Falls, Fear of Falling, Floor-Rise Ability, Older Adults (65 Years and Older), Post-Fall Recovery
Conditions
Brief summary
Goal: This pilot study aims to determine whether practicing getting down to and standing up from the floor reduces fear of falling (FoF) and improves older adults' ability to complete this task. The study compares this to a control group that watches educational videos on the same topic. This practice is referred to as Floor-Rise Training (FRT). Main Questions: 1. Can a short FRT intervention reduce fear of falling? 2. Can a short FRT intervention improve the ability to rise from kneeling, sitting, and lying positions? 3. Does watching an instructional video on FRT improve fear of falling or floor-rise ability? Study Design: Researchers will compare: * A group receiving 20 minutes of FRT weekly for 5 weeks. * A control group watching FRT videos followed by discussions over the same period. Changes in floor-rise ability and FoF will be assessed to determine the effectiveness of FRT. Participants: Participants will be recruited from five Otago exercise classes (a falls prevention program without FRT) in Renfrewshire. Each class will be randomly assigned to either: * The FRT intervention group (3 classes). * The control group (2 classes) watching videos that include an FRT demonstration. Participants will complete questionnaires (to assess FoF) and timed floor-rise tests before and after the intervention. Some may also be invited to focus groups to share their experiences with the intervention, videos and with our recruitment procedures.
Interventions
BEHAVIORALFloor-Rise Training
Practicing getting up from the floor using the Backward Chaining Method (BCM) for 20 minutes per week for 5 weeks
BEHAVIORALVideo Demonstration
Watching a 20-min video on floor-rise technique and over 5 weeks, with discussions. This video explains how to get up safely from the floor and how to practice.
Sponsors
Glasgow Caledonian University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Cluster Randomization
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Aged 65 or older * Able to provide written informed consent * Currently engaged with ROAR and attending the Otago exercise classes
Exclusion criteria
* Requiring a walking frame indoors to mobilise * Have any medical condition that renders it inadvisable to descend to the floor (e.g. such as awaiting knee replacement surgery) * Any uncontrolled medical condition requiring medical input * BM I≥ 30 kg/m2 * Lacking capacity to consent to participate * Unable to comprehend FRT instructions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Falls Efficacy Scale-International (FES-I) | Baseline and 1 week following the intervention (6 weeks post-baseline). | A 16-item questionnaire that assesses concern about falling during daily activities. Scores range from 16 (no concern) to 64 (severe concern). A lower score indicates a lower fear of falling. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Timed Floor-Rise (Sitting to Standing) | Baseline and 1 week following the intervention (6 weeks post-baseline). | Time taken (in seconds) for a participant to rise from a sitting position on the floor to standing using a sturdy chair. Faster time indicates improved ability. |
| Timed Floor-Rise (Kneeling to Standing) | Baseline and 1 week following the intervention (6 weeks post-baseline). | Time taken (in seconds) for a participant to rise from a kneeling position to standing using a sturdy chair. Faster time indicates improved ability. |
| Perceived Ability to Manage Falls (PAMF) | Baseline and 1 week following the intervention (6 weeks post-baseline). | The PAMF is a 5-item questionnaire measuring confidence in independently recovering from a fall. Scores range from 4 to 20, with higher scores indicating greater confidence. |
| Timed Floor-Rise (Supine to Standing) | Baseline and 1 week following the intervention (6 weeks post-baseline). | Time taken (in seconds) for a participant to rise independently from a supine position (lying on their back) to a standing position using a sturdy chair. Faster time indicates improved ability. |
| Fear of Falling Visual Analog Scale (VAS) - Outdoor | Baseline and 1 week following the intervention (6 weeks post-baseline). | Participants mark with an x on a 0-100 scale measuring fear of falling outdoors, with higher scores indicating greater fear. |
| Activity Avoidance (VAS) | Baseline and 1 week following the intervention (6 weeks post-baseline). | Participants mark with an x on a 0-100 scale measuring the percentage of activities avoided due to fear of falling, with higher scores indicating greater avoidance. |
| Fear of Falling Visual Analog Scale (VAS) - Indoor | Baseline and 1 week following the intervention (6 weeks post-baseline). | Participants mark with an x on a 0-100 scale measuring fear of falling indoors, with higher scores indicating greater fear. |
Countries
United Kingdom
Outcome results
None listed