Virtual Reality Activity-based Training for Preventing Falls for Older Adults With Mild Cognitive Impairment

NCT ID: NCT05971420

Last Updated: 2023-08-02

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 18 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-07-01
• Study Completion Date: 2022-01-15

Brief Summary

Using a Virtual Reality (VR) games-based application is as an innovative falls prevention technology in an aged care service. The VR intervention has promising effects on improving the physical and balance performances in the older adults.The study explored and evaluated the effects of VR activity-based training on falls prevention among community-dwelling older adults with mild cognitive impairment.

Detailed Description

A pilot randomized control trial study was applied to compare the effects on falls prevention between participants who experienced a full-immersive VR training and group-based exercise (Baduanjin) training. Eighteen participants were recruited from ausing convenience sampling and were randomly assigned into the VR group and the exercise group (non-VR). The participants in both wo groups' participants attended 16 falls prevention training sessions over eight weeks. Eligible participants identified with a higher risk of mild cognitive impairment and early dementia undertook three measurements, pretest (T1), post-test (T2) and follow up (T3). The primary outcomes assessed included changes in physical risks factor of falls, and the secondary outcomes assessed included changes in cognition and fall efficacy.

Conditions

Mild Cognitive Impairment; Fall Prevention; Virtual Reality; Exercise Training

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: TRIPLE

Study Groups

VR group

VR activity-based training

Group Type: EXPERIMENTAL

VR activity-based

Intervention Type: OTHER

VR games activities were chosen for simulated cognitive-motor training in the VR group. The VR training modules for this study included fire drill, walking exercise, balancing game activities and community shopping practices. These training modules involved dual task components; the participant was expected to train up his/her physical and cognitive motor performances in an 8-week VR activity-based program. VR group participants received 2-sessions per week, 16 training sessions in total.

Exercise group

Exercise-based training (Baduanjin)

Group Type: ACTIVE_COMPARATOR

Exercise-based (Baduanjin)

Intervention Type: OTHER

The exercise group used a traditional Chinese Qigong Baduanjin exercise incorporating with a fall prevention education strategy.

Interventions

VR activity-based

VR games activities were chosen for simulated cognitive-motor training in the VR group. The VR training modules for this study included fire drill, walking exercise, balancing game activities and community shopping practices. These training modules involved dual task components; the participant was expected to train up his/her physical and cognitive motor performances in an 8-week VR activity-based program. VR group participants received 2-sessions per week, 16 training sessions in total.

Intervention Type: OTHER

Exercise-based (Baduanjin)

The exercise group used a traditional Chinese Qigong Baduanjin exercise incorporating with a fall prevention education strategy.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. aged 65 years to 85 years inclusive;

2. had a history of a fall within the past 2 years;

3. community-dwelling older adults;

4. at a higher risk of mild cognitive impairment and dementia, assessed by a validated screening tool of Hong Kong Montreal Cognitive assessment test (HK-MoCA score=21/22);

5. walk independently e.g. able to access publicly - VR research center centre or local community aged care facilities.

Exclusion Criteria

if they had a medical diagnosis of unstable health conditions

1. dizziness;

2. Meniere's disease;

3. Epilepsy;

4. Parkinson's disease;

5. Severe hearing impairment and visual impairments;

6. Mental illness.

• Minimum Eligible Age: 65 Years
• Maximum Eligible Age: 85 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

The Hong Kong Polytechnic University

OTHER

Sponsor Role: collaborator

University of Southern Queensland

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

WING KEUNG IP

Role: PRINCIPAL_INVESTIGATOR

University of Southern Queensland

Locations

The Hong Kong Polytechnic University, St. James Settlement Hong Kong, Salvation Army Hong Kong

Hong Kong, China, Hong Kong

Countries

Hong Kong

Other Identifiers

USQ AEC H21REA071

Identifier Type: -

Identifier Source: org_study_id