Walk On! National Council on Aging Innovation Lab

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorWake Forest University Health Sciences

About this trial

This is a multi-site, one-arm type-2 hybrid-effectiveness implementation trial. The goal of this clinical trial is to learn if the Walk On! program helps prevent falls in older adults who have trouble moving around or feel socially isolated. Researchers want to know:

1. What are the best ways for organizations to offer the Walk On! program and keep it running for older adults in their community? 2. Does Walk On! help prevent falls in older adults?

Older Adult Participants will:

1. Join group walking sessions led by a trained facilitator 2. Meet twice a week for 12 weeks (24 sessions) 3. Take part in simple tests before and after the program to see if there are any changes in older adults' function, confidence in not falling, or loneliness.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age greater than or equal to 60 years

Able to provide own transportation to the program each week

No planned extended travel or time away during the 12 week program period

English speaking with intact verbal and written communication skills

Disqualifiers

Serious or unstable medical or psychiatric condition that would prevent participation in research study

Lack of decision-making capacity

Participated in an evidence-based falls prevention program within the past 12 months

Age greater than or equal to 18 years

Trial design

Design model

Single group

Treatments tested in this trial

  • Walk On! Program

    Behavioral

    24 sessions (twice weekly for 60 minutes over 12 weeks) with a focus on improving walking endurance, strength, and balance in older adults, including those with mobility limitations. All intervention activities will take place in person within a community setting. The intervention will be delivered by trained facilitators based at community-based organizations. All facilitators will receive comprehensive training and implementation support as part of this study.

Treatment groups

192 Participants
are divided into 1 treatment group
Group A: Walk On! ProgramExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Adoption of Program

Number of community-based organizations that deliver of one full 12-week round of Walk On! to a minimum of 8 participants who have not previously participated in the program. Data Source: community-based organization's site attendance records.

Time frame
Week 12
2

Fall Incidence

Number of falls in past 12 weeks (3 months), including number of injurious falls. Data Source(s): Self-report, pre- and post-program assessment surveys. Number of Survey Items: 2. Total Score range: open-ended, 0 to no upper limit (higher score indicates more falls).

Time frame
baseline
3

Fall Incidence

Number of falls in past 12 weeks (3 months), including number of injurious falls. Data Source(s): Self-report, pre- and post-program assessment surveys. Number of Survey Items: 2. Total Score range: open-ended, 0 to no upper limit (higher score indicates more falls).

Time frame
week 12
4

Fall self-efficacy

Confidence in performing daily activities without falling; fear of falling Data Source(s): Self-report, pre- and post-program assessments (Confidence in performing daily activities without falling; fear of falling) Number of Survey Items: 11 Total Score range: 11 to 44 (higher score indicates more confidence in performing daily activities without falling; less fear of falling)

Time frame
baseline

Secondary outcomes

1

Loneliness

Frequency of feelings of isolation and loneliness (never to always). Data Source(s): Self-report, pre- and post-program assessment surveys. Number of Survey items: 2. Total Score Range: 0 to 8 (higher score indicates higher rating of feelings of loneliness and isolation.

Time frame
baseline, week 12
2

Mobility

Definition: Distance walked. Data Source(s): 6-Minute Walk Test, pre- and post-program assessments. Total score range: 0 to no upper limit (higher score indicates greater distance walked, greater mobility) .

Time frame
baseline, week 12

Other outcomes

1

Sustainment of Program

Number of community-based organizations that deliver one or more additional full 12-week round(s) of Walk On! to a minimum of 8 participants. Data source is community-based organization's site attendance records.

Time frame
week 36

Sponsors and contacts

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

Wake Forest University Health Sciences

Lead sponsor

National Council on Aging (NCOA)

Collaborator