Health in Motion- A Pragmatic Clinical Trial- Home

Blue Marble Health

Status: Completed

Conditions: Aging

Treatments: Behavioral: digital fall prevention program

Study type: Interventional

Funder types: Industry; NIH

Identifiers

NCT05016141

2R44AG043191-04A1 (U.S. NIH Grant/Contract)

AG043191

Details and patient eligibility

About

Falls among older adults are a serious public health concern and injuries resulting from falls can cause significant loss of independence, premature death, and higher caregiver burden. Home-based fall prevention programs, such as the Otago Exercise Program, educate older adults about the importance of identifying fall risk and provide strategies for reducing fall risk; however, many are costly and are not scalable, accessible, or sustainable. This project will evaluate the use of a digital solution that translates evidence-based fall prevention programs (such as Otago Exercise Program and Matter of Balance) to a digital solution (Health in Motion Fall Prevention Platform), as an alternative to home-based fall prevention programs that is affordable, scales to the millions of older adults across the country at risk for falls and is sustainable for the older adult's life.

Full description

This study will involve 2 groups. Both groups will be followed for 12 months. The investigators will use a comparative prospective longitudinal (12-months) observational cohort study to compare the Health in Motion Fall Prevention Program with a no-intervention group. Metrics of effectiveness include the rate of falls, fall risk, fear of falling, and falls efficacy. Economic benefit will be measured using the EQ-5D-5L, along with hospital and clinical visits. The primary outcome is the incidence of falls (rate in person-months).

Enrollment: 101 patients

Sex: All

Ages: 55+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• age of 55 and older
• if history of 2 or more falls in the past year with a physician or physical therapist approval
• Score >31 on the TICS (Telephone Interview for Cognitive Screen)
• Easy for Me screen for inclusion

Exclusion criteria

• any person who has been told by their physician that they should not exercise

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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101 participants in 2 patient groups

no intervention

No Intervention group

Description:

Participants will be observed for 12 months. Participants will use the Health in Motion app to set goals and keep track of their health and health events, including falls. These participants will NOT receive the education modules or the exercise program.

digital fall prevention program

Experimental group

Description:

Participants will complete the Health in Motion digital fall prevention program for 12 months. This program consists of education modules (modified from the Matter of Balance Program) and exercises based on a digital translation of the Otago Exercise Program.

Treatment:

Behavioral: digital fall prevention program