OTAGO Exercise Program and Motivational Interviewing

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age60-120
SponsorOregon Health and Science University

About this trial

The goal of this study is to see if OTAGO instructors, who have been trained in a special communication method called motivational interviewing, can help older adults start and stick with the OTAGO exercise program. The results will help guide future research on how behavior change techniques can support other fall prevention strategies.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥60

At high fall risk: At least one "Yes" to 1) had a fall in the past year; 2) answer "difficult" to the question "do you find it hard to stand without using your hands"; 3) worry about falling

Able to converse audibly and coherently in English

Ambulatory with or without assistive device use

Disqualifiers

o Receiving ongoing physical therapy with a primary focus on improving balance and strength of lower extremities

Experiencing acute health issues such as fracture, pain, or infection that prohibits them from participating in exercises

Able to stand on one foot for more than 10 seconds without holding onto something

6-item Callahan cognitive assessment over the phone: Patients with scores of 2 or less, positive for dementia criteria, will be excluded.

Trial design

Design model

Single group

Treatments tested in this trial

  • OTAGO Exercise Program with motivational interviewing

    Behavioral

    OTAGO exercise home visits will be offered 7 times with 2 phone-based check-ins during the 6-month period. As part of OTAGO home visits, participants will receive OTAGO exercise instruction and MI. Each home visit will be approximately an hour.

Treatment groups

60 Participants
are divided into 1 treatment group
Group A: Intervention armExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

OTAGO exercise adherence

Number of instructed OTAGO exercises completed in a week

Time frame
Baseline, 6-months & 12 months

Secondary outcomes

1

4-stage balance test

Participants are asked to hold four standing positions that get progressively harder to maintain. 1. Stand with your feet side-by-side 2. Place the instep of one foot so it is touching the big toe of the other foot. 3. Tandem stance Place one foot in front of the other, heel touching toes 4. Stand on one foot.

Time frame
Baseline & 6-months
2

Sit-to-stand test

Participants are asked to stand from a seated position. We count the number of sit-stand-sit repetitions completed during 30 seconds

Time frame
Baseline & 6-months
3

Falls Efficacy Scale Short International

Measures levels of concern about falls. 7-item, 4-point Likert-type scale; 28: highest concern

Time frame
Baseline, 6-months, and 12-months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Oregon Health and Science University

Lead sponsor

Oregon Wellness Network

Collaborator