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 volunteersQualifiers
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
Single group
Treatments tested in this trial
OTAGO Exercise Program with motivational interviewing
BehavioralOTAGO 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
Trial outcomes
Primary outcomes
OTAGO exercise adherence
Number of instructed OTAGO exercises completed in a week
Secondary outcomes
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.
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
Falls Efficacy Scale Short International
Measures levels of concern about falls. 7-item, 4-point Likert-type scale; 28: highest concern
Sponsors and contacts
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Oregon Health and Science University
Lead sponsor
Oregon Wellness Network
Collaborator