Development and Evaluation of a Home-Based Dual-Task Training Program to Improve Balance Performance for Older Adults
21. Juli 2015 aktualisiert von: Patima Silsupadol, Chiang Mai University
The purpose of this study is to (1) develop and test the effectiveness of home-based interventions on dual-task performance in older adults; and (2) determine the generalizability of the four trainings (i.e.
single-task motor training, single-task cognitive training, dual-task motor-cognitive training, and dual-task cognitive-cognitive trainings) to novel tasks.
Studienübersicht
Status
Abgeschlossen
Intervention / Behandlung
Detaillierte Beschreibung
Although, dual-task motor-cognitive training has proven to be more effective in improving dual-task balance performance than traditional single-task motor training, poor evidence of training-related transfer to a novel dual task has been shown. Additionally, another important impediment to the development of intervention to improve dual-task balance performance is that the previous studies have largely focused on training in a laboratory, or clinical setting, often with one-on-one supervision by a therapist or research assistant. Even though the home-based approach is more pragmatic, desirable, and encourages accessibility, no study has been done to examine the efficacy of home-based dual-task training.
Therefore, this study aims to address these gaps in the literature by conducting a home-based program designed to improve dual-task performance with a broader transfer-of-training effects in older adults. Participants will be randomly assigned to one of four groups (i.e. single-task motor training, single-task cognitive training, dual-task motor-cognitive training, and dual-task cognitive-cognitive trainings).
Studientyp
Interventionell
Einschreibung (Tatsächlich)
60
Phase
- Unzutreffend
Kontakte und Standorte
Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.
Studienorte
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Chiang Mai
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Sripoom, Chiang Mai, Thailand, 50200
- Faculty of Associated Medical Sciences, Chiang Mai University
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Teilnahmekriterien
Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.
Zulassungskriterien
Studienberechtigtes Alter
65 Jahre und älter (Älterer Erwachsener)
Akzeptiert gesunde Freiwillige
Ja
Studienberechtigte Geschlechter
Alle
Beschreibung
Inclusion Criteria:
- Able to walk at least 10 meters without any assistive device
- Having greater than 16/23 for illiterate persons, greater than 20/30 for primary education level persons, and greater than 23/30 for secondary education level persons on the Mini-Mental State Examination-Thai 2002 (MMSE-Thai2002)
Exclusion Criteria:
- Severe neurological problems that could account for possible imbalance such as cerebral vascular accident, Parkinson's disease, transient ischemic attacks, and neuropathy
- Severe musculoskeletal problems that could impact gait such as severe osteoarthritis and active inflammatory joint disease
- Severe cardiopulmonary problems such as asthma and chronic obstructive pulmonary disease
- Visual impairment that cannot be corrected by lenses
- Severe auditory impairment such as deafness
- Depression as scored ≥ 13 by Thai Geriatric Depression Scale (TGDS)
Studienplan
Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Single
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
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Experimental: Single-task motor training group
The participants will receive only balance training which will progress from stance activities, to stance activities plus hand manipulation, then gait activities, and finally gait activities plus hand manipulation.
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Balance activities, using a task-oriented approach, progress participants from body stability, to body stability plus hand manipulation, then body transport, and finally body transport plus hand manipulation.
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Experimental: Single-task cognitive training group
The participants will receive cognitive training that will involve executive function, attention, and working memory.
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Cognitive training involves executive function, attention, and working memory.
Examples of cognitive training include finding the exit to a maze, calculation, visual-spatial skills, Sudoku, Stroop color-word task, word search, spot the differences, visual discrimination, and memory scanning skills.
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Experimental: Dual-task motor-cognitive training group
The participants assigned to the dual-task motor-cognitive training group will receive the same exercises as single-task motor training while simultaneously performing secondary tasks as those in the single-task cognitive training group.
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Balance activities, using a task-oriented approach, progress participants from body stability, to body stability plus hand manipulation, then body transport, and finally body transport plus hand manipulation.
Cognitive training involves executive function, attention, and working memory.
Examples of cognitive training include finding the exit to a maze, calculation, visual-spatial skills, Sudoku, Stroop color-word task, word search, spot the differences, visual discrimination, and memory scanning skills.
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Experimental: Dual-task cognitive-cognitive training group
The participants in the dual-task cognitive-cognitive trainings group will receive two cognitive tasks at the same time.
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The Dual-task cognitive-cognitive training involves applying two cognitive tasks at the same time.
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Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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The Center of Mass velocity and Base of Support distance
Zeitfenster: At baseline and after 4-week training
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The Center of Mass velocity and Base of Support distance is referred as the direction of the center of mass velocity in relation to base of support.
It is used to measure the control of dynamic balance throughout gait under single-task and dual-task conditions in order to examine training effect.
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At baseline and after 4-week training
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Spatio-temporal gait parameters
Zeitfenster: At baseline and after 4-week training
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Spatio-temporal gait parameters is measured throughout gait under single-task and dual-task conditions in order to examine training effect.
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At baseline and after 4-week training
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Mitarbeiter und Ermittler
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Sponsor
Studienaufzeichnungsdaten
Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.
Haupttermine studieren
Studienbeginn
1. Oktober 2014
Primärer Abschluss (Tatsächlich)
1. Juli 2015
Studienabschluss (Tatsächlich)
1. Juli 2015
Studienanmeldedaten
Zuerst eingereicht
30. Oktober 2014
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
30. Oktober 2014
Zuerst gepostet (Schätzen)
2. November 2014
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Schätzen)
22. Juli 2015
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
21. Juli 2015
Zuletzt verifiziert
1. Juli 2015
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Andere Studien-ID-Nummern
- The graduate school, CMU
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