Fall Prevention for Old Community-dwelling People

Fall Prevention for Old Community-dwelling People in Uppsala, Västerås and Sörmland

Fall-related injuries are a major health problem in the growing older population. Most older people are not aware of that physical training can decrease the risk of falling. The aim of tha study is to investigate the effect of the Otago home exercise programme with and without motivational interviewing in community-dwelling people 75 years or older on frequence of falls, fall-related injuries, physical capacity, fall-related self-efficacy, quality of life, mortality and health-related costs.

Study Overview

• Status: Completed
• Conditions: Physical Activity
• Intervention / Treatment: Other: Otago home exercise programme; Other: Motivational interviewing plus Otago

Detailed Description

Participants in the two intervention groups will exercise at home with supervision from physiotherapist week one, two, four and eight. They will then be contacted for telephone follow-up month five, seven and twelve after the start of training. The control group is encouraged to live as usual.

All participants are assessed at baseline, after three, 12 and 24 months from inclusion in the study.

• Study Type: Interventional
• Enrollment (Anticipated): 420
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Sweden
  • Uppsala, Sweden
    • Homes
  • Västerås, Sweden
    • Homes

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 75 years and older (Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

75 years or older, community-dwelling, in need of homecare or rollator

Exclusion Criteria:

Cognitive impairment (below 25 on Mini Mental test) Not able to transfer independently indoors -

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Otago home training programme; Otago home exercise programme was designed specifically to prevent fall. It consists of a set of leg muscle strengthening and balance retraining exercises progressing in difficulty, and a walking plan. The exercise are individually prescribed and increase in difficulty during a series of five home visits by a physiotherapist.	Other: Otago home exercise programme; Otago home exercise program was designed specifically to prevent falls. It consists of a set of leg muscle strengthening and balance retraining exercises progressing in difficulty, and a walking plan. The exercise are individually prescribed and increase in difficulty during a series of five home visits by a physiotherapist.
Experimental: Motivational interviewing plus Otago; This group is not only exercising at home but also getting motivational interviewing from the physiotherapist at he five home visits. The physiotherapists doing motivational interviewing are specially trained in motivational interviewing.	Other: Motivational interviewing plus Otago; This group is not only exercising at home but also getting motivational interviewing from the physiotherapist at he five home visits. The physiotherapists doing motivational interviewing are specially trained in motivational interviewing.
No Intervention: Control grop; Participants are instructed to live their ordinary lives.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Frequence of falls will be measured with a monthly fall-calender	A fall-calender with registration of falls on a monthly bases will be used to record falls. The fall-calender should be sent in each month. Falls will be followed-up with telephone interviews.	Two year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Fall-related injuries will be measured by telephone interviews.		Two years
Physical performance will be measured with Short Physical Performance Battery (SPPB)	SPPB measures balance, functional leg strength and walking speed.	Two years
Dynamic balance will be assessed with Mini-BESTest	Mini-BESTest assess dynamic balance impairments in 14 items. The items covers a broad spectrum of performance tasks, including transitions and anticipatory postural adjustments, postural responses to to perturbation, sensory orientation and dynamic stability in gait.	Two years

Other Outcome Measures

Outcome Measure	Time Frame
Fall-related self-efficacy will be measured with Fall efficacy scale, Swedish version.	Two years
Grip strength will be measured with Jamar Hand Dynamometer	Two years
Physical Activity level will be measured with Frändin/Grimby activity scale.	Two years
Health related quality of life will be measured with European quality of life questionaire (EQ-5D).	Two years

Collaborators and Investigators

• Sponsor: Uppsala University
• Investigators: Principal Investigator: Karin E Hellström, PhD, Uppsala University; Principal Investigator: Ann-Christin Johansson, PhD, Mälardalens University, Sweden; Principal Investigator: Anne Söderlund, Professor, Mälardalens University, Sweden

Publications and helpful links

General Publications

• Arkkukangas M, Hultgren S. Implementation of motivational interviewing in a fall prevention exercise program: experiences from a randomized controlled trial. BMC Res Notes. 2019 May 14;12(1):270. doi: 10.1186/s13104-019-4309-x.

Study record dates

Study Major Dates

• Study Start (Actual): November 1, 2012
• Primary Completion (Actual): December 1, 2018
• Study Completion (Actual): December 1, 2019

Study Registration Dates

• First Submitted: January 16, 2013
• First Submitted That Met QC Criteria: January 25, 2013
• First Posted (Estimate): January 29, 2013

Study Record Updates

• Last Update Posted (Actual): September 29, 2021
• Last Update Submitted That Met QC Criteria: September 28, 2021
• Last Verified: April 1, 2019

More Information

Terms related to this study

• Keywords: Balance training; Fall prevention; Strength training; Home exercise
• Other Study ID Numbers: Fall prevention UV; 307301 (Other Grant/Funding Number: Regional forskningsrådet i Uppsala- och Örebroregionen)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO