Trial Outcomes & Findings for Prevention Focused Home-Based Physical Therapy Utilizing Community Partnership Referrals (NCT NCT04814459)

NCT ID: NCT04814459

Last Updated: 2021-10-11

Results Overview

Record of falls in prior year, and between each subsequent visit.

• Recruitment status: COMPLETED
• Study phase: NA
• Target enrollment: 144 participants
• Primary outcome timeframe: 7 months
• Results posted on: 2021-10-11

Participant Flow

Participant milestones

Measure	HOP-UP-PT Program HOP-UP-PT Program group will participate in the 7-month HOP-UP-PT program HOP-UP-PT Program: Interventions provided to HOP-UP-PT program participants included; (1) the Otago Exercise Program (OEP) which is a well-established exercise program with evidence that it reduces falls among community-dwelling older adults, (2) motivational interviewing (MI) to optimize positive health behaviors, and (3) home and environmental modification recommendations aimed at safety. Participants were provided with and educated on the use of a wrist-worn activity tracker and an automated BP monitor unit. Finally, when follow up items were identified (e.g., orthostatic hypotension, community exercise classes), these referrals were made and documented.	Normal Level of Activity Normal Level of Activity group will be instructed to continue their normal level of activity throughout the 7-months after which they will be offered the opportunity to receive the HOP-UP-PT program
Overall Study STARTED	72	72
Overall Study COMPLETED	72	72
Overall Study NOT COMPLETED	0	0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Measure	HOP-UP-PT Program n=72 Participants HOP-UP-PT Program group will participate in the 7-month HOP-UP-PT program HOP-UP-PT Program: Interventions provided to HOP-UP-PT program participants included; (1) the Otago Exercise Program (OEP) which is a well-established exercise program with evidence that it reduces falls among community-dwelling older adults, (2) motivational interviewing (MI) to optimize positive health behaviors, and (3) home and environmental modification recommendations aimed at safety. Participants were provided with and educated on the use of a wrist-worn activity tracker and an automated BP monitor unit. Finally, when follow up items were identified (e.g., orthostatic hypotension, community exercise classes), these referrals were made and documented.	Normal Level of Activity n=72 Participants Normal Level of Activity group will be instructed to continue their normal level of activity throughout the 7-months after which they will be offered the opportunity to receive the HOP-UP-PT program	Total n=144 Participants Total of all reporting groups
Age, Categorical <=18 years	0 Participants n=72 Participants	0 Participants n=72 Participants	0 Participants n=144 Participants
Age, Categorical Between 18 and 65 years	0 Participants n=72 Participants	0 Participants n=72 Participants	0 Participants n=144 Participants
Age, Categorical >=65 years	72 Participants n=72 Participants	72 Participants n=72 Participants	144 Participants n=144 Participants
Age, Continuous	76.6 years STANDARD_DEVIATION 7.0 • n=72 Participants	77.2 years STANDARD_DEVIATION 8.2 • n=72 Participants	76.9 years STANDARD_DEVIATION 7.6 • n=144 Participants
Sex: Female, Male Female	57 Participants n=72 Participants	53 Participants n=72 Participants	110 Participants n=144 Participants
Sex: Female, Male Male	15 Participants n=72 Participants	19 Participants n=72 Participants	34 Participants n=144 Participants
Race and Ethnicity Not Collected	—	—	0 Participants Race and Ethnicity were not collected from any participant.
Region of Enrollment United States	72 Participants n=72 Participants	72 Participants n=72 Participants	144 Participants n=144 Participants

PRIMARY outcome

Timeframe: 7 months

Population: Inclusive of low, moderate, and high STEADI fall risk

Record of falls in prior year, and between each subsequent visit.

Outcome measures

Measure	HOP-UP-PT Program n=72 Participants HOP-UP-PT Program group will participate in the 7-month HOP-UP-PT program HOP-UP-PT Program: Interventions provided to HOP-UP-PT program participants included; (1) the Otago Exercise Program (OEP) which is a well-established exercise program with evidence that it reduces falls among community-dwelling older adults, (2) motivational interviewing (MI) to optimize positive health behaviors, and (3) home and environmental modification recommendations aimed at safety. Participants were provided with and educated on the use of a wrist-worn activity tracker and an automated BP monitor unit. Finally, when follow up items were identified (e.g., orthostatic hypotension, community exercise classes), these referrals were made and documented.	Normal Level of Activity n=72 Participants Normal Level of Activity group will be instructed to continue their normal level of activity throughout the 7-months after which they will be offered the opportunity to receive the HOP-UP-PT program
Number of Participants With Reported Falls Baseline (All Participants)	37 Participants	34 Participants
Number of Participants With Reported Falls Baseline (Moderat and High STEADI Risk)	29 Participants	24 Participants
Number of Participants With Reported Falls 3 Month (All Participants)	5 Participants	3 Participants
Number of Participants With Reported Falls 3 Month (Moderate and Hight STEADI Risk)	5 Participants	2 Participants
Number of Participants With Reported Falls 7 months (All Participants)	7 Participants	15 Participants
Number of Participants With Reported Falls 7 Month (Moderate and High STEADI Risk)	1 Participants	11 Participants

PRIMARY outcome

Timeframe: 7 Months

Population: Data collectors did not complete all measures to calculate this score at the baseline assessment due to variations in patient care delivery. Additionally, participants that were dis-enrolled reduced the data for analysis at the 3 and 7 month encounters.

The Modified SPPB uses a 0-12 scale (0 = lowest function, 12 = highest function), calculated using collective outcomes of The Four Test Balance Scale (0= unable to perform, 1 = able to stand: feet together >10 sec, 2 = semi-tandem >10 sec, 4 = tandem stance >10 sec, higher score is better balance), 5 Time Sit to Stand (0 = >60 sec, 1=16.7 to 60 sec, 2 = 13.7 to 16.69 sec, 3 = 11.2 to 13.69 sec, and 4 = <11.19 sec, faster time is higher function), and the 3-meter gait speed test (0 = unable to perform, 1= > 6.52 sec, 2 = 4.66 to 6.52 sec, 3 = 3.62 to 4.65 sec, and 4 = < 3.62 sec, faster time is higher function). Each of the three categories has a highest score of 4 and are summed together for a highest total Modified SPPB score of 12.

Outcome measures

Measure	HOP-UP-PT Program n=72 Participants HOP-UP-PT Program group will participate in the 7-month HOP-UP-PT program HOP-UP-PT Program: Interventions provided to HOP-UP-PT program participants included; (1) the Otago Exercise Program (OEP) which is a well-established exercise program with evidence that it reduces falls among community-dwelling older adults, (2) motivational interviewing (MI) to optimize positive health behaviors, and (3) home and environmental modification recommendations aimed at safety. Participants were provided with and educated on the use of a wrist-worn activity tracker and an automated BP monitor unit. Finally, when follow up items were identified (e.g., orthostatic hypotension, community exercise classes), these referrals were made and documented.	Normal Level of Activity n=72 Participants Normal Level of Activity group will be instructed to continue their normal level of activity throughout the 7-months after which they will be offered the opportunity to receive the HOP-UP-PT program
Modified Short Physical Performance Battery (SPPB) Baseline (Moderate and high STEADI Risk)	7.64 score on a scale Standard Deviation 2.82	6.18 score on a scale Standard Deviation 2.86
Modified Short Physical Performance Battery (SPPB) Baseline (all participants)	8.44 score on a scale Standard Deviation 2.66	7.34 score on a scale Standard Deviation 2.85
Modified Short Physical Performance Battery (SPPB) 3 Month (all participants)	9.29 score on a scale Standard Deviation 2.49	8.04 score on a scale Standard Deviation 2.97
Modified Short Physical Performance Battery (SPPB) 3 Month (Moderate and High STEADI Risk)	8.24 score on a scale Standard Deviation 2.43	6.60 score on a scale Standard Deviation 2.95
Modified Short Physical Performance Battery (SPPB) 7 Month (all participants)	9.50 score on a scale Standard Deviation 2.22	8.96 score on a scale Standard Deviation 2.63
Modified Short Physical Performance Battery (SPPB) 7 Month (Moderate and High STEADI Risk)	7.64 score on a scale Standard Deviation 2.17	7.25 score on a scale Standard Deviation 2.67

PRIMARY outcome

Timeframe: 7 Months

Population: Participants that were dis-enrolled reduced the data available for analysis at the 3 and 7 month encounters.

The Timed Up and Go (TUG) is a times assessment of sit to stand transfer, 20 foot bought of ambulation with a 180 degree turn at 10 feet concluding with a stand to sit transfer.

Outcome measures

Measure	HOP-UP-PT Program n=72 Participants HOP-UP-PT Program group will participate in the 7-month HOP-UP-PT program HOP-UP-PT Program: Interventions provided to HOP-UP-PT program participants included; (1) the Otago Exercise Program (OEP) which is a well-established exercise program with evidence that it reduces falls among community-dwelling older adults, (2) motivational interviewing (MI) to optimize positive health behaviors, and (3) home and environmental modification recommendations aimed at safety. Participants were provided with and educated on the use of a wrist-worn activity tracker and an automated BP monitor unit. Finally, when follow up items were identified (e.g., orthostatic hypotension, community exercise classes), these referrals were made and documented.	Normal Level of Activity n=72 Participants Normal Level of Activity group will be instructed to continue their normal level of activity throughout the 7-months after which they will be offered the opportunity to receive the HOP-UP-PT program
Timed Up and Go Baseline (All participants)	11.5 seconds Standard Deviation 4.6	13.3 seconds Standard Deviation 6.0
Timed Up and Go Baseline (Moderate and High STEADI Risk)	12.9 seconds Standard Deviation 5.3	15.7 seconds Standard Deviation 6.8
Timed Up and Go 3 Month (All participants)	10.7 seconds Standard Deviation 3.7	13.0 seconds Standard Deviation 6.3
Timed Up and Go 3 Month (Moderate and High STEADI Risk)	12.0 seconds Standard Deviation 4.3	15.4 seconds Standard Deviation 7.5
Timed Up and Go 7 Month (All participants)	10.6 seconds Standard Deviation 3.7	11.9 seconds Standard Deviation 5.4
Timed Up and Go 7 Month (Moderate and High STEADI Risk)	13.8 seconds Standard Deviation 4.3	14.6 seconds Standard Deviation 6.8

PRIMARY outcome

Timeframe: 7 Months

Population: Data collectors did not complete all measures to calculate this score at the baseline assessment due to variations in patient care delivery. Additionally, participants that were dis-enrolled reduced the data for analysis at the 3 and 7 month encounters.

Low, moderate, and high risk was determined relative to results of the stay independent brochure, subjective report of falls and fall risk and brochure questions, as well as gait, strength, and balance assessment. The Stopping Elderly Accidents, Death & Injuries (STEADI) Algorithm underwent revisions since the study onset, the 2015 version was utilized as a guide for key outcome metrics reported in this study. Low STEADI risk =0, moderate STEADI risk =1, and high STEADI risk = 2. Low risk participants were categorized based on "no" responses to falls or fall risk questions as well as no gait, strength, or balance problems. Moderate risk participants were categorized by answering "yes" to key questions as well as demonstrating some gait, strength, or balance problems, and had a fall without injury. High risk participants were categorized by answering yes to key questions, demonstrating gait, strength, or balance problems, and had 2 or more falls or 1 fall with an injury.

Outcome measures

Measure	HOP-UP-PT Program n=72 Participants HOP-UP-PT Program group will participate in the 7-month HOP-UP-PT program HOP-UP-PT Program: Interventions provided to HOP-UP-PT program participants included; (1) the Otago Exercise Program (OEP) which is a well-established exercise program with evidence that it reduces falls among community-dwelling older adults, (2) motivational interviewing (MI) to optimize positive health behaviors, and (3) home and environmental modification recommendations aimed at safety. Participants were provided with and educated on the use of a wrist-worn activity tracker and an automated BP monitor unit. Finally, when follow up items were identified (e.g., orthostatic hypotension, community exercise classes), these referrals were made and documented.	Normal Level of Activity n=72 Participants Normal Level of Activity group will be instructed to continue their normal level of activity throughout the 7-months after which they will be offered the opportunity to receive the HOP-UP-PT program
Stopping Elderly Accidents, Death & Injuries (STEADI) Fall Risk Categorization Baseline (All participants)	0.8 score on a scale Standard Deviation 0.7	0.7 score on a scale Standard Deviation 0.7
Stopping Elderly Accidents, Death & Injuries (STEADI) Fall Risk Categorization 3 Month (All participants)	0.6 score on a scale Standard Deviation 0.7	0.7 score on a scale Standard Deviation 0.6
Stopping Elderly Accidents, Death & Injuries (STEADI) Fall Risk Categorization 7 Month (All Participants)	0.4 score on a scale Standard Deviation 0.6	0.6 score on a scale Standard Deviation 0.7

SECONDARY outcome

Timeframe: 3 Months

Population: There is missing data at baseline and 7 month assessment due to data collectors not completing all tests due to variation in patient care performance. Additionally, participants that were dis-enrolled reduced the data available for analysis at the 3 and 7 month encounters.

This questionnaire scores a fall risk on a scale from zero to 14, with 4 or more indicating a possible fall risk. Zero is the lowest fall risk score, 14 is a highest fall risk score.

Outcome measures

Measure	HOP-UP-PT Program n=72 Participants HOP-UP-PT Program group will participate in the 7-month HOP-UP-PT program HOP-UP-PT Program: Interventions provided to HOP-UP-PT program participants included; (1) the Otago Exercise Program (OEP) which is a well-established exercise program with evidence that it reduces falls among community-dwelling older adults, (2) motivational interviewing (MI) to optimize positive health behaviors, and (3) home and environmental modification recommendations aimed at safety. Participants were provided with and educated on the use of a wrist-worn activity tracker and an automated BP monitor unit. Finally, when follow up items were identified (e.g., orthostatic hypotension, community exercise classes), these referrals were made and documented.	Normal Level of Activity n=72 Participants Normal Level of Activity group will be instructed to continue their normal level of activity throughout the 7-months after which they will be offered the opportunity to receive the HOP-UP-PT program
Stay Independent Questionnaire Baseline (All participants)	4.8 score on a scale Standard Deviation 3.0	4.7 score on a scale Standard Deviation 3.2
Stay Independent Questionnaire Baseline (Moderate and High STEADI Risk)	6.4 score on a scale Standard Deviation 2.7	6.2 score on a scale Standard Deviation 2.5
Stay Independent Questionnaire 3 Months (All participants)	3.3 score on a scale Standard Deviation 2.9	4.2 score on a scale Standard Deviation 2.8
Stay Independent Questionnaire 3 Month (Moderate and High STEADI Risk)	5.0 score on a scale Standard Deviation 3.0	5.2 score on a scale Standard Deviation 2.6

SECONDARY outcome

Timeframe: 3 Months

Population: There is missing data at baseline and 7 month assessment due to data collectors not completing all tests due to variation in patient care performance. Additionally, participants that were dis-enrolled reduced the data available for analysis at the 3 and 7 month encounters.

Measures fear of falling for 10 indoor and 4 outdoor activities. For each statement the participant circles a number that corresponds to their level of confidence, with zero being no confidence and 10 being extreme confidence. Once all 14 items are scored, they are added for a total score maximum of 140 which is then divided by 14. A number closer to 14 equates to more confidence, and a number closer to zero equates to less confidence.

Outcome measures

Measure	HOP-UP-PT Program n=72 Participants HOP-UP-PT Program group will participate in the 7-month HOP-UP-PT program HOP-UP-PT Program: Interventions provided to HOP-UP-PT program participants included; (1) the Otago Exercise Program (OEP) which is a well-established exercise program with evidence that it reduces falls among community-dwelling older adults, (2) motivational interviewing (MI) to optimize positive health behaviors, and (3) home and environmental modification recommendations aimed at safety. Participants were provided with and educated on the use of a wrist-worn activity tracker and an automated BP monitor unit. Finally, when follow up items were identified (e.g., orthostatic hypotension, community exercise classes), these referrals were made and documented.	Normal Level of Activity n=72 Participants Normal Level of Activity group will be instructed to continue their normal level of activity throughout the 7-months after which they will be offered the opportunity to receive the HOP-UP-PT program
Modified Falls Efficacy Scale Baseline (All participants)	9.2 score on a scale Standard Deviation 1.7	9.0 score on a scale Standard Deviation 1.8
Modified Falls Efficacy Scale Baseline (Moderate and High STEADI Risk)	8.6 score on a scale Standard Deviation 1.8	8.4 score on a scale Standard Deviation 2.3
Modified Falls Efficacy Scale 3 Month (All participants)	9.7 score on a scale Standard Deviation 1.1	9.2 score on a scale Standard Deviation 1.7
Modified Falls Efficacy Scale 3 Month (Moderate and High STEADI Risk)	9.6 score on a scale Standard Deviation 1.2	8.7 score on a scale Standard Deviation 2.1

SECONDARY outcome

Timeframe: 3 Months

Population: There is missing data at baseline and 7 month assessment due to data collectors not completing all tests due to variation in patient care performance. Additionally, participants that were dis-enrolled reduced the data available for analysis at the 3 and 7 month encounters.

Assessment of current behaviors related to physical activity, consuming fruits and vegetables, not smoking, and being at a recommended weight. Patients are categorized using the five levels of the trans-theoretical model of behavior change. The pre-contemplating stage, or not ready for change is scored a 5. The contemplation stage or considering making a change in the next 6 months is scored a four. The preparation or preparing to make the change in the next 6 months is scored a 3. The action stage indicates the participant has made the change and is scored. The maintenance stage indicates the participants have maintained the change for at least 6 months and are scored a 1.

Outcome measures

Measure	HOP-UP-PT Program n=72 Participants HOP-UP-PT Program group will participate in the 7-month HOP-UP-PT program HOP-UP-PT Program: Interventions provided to HOP-UP-PT program participants included; (1) the Otago Exercise Program (OEP) which is a well-established exercise program with evidence that it reduces falls among community-dwelling older adults, (2) motivational interviewing (MI) to optimize positive health behaviors, and (3) home and environmental modification recommendations aimed at safety. Participants were provided with and educated on the use of a wrist-worn activity tracker and an automated BP monitor unit. Finally, when follow up items were identified (e.g., orthostatic hypotension, community exercise classes), these referrals were made and documented.	Normal Level of Activity n=72 Participants Normal Level of Activity group will be instructed to continue their normal level of activity throughout the 7-months after which they will be offered the opportunity to receive the HOP-UP-PT program
Health Behavior Questionnaire Baseline (Moderate and High STEADI Risk) Fruit and Vegetable	2.2 score on a scale Standard Deviation 1.3	2.7 score on a scale Standard Deviation 1.6
Health Behavior Questionnaire Baseline (All participants) Physical Activity	2.0 score on a scale Standard Deviation 1.2	1.9 score on a scale Standard Deviation 1.3
Health Behavior Questionnaire Baseline (All participants) Fruit and Vegetable Consumption	2.2 score on a scale Standard Deviation 1.3	2.4 score on a scale Standard Deviation 1.5
Health Behavior Questionnaire Baseline (All participants) Smoking Habits	1.1 score on a scale Standard Deviation 0.5	1.1 score on a scale Standard Deviation .04
Health Behavior Questionnaire Baseline (All participants) Recommended Weight	2.2 score on a scale Standard Deviation 1.3	2.2 score on a scale Standard Deviation 1.5
Health Behavior Questionnaire 3 Month (All participants) Physical Activity	1.7 score on a scale Standard Deviation 1.0	2.2 score on a scale Standard Deviation 1.5
Health Behavior Questionnaire 3 Month (All participants) Fruit and Vegetable	2.0 score on a scale Standard Deviation 1.2	2.2 score on a scale Standard Deviation 1.5
Health Behavior Questionnaire 3 Month (All participants) Smoking	1.0 score on a scale Standard Deviation 0.3	1.1 score on a scale Standard Deviation 0.4
Health Behavior Questionnaire 3 Month (All participants) Recommended Weight	1.9 score on a scale Standard Deviation 1.2	1.9 score on a scale Standard Deviation 1.2
Health Behavior Questionnaire Baseline (Moderate and High STEADI Risk) Physical Activity	2.3 score on a scale Standard Deviation 1.4	2.3 score on a scale Standard Deviation 1.5
Health Behavior Questionnaire Baseline (Moderate and High STEADI Risk) Recommended Weight	2.3 score on a scale Standard Deviation 1.3	2.5 score on a scale Standard Deviation 1.5
Health Behavior Questionnaire Baseline (Moderate and High STEADI Risk) Smoking	1.1 score on a scale Standard Deviation 0.6	1.1 score on a scale Standard Deviation 0.5
Health Behavior Questionnaire 3 Month (Moderate and High STEADI Risk) Physical Activity	2.2 score on a scale Standard Deviation 1.2	2.6 score on a scale Standard Deviation 1.6
Health Behavior Questionnaire 3 Month (Moderate and High STEADI Risk) Fruit and Vegetable	2.6 score on a scale Standard Deviation 1.2	2.3 score on a scale Standard Deviation 1.6
Health Behavior Questionnaire 3 Month (Moderate and High STEADI Risk) Smoking	1.0 score on a scale Standard Deviation 0	1.0 score on a scale Standard Deviation 0
Health Behavior Questionnaire 3 Month (Moderate and High STEADI Risk) Recommended Weight	2.0 score on a scale Standard Deviation 1.4	2.0 score on a scale Standard Deviation 1.4

SECONDARY outcome

Timeframe: 7 Months

Population: Data collectors did not complete all measures to calculate this score at the baseline assessment due to variations in patient care delivery. Additionally, participants that were dis-enrolled reduced the data for analysis at the 3 and 7 month encounters.

Self-assessment of disease comorbidity with physical function as the outcome. 18 diagnoses are listed and if the participant has been diagnosed with the condition it would be marked at a 1 and if they do not have the condition it would be marked as a zero. Zero would be the fewest amount of co-morbidities and 18 would be the highest amount of co-morbidities.

Outcome measures

Measure	HOP-UP-PT Program n=72 Participants HOP-UP-PT Program group will participate in the 7-month HOP-UP-PT program HOP-UP-PT Program: Interventions provided to HOP-UP-PT program participants included; (1) the Otago Exercise Program (OEP) which is a well-established exercise program with evidence that it reduces falls among community-dwelling older adults, (2) motivational interviewing (MI) to optimize positive health behaviors, and (3) home and environmental modification recommendations aimed at safety. Participants were provided with and educated on the use of a wrist-worn activity tracker and an automated BP monitor unit. Finally, when follow up items were identified (e.g., orthostatic hypotension, community exercise classes), these referrals were made and documented.	Normal Level of Activity n=72 Participants Normal Level of Activity group will be instructed to continue their normal level of activity throughout the 7-months after which they will be offered the opportunity to receive the HOP-UP-PT program
Functional Comorbidity Index 3 Month (Moderate and High STEADI Risk)	5.1 score on a scale Standard Deviation 2.43	5.1 score on a scale Standard Deviation 3.3
Functional Comorbidity Index 7 Month (All participants)	3.8 score on a scale Standard Deviation 2.6	4.0 score on a scale Standard Deviation 2.4
Functional Comorbidity Index Baseline (All participants)	4.0 score on a scale Standard Deviation 2.1	3.9 score on a scale Standard Deviation 2.3
Functional Comorbidity Index Baseline (Moderate and High STEADI Risk)	4.7 score on a scale Standard Deviation 2.1	4.4 score on a scale Standard Deviation 2.4
Functional Comorbidity Index 3 Month (All participants)	4.1 score on a scale Standard Deviation 2.2	4.5 score on a scale Standard Deviation 2.8
Functional Comorbidity Index 7 Month (Moderate and High STEADI Risk)	5.0 score on a scale Standard Deviation 1.0	4.6 score on a scale Standard Deviation 2.8

SECONDARY outcome

Timeframe: 7 Months

Population: Data collectors did not complete all measures to calculate this score at the baseline assessment due to variations in patient care delivery. Additionally, participants that were dis-enrolled reduced the data for analysis at the 3 and 7 month encounters.

The tool evaluates 25 home safety domains and includes questions related to lighting, floor surfaces, and properly fitted foot wear. The original tool design was not scored but the investigators have added a scoring system (13 = safest environment to 50 = least safe environment) to quantify each question pertaining to the home environment. 13 home safety questions are scored as either Yes (indicating the recommended safety modifications was present) or No (indicating the recommended safety modifications had not been met). An additional 12 questions have an N/A option to be used in circumstances where a condition was not met (e.g., participant does not have a pet or stairs in the home). The investigators coded the responses as YES=1 point, NO= 2 points, an N/A= null within that category and not included during calculation. Therefore, overall Home FAST scores that decrease over time would suggest diminished home fall and accident risks related to their environment.

Outcome measures

Measure	HOP-UP-PT Program n=72 Participants HOP-UP-PT Program group will participate in the 7-month HOP-UP-PT program HOP-UP-PT Program: Interventions provided to HOP-UP-PT program participants included; (1) the Otago Exercise Program (OEP) which is a well-established exercise program with evidence that it reduces falls among community-dwelling older adults, (2) motivational interviewing (MI) to optimize positive health behaviors, and (3) home and environmental modification recommendations aimed at safety. Participants were provided with and educated on the use of a wrist-worn activity tracker and an automated BP monitor unit. Finally, when follow up items were identified (e.g., orthostatic hypotension, community exercise classes), these referrals were made and documented.	Normal Level of Activity n=72 Participants Normal Level of Activity group will be instructed to continue their normal level of activity throughout the 7-months after which they will be offered the opportunity to receive the HOP-UP-PT program
Home Falls and Accidents Screening Tool (Home FAST) 3 Month (All participants)	25.6 score on a scale Standard Deviation 5.7	26.8 score on a scale Standard Deviation 7.3
Home Falls and Accidents Screening Tool (Home FAST) 3 Month (Moderate and High STEADI Risk)	25.4 score on a scale Standard Deviation 6.2	26.3 score on a scale Standard Deviation 8.5
Home Falls and Accidents Screening Tool (Home FAST) Baseline (All participants)	25.7 score on a scale Standard Deviation 6.2	25.9 score on a scale Standard Deviation 7.8
Home Falls and Accidents Screening Tool (Home FAST) Baseline (Moderate and High STEADI Risk)	25.5 score on a scale Standard Deviation 6.7	24.9 score on a scale Standard Deviation 8.6
Home Falls and Accidents Screening Tool (Home FAST) 7 Month (All participants)	26.0 score on a scale Standard Deviation 5.0	25.6 score on a scale Standard Deviation 5.9
Home Falls and Accidents Screening Tool (Home FAST) 7 Month (Moderate and High STEADI Risk)	26.9 score on a scale Standard Deviation 5.7	23.4 score on a scale Standard Deviation 5.5

SECONDARY outcome

Timeframe: 7 Months

Population: Data collectors did not complete all measures to calculate this score at the baseline assessment due to variations in patient care delivery. Additionally, participants that were dis-enrolled reduced the data for analysis at the 3 and 7 month encounters.

Assessment of body fat calculated from height and weight.

Outcome measures

Measure	HOP-UP-PT Program n=72 Participants HOP-UP-PT Program group will participate in the 7-month HOP-UP-PT program HOP-UP-PT Program: Interventions provided to HOP-UP-PT program participants included; (1) the Otago Exercise Program (OEP) which is a well-established exercise program with evidence that it reduces falls among community-dwelling older adults, (2) motivational interviewing (MI) to optimize positive health behaviors, and (3) home and environmental modification recommendations aimed at safety. Participants were provided with and educated on the use of a wrist-worn activity tracker and an automated BP monitor unit. Finally, when follow up items were identified (e.g., orthostatic hypotension, community exercise classes), these referrals were made and documented.	Normal Level of Activity n=72 Participants Normal Level of Activity group will be instructed to continue their normal level of activity throughout the 7-months after which they will be offered the opportunity to receive the HOP-UP-PT program
Body Mass Index Baseline (All participants)	29.9 kg/m^2 Standard Deviation 5.4	28.6 kg/m^2 Standard Deviation 5.4
Body Mass Index Baseline (Moderate and High STEADI Risk)	30.2 kg/m^2 Standard Deviation 5.4	29.2 kg/m^2 Standard Deviation 5.6
Body Mass Index 7 Month (All participants)	29.5 kg/m^2 Standard Deviation 5.2	35.1 kg/m^2 Standard Deviation 4.1
Body Mass Index 7 Month (Moderate and High STEADI Risk)	32.7 kg/m^2 Standard Deviation 1.1	30.9 kg/m^2 Standard Deviation 6.0

SECONDARY outcome

Timeframe: 7 Months

Population: Data collectors did not complete all measures to calculate this score at the baseline assessment due to variations in patient care delivery. Additionally, participants that were dis-enrolled reduced the data for analysis at the 3 and 7 month encounters.

Assessment of mean resting blood pressure in seated position.

Outcome measures

Measure	HOP-UP-PT Program n=72 Participants HOP-UP-PT Program group will participate in the 7-month HOP-UP-PT program HOP-UP-PT Program: Interventions provided to HOP-UP-PT program participants included; (1) the Otago Exercise Program (OEP) which is a well-established exercise program with evidence that it reduces falls among community-dwelling older adults, (2) motivational interviewing (MI) to optimize positive health behaviors, and (3) home and environmental modification recommendations aimed at safety. Participants were provided with and educated on the use of a wrist-worn activity tracker and an automated BP monitor unit. Finally, when follow up items were identified (e.g., orthostatic hypotension, community exercise classes), these referrals were made and documented.	Normal Level of Activity n=72 Participants Normal Level of Activity group will be instructed to continue their normal level of activity throughout the 7-months after which they will be offered the opportunity to receive the HOP-UP-PT program
Blood Pressure 3 Month (All participants) Diastolic	76 mm Hg Standard Deviation 15	75 mm Hg Standard Deviation 10
Blood Pressure Baseline (All participants) Systolic	133 mm Hg Standard Deviation 20	131 mm Hg Standard Deviation 15
Blood Pressure Baseline (All participants) Diastolic	76 mm Hg Standard Deviation 10	78 mm Hg Standard Deviation 10
Blood Pressure Baseline (Moderate and High STEADI Risk) Systolic	133 mm Hg Standard Deviation 22	132 mm Hg Standard Deviation 15
Blood Pressure Baseline (Moderate and High STEADI Risk) Diastolic	76 mm Hg Standard Deviation 10	79 mm Hg Standard Deviation 12
Blood Pressure 3 Month (All participants) Systolic	125 mm Hg Standard Deviation 15	125 mm Hg Standard Deviation 22
Blood Pressure 3 Month (Moderate and High STEADI Risk) Systolic	123 mm Hg Standard Deviation 13	123 mm Hg Standard Deviation 21
Blood Pressure 3 Month (Moderate and High STEADI Risk) Diastolic	74 mm Hg Standard Deviation 8	74 mm Hg Standard Deviation 7
Blood Pressure 7 Month (All participants) Systolic	128 mm Hg Standard Deviation 19	128 mm Hg Standard Deviation 16
Blood Pressure 7 Month (All participants) Diastolic	76 mm Hg Standard Deviation 10	75 mm Hg Standard Deviation 10
Blood Pressure 7 Month (Moderate and High STEADI Risk) Systolic	127 mm Hg Standard Deviation 18	126 mm Hg Standard Deviation 16
Blood Pressure 7 Month (Moderate and High STEADI Risk) Diastolic	75 mm Hg Standard Deviation 10	75 mm Hg Standard Deviation 11

SECONDARY outcome

Timeframe: 7 months

Population: Data collectors did not complete all measures to calculate this score at the baseline assessment due to variations in patient care delivery. Additionally, participants that were dis-enrolled reduced the data for analysis at the 3 and 7 month encounters.

Blood pressure was measured sequentially in supine, seated and standing and orthostatic hypotension was determined by the following parameters: a systolic blood pressure decrease of greater than or equal to 20 mm Hg or a diastolic blood pressure decrease of greater than or equal to 10 mm Hg between any of the three positions after three minutes in that position.

Outcome measures

Measure	HOP-UP-PT Program n=72 Participants HOP-UP-PT Program group will participate in the 7-month HOP-UP-PT program HOP-UP-PT Program: Interventions provided to HOP-UP-PT program participants included; (1) the Otago Exercise Program (OEP) which is a well-established exercise program with evidence that it reduces falls among community-dwelling older adults, (2) motivational interviewing (MI) to optimize positive health behaviors, and (3) home and environmental modification recommendations aimed at safety. Participants were provided with and educated on the use of a wrist-worn activity tracker and an automated BP monitor unit. Finally, when follow up items were identified (e.g., orthostatic hypotension, community exercise classes), these referrals were made and documented.	Normal Level of Activity n=72 Participants Normal Level of Activity group will be instructed to continue their normal level of activity throughout the 7-months after which they will be offered the opportunity to receive the HOP-UP-PT program
Number of Participants With Orthostatic Hypotension Baseline (All participants)	13 Participants	16 Participants
Number of Participants With Orthostatic Hypotension Baseline (Moderate and High Fall Risk Participants)	10 Participants	12 Participants
Number of Participants With Orthostatic Hypotension 3 Month (All Participants	13 Participants	7 Participants
Number of Participants With Orthostatic Hypotension 3 Month (Moderate and High Fall Risk Participants)	4 Participants	3 Participants
Number of Participants With Orthostatic Hypotension 7 Month (All Participants)	10 Participants	5 Participants
Number of Participants With Orthostatic Hypotension 7 Month (Moderate and High Fall Risk Participants)	4 Participants	2 Participants

Adverse Events

HOP-UP-PT Program

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Normal Level of Activity

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Sara Arena

Oakland University

Phone: 2483648682

Email: arena@oakland.edu

Results disclosure agreements

• Principal investigator is a sponsor employee
• Publication restrictions are in place