Development and Evaluation of a Home-Based Dual-Task Training Program to Improve Balance Performance for Older Adults
21 juli 2015 bijgewerkt door: 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.
Studie Overzicht
Toestand
Voltooid
Interventie / Behandeling
Gedetailleerde beschrijving
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).
Studietype
Ingrijpend
Inschrijving (Werkelijk)
60
Fase
- Niet toepasbaar
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studie Locaties
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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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Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
65 jaar en ouder (Oudere volwassene)
Accepteert gezonde vrijwilligers
Ja
Geslachten die in aanmerking komen voor studie
Allemaal
Beschrijving
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)
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Enkel
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Experimenteel: 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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Experimenteel: 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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Experimenteel: 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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Experimenteel: 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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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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The Center of Mass velocity and Base of Support distance
Tijdsspanne: 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
Tijdsspanne: 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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Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Sponsor
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start
1 oktober 2014
Primaire voltooiing (Werkelijk)
1 juli 2015
Studie voltooiing (Werkelijk)
1 juli 2015
Studieregistratiedata
Eerst ingediend
30 oktober 2014
Eerst ingediend dat voldeed aan de QC-criteria
30 oktober 2014
Eerst geplaatst (Schatting)
2 november 2014
Updates van studierecords
Laatste update geplaatst (Schatting)
22 juli 2015
Laatste update ingediend die voldeed aan QC-criteria
21 juli 2015
Laatst geverifieerd
1 juli 2015
Meer informatie
Termen gerelateerd aan deze studie
Andere studie-ID-nummers
- The graduate school, CMU
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