ouderdom en valrisico age related decline and fall risk
Conditions
Interventions
'In Balans' is a fall prevention program of 14 weeks that will be provided by a
certified physiotherapist or remedial therapist who has followed a training
program to become an 'In Balans' trainer.
Sponsors
Vrije Universiteit
Eligibility
Age
65 Years to 99 Years
Inclusion criteria
Inclusion criteria: 65 years of age or older Increased fall risk according to the fall risk assessment of VeiligheidNL Able to read and understand Dutch Being able to independently take care of themselves (e.g. going to the bathroom, dressing and undressing) and walk 100 meter Classified as non- or pre-frail, based on the frailty criteria according to Fried et al.(body weight (BMI >18.5), grip strength, fatigue (SF-36 vitality score >75), walking speed and physical activity)
Exclusion criteria
Exclusion criteria: Younger than 65 years of age No increased fall risk according to the fall risk assessment of VeiligheidNL Indications of serious cognitive problems (MiniMental State Examination
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure is the number of falls (with and without injuries) and will be assessed using fall calendars and monthly telephone calls during the 12-month follow-up. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes (assessed at baseline, at 4 months, and at 12 months) are divided into physical tests and questionnaires. Physical tests: - Balance measured with the 'Performance - Oriented Mobility Assessment - Balance', the 'Four Stage Balance Test' and the 'Timed Up and Go Test' - Mobility measured with the 'Performance - Oriented Mobility Assessment - Mobility' - Muscle strength measured with the 'Hand Grip Strength Test', the 'Timed Chair Stands Test' and the *Short Physical Performance Battery* - Walking speed measured with the '10 Meter Walk Test ' - Aerobic endurance measured with the' 2-minute Step Test ' - Fall risk measured with the' LASA Fall Risk Questionnaire ' - Daily physical activity and gait based on data from movement monitors worn on the lower back for 1 week Questionnaires: - Overall health status assessed by means of the 'Short Form Health Survey - SF-36' and the 'Positive Health Inventory Tool' - Self-determination assessed using the 'Pearlin Mastery Scale' and the 'General Self-Efficacy Scale' - Fall anxiety assessed using the 'Falls Efficacy Scale International - FES-I' - Confidence while walking assessed using the 'Modified Gait Efficacy Scale - mGES' - Frailty assessed using the 'Groningen Frailty Indicator' Demographic characteristics (assessed at baseline and at 12 months): Age, sex, weight, marital status, level of education, use of medication (number), and presence of chronic disease. The frailty status is determined based on the '5 Frailty Indicators': weight (loss), weakness, fatigue, slowness and low physical activity. Moreover, we will ask for the number, of falls, the cause (behavioral, biological, environment), circumstances and consequences of falls (none, small, medium, large) during the 12 month follow-up using the fall calendar and monthly telephone calls In order to determine cost-effectiveness (after 4, 8 and 12 months), we measure: - Quality of life assessed using the 'EuroQol 5D' and th | — |
Countries
Netherlands
Outcome results
None listed