Evaluating Technology-Based Fall Prevention Interventions

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-02-15

Study Completion Date

2019-02-28

Brief Summary

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Approximately one in three older adults fall annually and it is the primary cause of traumatic injury in older adults. While exercise and balance programs have been shown to be effective in reducing fall risk, maintaining behavior change is known to be difficult. Thus additional interventions need to be validated to add to our current armamentarium to reduce falls in older adults. Cognitive training (CT) involves exercises that target specific cognitive tasks, such as memory or processing speed. It has been speculated that routinely performing such tasks may increase functional ability. Recent work has pointed to an increased risk of falls in community-dwelling older adults who have alterations in specific cognitive tasks. Thus the purpose of the proposed study is to demonstrate the feasibility and to explore the effectiveness of a 16 week CT intervention to reduce risk and incidence of fall and improve outcomes up to 1 month post-intervention in a group of community dwelling older adults at risk for fall.

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Detailed Description

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Conditions

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Falls (Accidents) in Old Age

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Intervention

Group Type EXPERIMENTAL

Cognitive Training

Intervention Type OTHER

Web-based cognitive training intervention targeting specific cognitive tasks. Subjects complete 3 training sessions per week with at least 24 hours in between sessions.

Education

Group Type OTHER

Technology-based Education

Intervention Type OTHER

Subjects complete 16 web-based educational modules on healthy aging content. Following each module, subjects complete a learning reflection.

Interventions

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Cognitive Training

Web-based cognitive training intervention targeting specific cognitive tasks. Subjects complete 3 training sessions per week with at least 24 hours in between sessions.

Intervention Type OTHER

Technology-based Education

Subjects complete 16 web-based educational modules on healthy aging content. Following each module, subjects complete a learning reflection.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 65-89 years old
* speak and read English
* live within 30 miles of the University of Washington
* a score of 4 or higher on the Memory Impairment Screen (MIS-T)
* regular access to a computer with internet capability (whether at home, friend/family, community center, public library, or other)
* a positive response to any of the following three fall related questions: i) Have you had two or more falls in the prior 12 months? ii) Are you responding to the advertisement because of a recent fall? iii) Do you have difficulty with walking or balance?
* \<53 seconds on 90 second balance test or gait speed \<1m/sec.