Self-administered Dual-task Training for Reducing Falls Among the Older Adults
NCT ID: NCT05533333
Last Updated: 2024-03-15
Study Results
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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RECRUITING
NA
190 participants
INTERVENTIONAL
2022-12-01
2024-12-31
Brief Summary
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Detailed Description
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Design: In Phase 1, a multi-centre randomised controlled trial (RCT) with economic evaluation will evaluate the effectiveness and cost-effectiveness. In Phase 2, the technique will be promoted through hands-on workshops for older adults and helpers; and promotional talks with physiotherapists and rehabilitation nurses.
Setting: Community-based elderly care centres. Participants: For the RCT, we will recruit 190 community-dwelling older (≥65 years) adults of both genders having experienced at least one fall in the past 6 months. 500 community-dwelling older adults will be recruited for the workshop and 100 healthcare workers will be engaged for promotion activities.
Intervention: In Phase 1, the experimental group will receive sDTT from a physiotherapist once every 2 weeks for 12 weeks. They will perform home exercises once per week for 12 weeks. Unsupervised exercises will then continue over the next 6 months. Control group will receive the same amount of self-administered single-task training as the experimental group.
Primary outcome measure: Number of falls will be assessed at baseline (T1), post-intervention after 12 weeks (T2) and 6 months (T3). Health promotion will be assessed using a knowledge and attitude questionnaire.
Analysis: General linear mixed model with maximum likelihood estimation will compare primary and secondary outcome measures. Cost-effectiveness will be assessed from the Hong Kong healthcare perspective. Wilcoxon Signed-Rank test will assess the benefits of health promotion.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Self administered dual-task training
The exercise intervention will continue for 9 months, beginning with 12 weeks of training accompanied by workshops to teach the exercises.
Experimental group: sDTT group participants will be instructed to perform 10 minutes of warm-up, 40 minutes of dual-task training and 10 minutes of cool-down exercises. The size of the workshop will be limited to 10 participants. The sDTT programme includes performing a selection of six cognitive tasks during walking, the sit-to-stand movement, heel and toe raising, stepping, tandem standing and walking and multidirectional reaching tasks. The cognitive tasks will include mental tracking, working memory, auditory cues and verbal fluency tasks. Participants will be given the freedom to mix and match the physical and cognitive tasks to make them more challenging.
Falls prevention exercises
A dual-task activity involves the simultaneous performance of two activities involving physical and cognitive tasks.
Self-administered singletask training
Control group: The self-administered single-task training group will receive 10 minutes of warm-up, 20 minutes of physical tasks (as outlined above) and 20 minutes of cognitive tasks (as outlined above) followed by 10 minutes of cool-down exercises. Participants will be instructed to perform the exercises for the same dosage as the experimental group. After a 6-month follow-up period, the control group will receive two complimentary sessions of self-administered dual-task training.
Falls prevention exercises
A dual-task activity involves the simultaneous performance of two activities involving physical and cognitive tasks.
Interventions
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Falls prevention exercises
A dual-task activity involves the simultaneous performance of two activities involving physical and cognitive tasks.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Ambulant with or without the use of a walking assistive device
* Have experienced at least one fall over the past 6 months and
* Obtained a mini-mental state examination score of ≥ 24 (indicating the absence of cognitive impairment).
Exclusion Criteria
* Have a previous history of psychiatric illness
* Are only able to walk with hand-held support
* Have a severe visual impairment that prevents exercise participation.
65 Years
ALL
Yes
Sponsors
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The University of Hong Kong
OTHER
National University of Singapore
OTHER
The Hong Kong Polytechnic University
OTHER
Responsible Party
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Locations
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The Hong Kong Polytechnic University
Hung Hom, Kowloon, Hong Kong
Countries
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Central Contacts
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Facility Contacts
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References
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Khan MJ, Fong KNK, Wong TW, Tsang WW, Chen CH, Chan WC, Winser S. Self-administered dual-task training reduces balance deficits and falls among community-dwelling older adults: a multicentre parallel-group randomised controlled trial with economic evaluation protocol. BMJ Open. 2025 Jun 24;15(6):e089915. doi: 10.1136/bmjopen-2024-089915.
Other Identifiers
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0034640
Identifier Type: -
Identifier Source: org_study_id
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