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 volunteersQualifiers
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
Single group
Treatments tested in this trial
Walk On! Program
Behavioral24 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
Trial outcomes
Primary outcomes
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.
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).
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).
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)
Secondary outcomes
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.
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) .
Other outcomes
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.
Sponsors and contacts
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Wake Forest University Health Sciences
Lead sponsor
National Council on Aging (NCOA)
Collaborator