The Senior Step Study How Elderly Help Themselves Maximally Forward

NCT ID: NCT01792180

Last Updated: 2018-08-29

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

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-01-31

Study Completion Date

2017-04-01

Brief Summary

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The Senior Step Study investigates whether feedback given by a mobility feedback device in combination with an instruction book containing every day exercises, motivates elderly to exercise more. By exercising more participants take charge of their own mobility and fall risk. Senior Step Study studies whether this 'exercising more' positively affects their mobility, fall risk, mental wellbeing, self-management, and quality of life.

Detailed Description

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Falling is an important problem among community-dwelling elderly. The number of falls and concomitant health costs will rise within an aging population. Fall related injuries and fear of falling decrease mobility and have a negative impact on social functioning, mood, wellbeing and autonomy. Research from a medical perspective has concentrated on case finding and fall prevention. Currently, insufficient possibilities are available for elderly and caregiver to asses and improve their own mobility and fall risk. The Senior Step Study aims to provide a tool for elderly to improve their self-management abilities in monitoring and improving mobility and fall risk.

The researchers expect that elderly in the intervention group will be more aware of their own mobility and fall risk, and will therefore experience more autonomy, better mental wellbeing, and better quality of life. We expect this to reflect in less demands made on healthcare by the elderly.

150 elderly living at home, in a home for the elderly, and elderly who regularly attend activities in a community home, are asked to participate in the study. During the six months of the study, subjects will receive weekly telephone calls from the computerized falls telephone. The intervention group will measure their normal gait speed measured over 4 meters, using the mobility feedback device once a week, and use the feedback given by this mobility feedback device to perform exercises from the instruction book. Activity diaries allow them to register the type and duration of the exercises.

Conditions

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Self-management for Mobility Improvement in the Elderly

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Investigators

Study Groups

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Control group

No intervention besides weekly telephone calls from the computerized falls telephone system

Group Type NO_INTERVENTION

No interventions assigned to this group

Intervention group

Weekly use of the mobility feedback device, use of instruction book with every day exercises, use of activity diary in intervention group.

Group Type EXPERIMENTAL

Mobility feedback device with use of instruction book

Intervention Type BEHAVIORAL

Weekly use of the mobility feedback device to measure gait speed. Two infrared sensors will be placed in the line of walking, a photo frame containing a display, symbols and lights will tell the participant when and how to perform the test. Gait speed is shown on the display and will serve as feedback to the participant. Participant can use their gait speed to decide which exercises from the instruction book he performs. Participants will be asked to keep an activity diary.

Interventions

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Mobility feedback device with use of instruction book

Weekly use of the mobility feedback device to measure gait speed. Two infrared sensors will be placed in the line of walking, a photo frame containing a display, symbols and lights will tell the participant when and how to perform the test. Gait speed is shown on the display and will serve as feedback to the participant. Participant can use their gait speed to decide which exercises from the instruction book he performs. Participants will be asked to keep an activity diary.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Subjects of 70 years and over
* Subjects who experienced at least 1 fall in the previous 12 months
* Subjects who can walk independently or with a walking aid
* Informed consent on the basis of Dutch legislation (WMO)
* During the study subjects cannot participate in a falls prevention course

Exclusion Criteria

* Subjects not able to speak Dutch
* Subjects not able to understand and remember simple Dutch instructions
* Subjects not capable of using the falls telephone, and do not have an informal caregiver who can answer the falls telephone for them
Minimum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ZonMw: The Netherlands Organisation for Health Research and Development

OTHER

Sponsor Role collaborator

Radboud University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Marcel Olde Rikkert

Prof dr

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Marcel GM Olde Rikkert, Prof PhD MD

Role: PRINCIPAL_INVESTIGATOR

Radboud University Medical Center

Locations

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Radboud University Nijmegen Medical Centre

Nijmegen, Gelderland, Netherlands

Site Status

Countries

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Netherlands

Other Identifiers

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Nr. 60-61900-98-449

Identifier Type: -

Identifier Source: org_study_id

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