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 volunteersQualifiers
None
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
Balance and Strength Training Exercises with Health Coaching
BehavioralThe 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 interventionAll active comparator participants will be invited to join monthly interactive social and education sessions via Zoom or in-person (hybrid delivery).
Treatment groups
Trial outcomes
Primary outcomes
Falls
The number of self-reported falls during the 12-month intervention period (i.e., rate of falls).
Secondary outcomes
Short Physical Performance Battery
A physical performance battery out of 12 points (max. performance).
Montreal Cognitive Assessment
A test that covers multiple cognitive domains. Often used to screen for mild cognitive impairment.
Falls during followup period
The number of self-reported falls during the 6-month ifollowup period (i.e., rate of falls).
NIH Cognitive Toolbox
Cognitive function measured using the NIH Cognitive Toolbox: Dimensional Change Card Sort Test and Flanker Inhibitory Control and Attention Test
Sponsors and contacts
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University of British Columbia
Lead sponsor
Vancouver Coastal Health Research Institute
Collaborator