Power Centering for Seniors (PCS)

University Department of Geriatric Medicine FELIX PLATTER

Status: Completed

Conditions: Walking, Difficulty; Mobility Limitation; Healthy Aging

Treatments: Other: Power Centering for Seniors intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT04861831

BASEC ID 2018-00067

Details and patient eligibility

About

Walking difficulties, mobility decline and falls are prevalent among older adults. The incidence of each of these increases with age and the presence of each can negatively affect the quality of life in older adults. The purpose of this prospective clinical trial is to evaluate the efficacy of the Power Centering for Seniors multimodal, twice weekly, 12-week group intervention program to improve the mobility and quality of life in older, community-dwelling adults.

Enrollment: 63 patients

Sex: All

Ages: 70+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age 70 years or older
• Community-dwellers (i.e. not living in a skilled care or other institution)
• Able to walk at least 5 meters with or without a walking aid but without the assistance of another person
• Normal (habitual, self-paced) walking speed 80-100 cm/s
• Montreal Cognitive Assessment score 18 or more points
• lnformed Consent as documented by signature

Exclusion criteria

• Clinically significant neurologic or musculoskeletal diseases which severely affect walking, e.g. advanced Parkinson's disease or hemiplegia
• Other clinically significant non-stable medical or psychiatric conditions (e.g., renal failure, hepatic dysfunction, cardiovascular disease, advanced chronic pulmonary disease, psychosis, schizoaffective disorder, etc.) that, according to the study investigators, could endanger the participant and/or negatively affect study adherence
• Terminal illness
• Fracture (exception: teeth) in the previous 3 months
• Blindness
• lnability to follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia, etc. of the participant
• Previous participation in the Power Centering for Seniors program
• Current participation in another (non-observational) clinical study

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

63 participants in 2 patient groups

Immediate PCS Intervention

Experimental group

Description:

After the pre-intervention clinical assessments, immediate (within one week) begin with the PCS exercise program (75-minute group class, twice weekly for 12 weeks; home practice of exercises recommended but not required). Post-intervention clinical assessments within one week after the last intervention class, followed by a 12-week follow-up period (continuation of exercise program at home recommended but not required). Final clinical assessments within one week after the 12-week follow-up period.

Treatment:

Other: Power Centering for Seniors intervention

Delayed PCS Intervention

Experimental group

Description:

During the 12 weeks that the Immediate Intervention (II) group participates in the PCS intervention, the Delayed Intervention (DI) group waits (there is no control intervention) and serves as a control arm comparison for the II group during this time. After the 12 weeks, the DI group will undergo a second pre-intervention assessment to document any change in baseline measures that may have occurred in those 12 weeks. No significant changes are expected. The DI group then begins the same exercise intervention (75-minute group class, twice weekly for 12 weeks; home practice of exercises recommended but not required) that the II group underwent, given by the same instructors. Post-intervention clinical assessments, 12-week follow-up period, and final clinical assessments after the follow-up period as described for the II group. After the trial, pooled data from both groups will provide results on the overall changes in outcome measures post- versus pre-intervention.

Treatment:

Other: Power Centering for Seniors intervention