The Impact of Community Exercise on Social Connectedness and Falls in Older Adults: Leveraging Exercise to Age in Place (LEAP)

The Impact of Expanding a Community-Based Exercise Program on Social Connectedness and Falls Prevention in Older Adults: Leveraging Exercise to Age in Place (LEAP)

The goal of this study is to reduce risk of falls and social isolation in older adults age 50+ through participation in community based health and exercise programs.

Study Overview

• Status: Completed
• Conditions: Fall; Social Isolation
• Intervention / Treatment: Other: Exercise; Other: Health Class

Detailed Description

PRIMARY HYPOTHESES: In community-dwelling ambulatory older adults (age ≥50 years) participation in a community-based group program will improve the Duke Social Support Index (DSSI) score by four points measured after six to eight participation in the program when compared to the DSSI score prior to participation in the program. This increase will be sustained at 26 week follow-up.

SECONDARY HYPOTHESES: Participants in the community-based group exercise activities will have decreased fall risk when measured after six to eight weeks participation in the program when compared to pre-participation as based on responses to the fall risk questionnaire. Cedars-Sinai patients who participate in the community-based programs will have a decrease in health care utilization (as measured by physician visits, Emergency Department visits, and hospitalizations) in the 26 weeks after program enrollment compared to the 26 weeks prior to program enrollment.

• Study Type: Interventional
• Enrollment (Actual): 671
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • California
    • Beverly Hills, California, United States, 90212
      • Roxbury Park Community Center
    • Los Angeles, California, United States, 90018
      • Washington Irving Branch Library
    • Los Angeles, California, United States, 90036
      • Pan Pacific Park
    • Los Angeles, California, United States, 90043
      • People Coordinated Services- Crenshaw
    • Los Angeles, California, United States, 90046
      • Poinsettia Park
    • Los Angeles, California, United States, 90046
      • Will and Ariel Durant Library
    • Los Angeles, California, United States, 90048
      • Virtual recruiting
    • Los Angeles, California, United States, 90056
      • Yvonne B. Burke Senior & Community Center
    • West Hollywood, California, United States, 90069
      • West Hollywood Park Auditorium

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 50 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Must be cognitively stable and must be 50 years or older

Exclusion Criteria:

• <50 years
• Cognitive impairment

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Other: Community Exercise Program; Participation in Health Class including: Arthritis Exercise Foundation Exercise Class, Tai Chi for Arthritis, EnhanceFitness Class, or Healthier Living Class.	Other: Exercise; Community based exercise programs held 2-3 times per week; Other: Health Class; Community based health class held 1 time per week

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in Social Isolation	The Duke Social Support Index (DSSI) is an 11 item questionnaire with a total score between 11 and 33 with higher scores indicating increased social connection and lower scores indicating higher social isolation.	Change in Duke Social Support Index from baseline will be measured at 8 weeks and 6 months.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Number of falls in the past 3 months - Reduce Falls	Number of falls in the past 3 months	Items will be measured at Baseline, 8 weeks, and 6 months
Number of falls with injury in the past 3 months - Reduce Falls	Number of falls with injury in the past 3 months	Items will be measured at Baseline, 8 weeks, and 6 months
Change in Loneliness	University of California Los Angeles 3 item Loneliness scale is a 3 item questionnaire with a total score between 3 and 9 with higher scores indicating increased loneliness.	Items will be measured at Baseline, 8 weeks, and 6 months; assessing a change in loneliness from baseline to 8 weeks and 6 months

Collaborators and Investigators

• Sponsor: Cedars-Sinai Medical Center
• Collaborators: Jewish Family Service; Partners In Care Foundation; AARP Foundation
• Investigators: Principal Investigator: Allison Mays, MD, Cedars-Sinai Medical Center; Principal Investigator: Sonja Rosen, MD, Cedars-Sinai Medical Center

Study record dates

Study Major Dates

• Study Start (Actual): June 1, 2018
• Primary Completion (Actual): June 30, 2021
• Study Completion (Actual): December 31, 2023

Study Registration Dates

• First Submitted: July 12, 2018
• First Submitted That Met QC Criteria: August 8, 2018
• First Posted (Actual): August 9, 2018

Study Record Updates

• Last Update Posted (Actual): August 22, 2024
• Last Update Submitted That Met QC Criteria: August 21, 2024
• Last Verified: August 1, 2024

More Information

Terms related to this study

• Other Study ID Numbers: Pro51676

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No