Fall Prevention for Old Community-dwelling People

Uppsala University

Status: Completed

Conditions: Physical Activity

Treatments: Other: Otago home exercise programme; Other: Motivational interviewing plus Otago

Study type: Interventional

Funder types: Other

Identifiers

NCT01778972

307301 (Other Grant/Funding Number)

Fall prevention UV

Details and patient eligibility

About

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.

Full 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.

Enrollment: 420 estimated patients

Sex: All

Ages: 75+ years old

Volunteers: No Healthy Volunteers

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 -

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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420 participants in 3 patient groups

Otago home training programme

Experimental group

Description:

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.

Treatment:

Other: Otago home exercise programme

Motivational interviewing plus Otago

Experimental group

Description:

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.

Treatment:

Other: Motivational interviewing plus Otago

Control grop

No Intervention group

Description:

Participants are instructed to live their ordinary lives.