Health Education for Preventing Falls in Older Adults Living in the Community

Guangzhou Center for Disease Control and Prevention

Status: Not yet enrolling

Conditions: Older Adults; Accidental Falls

Treatments: Behavioral: Fall prevention knowledge education; Behavioral: Exercise education; Behavioral: Home hazard reduction education

Study type: Interventional

Funder types: Other

Identifiers

NCT06507020

GZCDC-ECHR-2024P0116

Details and patient eligibility

About

This clinical trial aims to evaluate the effectiveness of three health education intervention modules in preventing falls among older adults living in the community. The study is designed as a factorial randomized controlled trial, assessing the impact of three health education intervention modules: Fall prevention knowledge education，Exercise education, and Home hazard reduction education. Each module will have a 'yes' and 'no' version, resulting in eight experimental conditions.

The primary questions it seeks to address are: (1) What is the main effect of different health education intervention modules on preventing falls in older adults living in the community? (2)What is the interactive effect of different health education intervention modules on preventing falls in older adults living in the community?

The trial will be conducted in twenty four sub-district in Baiyun District, Guangzhou City. An estimated 37 participants will be recruited from each of the 24 sub-districts, with the sub-districts being randomly assigned to one of the eight experimental groups by a statistician independent of the research team using computer-generated random numbers.

Enrollment: 888 estimated patients

Sex: All

Ages: 60 to 80 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age 60-80 inclusive
• Live in the community
• Expected to live in their current place of residence for the next 12 months
• can walk 50 metres without the assistance of an assistive device

Exclusion criteria

• Exclusion of subjects with acute illness or acute stages of chronic disease

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: Double Blind

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888 participants in 8 patient groups

Fall prevention knowledge education & Exercise education & Home hazard reduction education

Experimental group

Description:

Fall Prevention Education: Form a health education group for the intervention subjects to learn about fall prevention. The project team will teach through talks, discussions, and shared experiences to boost their understanding and concepts on preventing falls. Exercise Education: In group settings, the project team will instruct participants on exercises to prevent falls, focusing on balance, leg strength, and endurance, and demonstrate the use of assistive tools. Home Hazard Reduction: Staff will visit homes to assess and guide on reducing fall risks, teaching participants to identify and suggest changes to home environment hazards.

Treatment:

Behavioral: Home hazard reduction education

Behavioral: Exercise education

Behavioral: Fall prevention knowledge education

Fall prevention knowledge education & Exercise education

Experimental group

Description:

The intervention in this arm consists of the following two components： Component 1: Fall prevention knowledge education To organise the study subjects in the intervention group to set up a falls prevention health education activity group, in which the project team will disseminate the knowledge and concepts of falls prevention through lectures, discussions, questions and answers, and sharing, so as to enhance the knowledge base required by the study subjects to prevent falls as well as to cultivate the relevant concepts. Component 2: Exercise education Using the group activities of the intervention group, through lectures, demonstrations, on-site exercises and practices, the project team taught the intervention group participants fall prevention exercise skills such as improvement of balance function, enhancement of lower limb muscle strength, endurance exercise, etc., and the use of fall prevention related assistive tools.

Treatment:

Behavioral: Exercise education

Behavioral: Fall prevention knowledge education

Fall prevention knowledge education & Home hazard reduction education

Experimental group

Description:

The intervention in this arm consists of the following two components： Component 1: Fall prevention knowledge education To organise the study subjects in the intervention group to set up a falls prevention health education activity group, in which the project team will disseminate the knowledge and concepts of falls prevention through lectures, discussions, questions and answers, and sharing, so as to enhance the knowledge base required by the study subjects to prevent falls as well as to cultivate the relevant concepts. Component 2: Home hazard reduction education Through the staff's in-home assessment and guidance, the project team instructed the study participants to assess the fall-related home environment risk factors and make recommendations for modifications.

Treatment:

Behavioral: Home hazard reduction education

Behavioral: Fall prevention knowledge education

Exercise education & Home hazard reduction education

Experimental group

Description:

The intervention in this arm consists of the following two components： Component 1: Exercise education Using the group activities of the intervention group, through lectures, demonstrations, on-site exercises and practices, the project team taught the intervention group participants fall prevention exercise skills such as improvement of balance function, enhancement of lower limb muscle strength, endurance exercise, etc., and the use of fall prevention related assistive tools. Component 2: Home hazard reduction education Through the staff's in-home assessment and guidance, the project team instructed the study participants to assess the fall-related home environment risk factors and make recommendations for modifications.

Treatment:

Behavioral: Home hazard reduction education

Behavioral: Exercise education

Fall prevention knowledge education only

Experimental group

Description:

Fall prevention knowledge education: To organise the study subjects in the intervention group to set up a falls prevention health education activity group, in which the project team will disseminate the knowledge and concepts of falls prevention through lectures, discussions, questions and answers, and sharing, so as to enhance the knowledge base required by the study subjects to prevent falls as well as to cultivate the relevant concepts.

Treatment:

Behavioral: Fall prevention knowledge education

Exercise education only

Experimental group

Description:

Exercise education: Using the group activities of the intervention group, through lectures, demonstrations, on-site exercises and practices, the project team taught the intervention group participants fall prevention exercise skills such as improvement of balance function, enhancement of lower limb muscle strength, endurance exercise, etc., and the use of fall prevention related assistive tools.

Treatment:

Behavioral: Fall prevention knowledge education

Home hazard reduction education only

Experimental group

Description:

Home hazard reduction education: Through the staff's in-home assessment and guidance, the project team instructed the study participants to assess the fall-related home environment risk factors and make recommendations for modifications.

Treatment:

Behavioral: Fall prevention knowledge education

Care as usual

No Intervention group