The goal of this clinical trial is to learn if an active educational intervention (using interactive and active methods of teaching) works better than the traditional lecture teaching to reduce concerns of falling, falls and other health problems among older adults.
The main questions it aims to answer are:
Does having more dynamic interactive educational interventions can performed better than using just traditional lectures? Are these interventions able to reduce concerns of falling, fears and other outcomes among older adults?
Participants will:
Receive one of the interventions (active/interactive or traditional lecture) Answer self-report questionnaires related to concerns of falls and falls Perform some fall-related tests Be followed for 3 and 6 months
Participants with 60 years old or older
At least one fall in the previous 12 months.
A minimum score for the Mini-Mental State Examination (MMSE) according to educational level: Illiterate: 13, 1 to 7 years of schooling: 18, More than 7 years of schooling: 26
MMSE score below the minimum cutoff for educational level.
Current participation in regular physical therapy treatment.
Presence of severe neurological, motor, and/or visual impairments that may interfere with participation in the study.
Refusal or inability to provide informed consent
Parallel
Interactive Fall Prevention Education
BehavioralArm/Group Experimental: Interactive Fall Prevention Education Arm Description: The intervention will be carried out in groups of 12 to 17 participants. There will be six educational sessions (delivered once a week) focusing on the following fall prevention topics: (1) impact of falls and aging-related changes; (2) identification of fall risk and protective factors; (3) home safety and environmental modifications; (4) fall prevention strategies; (5) concern about falling and what to do after a fall; and (6) adoption of safe behaviors and fall prevention strategies. At each session, participants will receive printed educational materials summarizing the main topics discussed (these materials are the same offered to the control group). The intervention will use interactive and active teaching methods, including group discussions, games, simulated scenarios, problem-solving activities, and practical examples. The educational content will be based on fall prevention guidelines from the Cent
Printed Educational Materials
BehavioralThe control group will receive a lecture on general healthy aging (not related to falls) and printed educational leaflets covering the same six fall prevention topics addressed in the interactive educational intervention, including fall risk factors, home safety, prevention strategies, and what to do after a fall. The educational content will be delivered only through printed materials and not through interactive sessions.
Concern about Falling
Concern about falling will be measured using the Falls Efficacy Scale International (FES-I). Scores range from 16 to 64, with higher scores indicating greater concern about falling
Proportion of participants with at least one fall
The proportion of participants who experience at least one fall during the follow-up period will be recorded using follow-up contacts
Number of Falls
The total number of falls will be recorded during the follow-up period using follow-up contacts.
Knowledge about fall prevention
Change in knowledge about fall prevention will be assessed using the Falls Risk Awareness Questionnaire (FRAQ-Brazil), which evaluates knowledge about fall risk factors, prevention strategies, and situations associated with fall risk. Higher scores indicate greater knowledge related to fall prevention.
Fall risk awareness
Change in fall risk awareness will be assessed using the Falls Risk Awareness Questionnaire (FRAQ-Brazil), which evaluates participants' awareness and perception of fall risk factors and situations associated with falls
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