Preventing Falls in Older Adults With Cognitive Frailty

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65-89
SponsorUniversity of British Columbia

About this trial

The Problem: The proposed trial will address the problem of how to effectively prevent subsequent falls in community-dwelling cognitively frail older adults with a history of falls.

Primary Question: In community-dwelling older adults with cognitive frailty and a history of falls, can a home-based exercise program with behavioural change techniques significantly reduce falls vs. health education (i.e., control; CON)?

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

None

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • Balance and Strength Training Exercises with Health Coaching

    Behavioral

    The OEP+ intervention integrates the OEP with health coaching by a physical therapists or kinesiologist. The OEP is an individualized home-based balance and strength exercise training program delivered by a PT or kinesiologist coach over 5 home visits.

  • Education Session

    Other intervention

    All active comparator participants will be invited to join monthly interactive social and education sessions via Zoom or in-person (hybrid delivery).

Treatment groups

328 Participants
are divided into 2 treatment groups
Group A: Educational ControlActive comparator 1 intervention
Group B: Otago Exercise Program (OEP) PlusExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Falls

The number of self-reported falls during the 12-month intervention period (i.e., rate of falls).

Time frame
Daily tracking over 12 months

Secondary outcomes

1

Short Physical Performance Battery

A physical performance battery out of 12 points (max. performance).

Time frame
Baseline, 6 months, 12 months, 18 months
2

Montreal Cognitive Assessment

A test that covers multiple cognitive domains. Often used to screen for mild cognitive impairment.

Time frame
Baseline, 6 months, 12 months, 18 months
3

Falls during followup period

The number of self-reported falls during the 6-month ifollowup period (i.e., rate of falls).

Time frame
Daily tracking from 12 months (trial completion) to end of 6-month followup (18 months)
4

NIH Cognitive Toolbox

Cognitive function measured using the NIH Cognitive Toolbox: Dimensional Change Card Sort Test and Flanker Inhibitory Control and Attention Test

Time frame
Baseline, 6 months, 12 months, 18 months

Other outcomes

Sponsors and contacts

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

University of British Columbia

Lead sponsor

Vancouver Coastal Health Research Institute

Collaborator