Practicing Getting Up From the Floor to Reduce Fear of Falling and Improve Floor-Rise Ability in Community-Dwelling Older Adults: A Pilot Study

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

61 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-01-15

Study Completion Date

2024-03-19

Brief Summary

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Goal:

This pilot study aims to determine whether practicing getting down to and standing up from the floor reduces fear of falling (FoF) and improves older adults' ability to complete this task. The study compares this to a control group that watches educational videos on the same topic. This practice is referred to as Floor-Rise Training (FRT).

Main Questions:

1. Can a short FRT intervention reduce fear of falling?
2. Can a short FRT intervention improve the ability to rise from kneeling, sitting, and lying positions?
3. Does watching an instructional video on FRT improve fear of falling or floor-rise ability?

Study Design:

Researchers will compare:

* A group receiving 20 minutes of FRT weekly for 5 weeks.
* A control group watching FRT videos followed by discussions over the same period. Changes in floor-rise ability and FoF will be assessed to determine the effectiveness of FRT.

Participants:

Participants will be recruited from five Otago exercise classes (a falls prevention program without FRT) in Renfrewshire. Each class will be randomly assigned to either:

* The FRT intervention group (3 classes).
* The control group (2 classes) watching videos that include an FRT demonstration. Participants will complete questionnaires (to assess FoF) and timed floor-rise tests before and after the intervention. Some may also be invited to focus groups to share their experiences with the intervention, videos and with our recruitment procedures.

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Detailed Description

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Conditions

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Fear of Falling Floor-Rise Ability Falls Post-Fall Recovery Older Adults (65 Years and Older)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Cluster Randomization

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Floor-Rise Training Group

Participants practiced getting up from the floor using a structured approach called the Backward Chaining Method (BCM). Sessions lasted 20 minutes weekly for 5 weeks, led by an instructor.

Group Type EXPERIMENTAL

Floor-Rise Training

Intervention Type BEHAVIORAL

Practicing getting up from the floor using the Backward Chaining Method (BCM) for 20 minutes per week for 5 weeks

Video Demonstration Group

Participants watched a 20-minute instructional video called "Upwards and Onwards", available on the NHS Inform website. The video explains how to get up from the floor safely and how to practice. It was divided into shorter sections over 5 weeks, with group discussions ensuring a total of 20 minutes per week.

Group Type ACTIVE_COMPARATOR

Video Demonstration

Intervention Type BEHAVIORAL

Watching a 20-min video on floor-rise technique and over 5 weeks, with discussions. This video explains how to get up safely from the floor and how to practice.

Interventions

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Floor-Rise Training

Practicing getting up from the floor using the Backward Chaining Method (BCM) for 20 minutes per week for 5 weeks

Intervention Type BEHAVIORAL

Video Demonstration

Watching a 20-min video on floor-rise technique and over 5 weeks, with discussions. This video explains how to get up safely from the floor and how to practice.

Intervention Type BEHAVIORAL

Other Intervention Names

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Backward Chaining Method

Eligibility Criteria

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Inclusion Criteria

* Aged 65 or older
* Able to provide written informed consent
* Currently engaged with ROAR and attending the Otago exercise classes

Exclusion Criteria

* Requiring a walking frame indoors to mobilise
* Have any medical condition that renders it inadvisable to descend to the floor (e.g. such as awaiting knee replacement surgery)
* Any uncontrolled medical condition requiring medical input
* BM I≥ 30 kg/m2
* Lacking capacity to consent to participate
* Unable to comprehend FRT instructions

Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes