Community-dwelling Older Adults, Engagement, Patient, Fall Risk Factors, Physical Activity
Conditions
Keywords
OTAGO, OEP, Motivational interviewing, behavior change
Brief summary
The goal of this study is to see if OTAGO instructors, who have been trained in a special communication method called motivational interviewing, can help older adults start and stick with the OTAGO exercise program. The results will help guide future research on how behavior change techniques can support other fall prevention strategies.
Detailed description
The objective of this study is to evaluate the feasibility and impact of OTAGO instructors who are trained in motivational interviewing communication approach to facilitate older adult's uptake of the OTAGO exercises. This study will create the basis for future trials that will explore the impact of behavior change interventions on other fall prevention strategies. We propose a single-arm quasi-experimental trial with older adults with high fall risks. The study intervention consists of OTAGO visits by study staff (MI-trained OTAGO instructor) over 6 months to improve older adults' engagement in fall prevention behaviors with a focus on OTAGO exercises. Participants will be followed for additional 6 months for the total study duration of 12 months.
Interventions
BEHAVIORALOTAGO Exercise Program with motivational interviewing
OTAGO exercise home visits will be offered 7 times with 2 phone-based check-ins during the 6-month period. As part of OTAGO home visits, participants will receive OTAGO exercise instruction and MI. Each home visit will be approximately an hour.
Sponsors
Oregon Wellness Network
Oregon Health and Science University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
60 Years to 120 Years
Healthy volunteers
No
Inclusion criteria
* Age ≥60 * At high fall risk: At least one Yes to 1) had a fall in the past year; 2) answer difficult to the question do you find it hard to stand without using your hands; 3) worry about falling * Able to converse audibly and coherently in English * Ambulatory with or without assistive device use * Self-report challenges navigating the environment outside of the home * At least one some or much difficulty or unable to do to:Walking one block?; Stepping up onto a curb?; Getting out of a straight back chair? Climbing one flight of stairs? Getting out of the house
Exclusion criteria
* o Receiving ongoing physical therapy with a primary focus on improving balance and strength of lower extremities * Experiencing acute health issues such as fracture, pain, or infection that prohibits them from participating in exercises * Able to stand on one foot for more than 10 seconds without holding onto something * 6-item Callahan cognitive assessment over the phone: Patients with scores of 2 or less, positive for dementia criteria, will be excluded. * Patients participating in other studies that may impact fall-related behavior change. * Participants engaged in routine moderate or vigorous physical activities that require lower extremity balance and strength (e.g., \>100 minutes/week for more than 3 months)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| OTAGO exercise adherence | Baseline, 6-months & 12 months | Number of instructed OTAGO exercises completed in a week |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 4-stage balance test | Baseline & 6-months | Participants are asked to hold four standing positions that get progressively harder to maintain. 1. Stand with your feet side-by-side 2. Place the instep of one foot so it is touching the big toe of the other foot. 3. Tandem stance Place one foot in front of the other, heel touching toes 4. Stand on one foot. |
| Sit-to-stand test | Baseline & 6-months | Participants are asked to stand from a seated position. We count the number of sit-stand-sit repetitions completed during 30 seconds |
| Falls Efficacy Scale Short International | Baseline, 6-months, and 12-months | Measures levels of concern about falls. 7-item, 4-point Likert-type scale; 28: highest concern |
Countries
United States
Contacts
Primary ContactHiroko Kiyoshi-Teo, PhD, RN
Outcome results
None listed