for forward preferred speed, backward preferred speed, forward fast, tandem and dual task gait. Each participant will complete five trials for each condition. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Change in Performance Assessment of Self-Care Skills (PASS) | [pre-test for waitlist group 3 months prior to class], baseline, post-test (3-months), 3-month follow up (6-months) | The Performance Assessment of Self-Care Skills (PASS) assesses basic self-care and instrumental activities of daily living. Subscales: Independence, Safety, and Adequacy (0-3 where higher scores indicate less difficulty with basic self-care). |
| Change in Activity Level Measured by Number of Steps Taken | [pre-test for waitlist group 3 months prior to class], baseline, post-test (3-months), 3-month follow up (6-months) | Participants will be fitted with a Garmin VivoSmart activity monitor and will be asked to wear the device for the duration of the study. |
Countries
United States
Outcome results
None listed