About this trial
1. Develop an evidence-based dual-task intervention programme incorporating gamification for fall risk reduction in older adults. 2. Examine the effects of the gamified dual-task intervention on fall risk in older adults. 3. Elucidate the underlying mechanisms of the optimal gamified dual-task intervention programme in reducing falls in older adults.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Age ≥ 65 years old;
Able to walk independently for at least 10 meters without obvious pain or difficulty;
Free from lower limb and foot deformities, wounds, ulcers, or other diseases, and capable of wearing flexible devices;
Scored as low or moderate fall risk on the Morse Fall Risk Assessment Scale;
Disqualifiers
Must rely on assistive walking devices or others to walk;
Individuals with color vision disorders, including various types of color blindness and color weakness;
Unable to correctly perform addition and subtraction operations;
Those allergic to the materials of research equipment;
Trial design
Parallel
Treatments tested in this trial
Medium difficulty fixed priority group
BehavioralDuring the intervention process, participants carried out cognitive and motor tasks simultaneously. They were told to divide attention equally between them and not prioritize one over the other.
Medium difficulty variable priority group
BehavioralDuring the intervention process, participants performed medium-difficulty cognitive and motor tasks simultaneously. Participants alter focus between the motor task and the cognitive task every half of the intervention time.
Treatment groups
Trial outcomes
Primary outcomes
The changes of Time up and go test from baseline to the end of the intervention
Secondary outcomes
The changes of the Berg Balance Scale (BBS) from baseline to the end of the intervention
The minimum and maximum values of the Berg Balance Scale are 0 and 56 points, respectively. The higher the score, the better the balance ability, and the lower the risk of falling.
The changes of the Mini-Mental State Examination (MMSE) from baseline to the end of the intervention
The minimum and maximum values of the Mini-Mental State Examination (MMSE) are 0 and 30 points, respectively. The higher the score, the better the cognitive function.
The changes of Trail making test from baseline to the end of the intervention
The changes of gait from baseline to the end of the intervention
The gait of participants is measured using insole plantar pressure measurement systems to assess the step length, cadence, walking speed, and plantar pressure distribution. The results could determine whether gait abnormalities are present.
Other outcomes
The changes of the Falls Efficacy Scale-International (FES-I) from baseline to the end of the intervention
The minimum and maximum values of the Falls Efficacy Scale-International (FES-I) are 16 and 64 points, respectively. A higher score indicates a greater degree of an individual's concern about falling.
The changes of 12-Item Health Survey from baseline to the end of the intervention
The changes of the Geriatric Depression Scale (GDS) from baseline to the end of the intervention
The minimum and maximum scores of the Geriatric Depression Scale (GDS) are 0 and 30 points, respectively. A higher score indicates more severe depressive symptoms in individuals.
Locations
Sponsors and contacts
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Jinyao Wang
Lead sponsor
West China Hospital
Sponsor institution
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