Fall Prevention for Old Community-dwelling People

NCT ID: NCT01778972

Last Updated: 2021-09-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

420 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-11-30

Study Completion Date

2019-12-31

Brief Summary

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Fall-related injuries are a major health problem in the growing older population. Most older people are not aware of that physical training can decrease the risk of falling. The aim of tha study is to investigate the effect of the Otago home exercise programme with and without motivational interviewing in community-dwelling people 75 years or older on frequence of falls, fall-related injuries, physical capacity, fall-related self-efficacy, quality of life, mortality and health-related costs.

Detailed Description

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Participants in the two intervention groups will exercise at home with supervision from physiotherapist week one, two, four and eight. They will then be contacted for telephone follow-up month five, seven and twelve after the start of training. The control group is encouraged to live as usual.

All participants are assessed at baseline, after three, 12 and 24 months from inclusion in the study.

Conditions

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Physical Activity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Otago home training programme

Otago home exercise programme was designed specifically to prevent fall. It consists of a set of leg muscle strengthening and balance retraining exercises progressing in difficulty, and a walking plan.

The exercise are individually prescribed and increase in difficulty during a series of five home visits by a physiotherapist.

Group Type EXPERIMENTAL

Otago home exercise programme

Intervention Type OTHER

Otago home exercise program was designed specifically to prevent falls. It consists of a set of leg muscle strengthening and balance retraining exercises progressing in difficulty, and a walking plan.

The exercise are individually prescribed and increase in difficulty during a series of five home visits by a physiotherapist.

Motivational interviewing plus Otago

This group is not only exercising at home but also getting motivational interviewing from the physiotherapist at he five home visits. The physiotherapists doing motivational interviewing are specially trained in motivational interviewing.

Group Type EXPERIMENTAL

Motivational interviewing plus Otago

Intervention Type OTHER

This group is not only exercising at home but also getting motivational interviewing from the physiotherapist at he five home visits. The physiotherapists doing motivational interviewing are specially trained in motivational interviewing.

Control grop

Participants are instructed to live their ordinary lives.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Otago home exercise programme

Otago home exercise program was designed specifically to prevent falls. It consists of a set of leg muscle strengthening and balance retraining exercises progressing in difficulty, and a walking plan.

The exercise are individually prescribed and increase in difficulty during a series of five home visits by a physiotherapist.

Intervention Type OTHER

Motivational interviewing plus Otago

This group is not only exercising at home but also getting motivational interviewing from the physiotherapist at he five home visits. The physiotherapists doing motivational interviewing are specially trained in motivational interviewing.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

75 years or older, community-dwelling, in need of homecare or rollator

Exclusion Criteria

Cognitive impairment (below 25 on Mini Mental test) Not able to transfer independently indoors -
Minimum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Uppsala University

OTHER

Sponsor Role lead

Responsible Party

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karin hellstrom

PhD, Senior Lecturer

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Karin E Hellström, PhD

Role: PRINCIPAL_INVESTIGATOR

Uppsala University

Ann-Christin Johansson, PhD

Role: PRINCIPAL_INVESTIGATOR

Mälardalens University, Sweden

Anne Söderlund, Professor

Role: PRINCIPAL_INVESTIGATOR

Mälardalens University, Sweden

Locations

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Homes

Uppsala, , Sweden

Site Status

Homes

Västerås, , Sweden

Site Status

Countries

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Sweden

References

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Drahota A, Udell JE, Mackenzie H, Pugh MT. Psychological and educational interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2024 Oct 3;10(10):CD013480. doi: 10.1002/14651858.CD013480.pub2.

Reference Type DERIVED
PMID: 39360568 (View on PubMed)

Arkkukangas M, Hultgren S. Implementation of motivational interviewing in a fall prevention exercise program: experiences from a randomized controlled trial. BMC Res Notes. 2019 May 14;12(1):270. doi: 10.1186/s13104-019-4309-x.

Reference Type DERIVED
PMID: 31088557 (View on PubMed)

Other Identifiers

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307301

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

Fall prevention UV

Identifier Type: -

Identifier Source: org_study_id

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