Adapted Lifestyle-integrated Functional Exercise Program for Medically Underserved Older Adults (LiFE)

The Washington University

Status: Completed

Conditions: Accidental Fall

Treatments: Behavioral: Attention control; Behavioral: Adapted LiFE

Study type: Interventional

Funder types: Other

Identifiers

NCT03704194

201807067

Details and patient eligibility

About

This study will test the feasibility of a study design for the Adapted Lifestyle-integrated Functional Exercise (LiFE) program for medically underserved older adults and to explore factors related to implementation. A feasibility trial will be conducted with a total of 16 participants. The control group will receive flexibility exercise program as attention control.

Full description

This study will test the feasibility the Adapted Lifestyle-integrated Functional Exercise (LiFE) program among medically underserved older adults. Sixteen medically underserved older adults will be recruited in the study and randomized to Adapted LiFE or attention control group (flexibility exercise program). Process outcomes and preliminary outcomes will be collected to determine feasibility and preliminary efficacy. Process outcomes such as reach, acceptance, adherence, fidelity, and safety will also be collected throughout the study. Preliminary efficacy outcomes include habit formation, balance, muscle strength will be collected at baseline and at immediately after intervention is completed.

Enrollment: 17 patients

Sex: All

Ages: 70+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• (1) age 70 or older;
• (2) live independently;
• (3) live in a medically underserved/health professional shortage area;
• (4) self-report two falls or one injurious fall.

Exclusion criteria

• (1) Short Blessed Test score ≥8, indicating cognitive impairment consistent with dementia;
• (2) inability to stand independently with a walking device;
• (3) having a serious health condition with a physician's order where exercise is contraindicated.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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17 participants in 2 patient groups

Adapted LiFE

Experimental group

Description:

Participants in the Adapted LiFE group learns to imbed 19 exercise activities (7 balance and 12 lower extremity muscle strength activities) into daily routines. An Occupational Therapy practitioner conducts 7 in-home visits over 12 weeks and a follow phone call a month after the last in-home visit.

Treatment:

Behavioral: Adapted LiFE

Attention control

Sham Comparator group

Description:

Participants in the attention control group will learn gentle stretch exercise. An Occupational Therapy practitioner conducts 7 in-home visits over 12 weeks and a follow phone call a month after the last in-home visit.

Treatment:

Behavioral: Attention control