Health in Motion Pragmatic Clinical Trial - WRAPAROUND

Blue Marble Health

Status: Completed

Conditions: Aging

Treatments: Behavioral: Human-led fall prevention program; Behavioral: Avatar-led fall prevention program

Study type: Interventional

Funder types: Industry; Other; NIH

Identifiers

NCT06619496

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

AG043191-4. v1-wraparound

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 compare a digital fall prevention program used in a group setting in the community with traditional community-based fall prevention programs.

Full description

This study will involve 2 groups. Group 1 will participate in traditional human-led community based fall prevention programs and Group 2 will participate in avatar-led community-based fall prevention program. Metrics of effectiveness include the rate of falls, fall risk, fear of falling, and falls efficacy. Economic benefit will be measured using the European Quality of Life 5-Dimensional Questionnaire, along with hospital and clinical visits. The primary outcome is the incidence of falls (rate in person-months).

Enrollment: 63 patients

Sex: All

Ages: 55+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• age of 55 and older
• Score >30 on the TICS (Telephone Interview for Cognitive Screen) or if lower than 30 has assistance to participate

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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63 participants in 2 patient groups

Human-led fall prevention programs

Active Comparator group

Description:

Participants will complete any human-led fall prevention program of their choice, in a group setting either in-person or via Zoom.

Treatment:

Behavioral: Human-led fall prevention program

Avatar-led fall prevention program

Experimental group

Description:

Participants will complete an avatar-led fall prevention program at their local community center or community room of their housing complex

Treatment:

Behavioral: Avatar-led fall prevention program