The Effects of Cognitive-motor Dual-task Intervention on Fall Prevention Among Older Adults

Jinyao Wang

Status: Not yet enrolling

Conditions: ELDERLY PEOPLE; Cognitive-motor Dual-task; Intervention; Fall Prevention

Treatments: Behavioral: Medium difficulty variable priority group; Behavioral: Medium difficulty fixed priority group

Study type: Interventional

Funder types: Other

Identifiers

NCT07025278

Ethics No. 2573, 2024

Details and patient eligibility

About

1. Develop an evidence-based dual-task intervention programme incorporating gamification for fall risk reduction in older adults.
2. Examine the effects of the gamified dual-task intervention on fall risk in older adults.
3. Elucidate the underlying mechanisms of the optimal gamified dual-task intervention programme in reducing falls in older adults.

Enrollment: 120 estimated patients

Sex: All

Ages: 65+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Age ≥ 65 years old;
2. Able to walk independently for at least 10 meters without obvious pain or difficulty;
3. Free from lower limb and foot deformities, wounds, ulcers, or other diseases, and capable of wearing flexible devices;
4. Scored as low or moderate fall risk on the Morse Fall Risk Assessment Scale;
5. Scored > 40 points on the Berg Balance Scale and < 20 seconds on the Time Up and Go Test (TUG);
6. Scored ≥ 21 points on the Mini-Mental State Examination (MMSE);
7. With an educational level of primary school or above, able to correctly understand instructions and make corresponding responses;
8. Without diseases that severely affect cognitive and motor functions, including cardiovascular diseases (such as uncontrolled hypertension, heart failure, etc.), neurological diseases (such as Parkinson's disease, stroke, epilepsy, etc.), musculoskeletal diseases (such as severe arthritis, recent fractures, etc.), etc.;
9. Normal vision and hearing or corrected to normal, without affecting the understanding of instructions and participation in interventions;
10. Conscious and able to understand the test requirements;
11. Able to understand and sign the informed consent form voluntarily, and willing to cooperate in completing the research procedures.

Exclusion criteria

1. Must rely on assistive walking devices or others to walk;
2. Individuals with color vision disorders, including various types of color blindness and color weakness;
3. Unable to correctly perform addition and subtraction operations;
4. Those allergic to the materials of research equipment;
5. Currently participating in other research or intervention projects that may affect the effectiveness of this intervention.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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120 participants in 2 patient groups

Medium difficulty fixed priority group

Experimental group

Description:

Participants in this group underwent a medium-difficulty and fixed-priority cognitive-motor dual-task fall prevention intervention program

Treatment:

Behavioral: Medium difficulty fixed priority group

Medium difficulty variable priority group

Active Comparator group

Description:

Participants in this group underwent a medium-difficulty and variable-priority cognitive-motor dual-task fall prevention intervention program

Treatment:

Behavioral: Medium difficulty variable priority group