Implementing an Evidence-based Exercise Program to Reduce Falls in Community-dwelling Older Adult… (NCT04851405) | Clinical Trial Compass
Active — Not RecruitingNot Applicable
Implementing an Evidence-based Exercise Program to Reduce Falls in Community-dwelling Older Adults (Otago)
Canada35 participantsStarted 2021-09-01
Plain-language summary
Falls are a major health care problem for seniors. The Otago Exercise Program, which consists of strength and balance training delivered by a physiotherapist, can reduce falls in this population. We will test two methods to deliver the Otago program. These will include a new coaching approach by a physiotherapist with the use of a Fitbit to provide feedback versus the traditional delivery. The degree to which the program is delivered as intended by physiotherapists as well as the number of falls, risk of falling, and participation in walking activities in older adults will be assessed over 24 months. Lastly, we will assess if the coaching approach is a cost-effective option.
Who can participate
Age range
70 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria (Older Adults):
* over 70 years of age
* self-report a non-syncopal fall corroborated by an informant, in the previous six months
* are able to walk three meters with or without an assistive device
* have a Mini-Mental State Examination score \> 24/30
* have a Physiological Profile Assessment composite score of at least 1.0 standard deviation above age-normative value or have a Timed Up and Go test \> 15 seconds, or had one additional non-syncopal fall in the previous 12 months
* live in an area served by Vancouver Coastal Health
* understand, speak, and read English proficiently
* have access to a mobile device
* are willing to have their OEP sessions audio-recorded
* able to provide written informed consent
Exclusion Criteria (Older Adults):
* people not meeting the criteria above
Inclusion Criteria (Physiotherapists):
* willing to participate in training on the OEP
* complete the BAP training
* be audio-recorded during the OEP sessions
* be randomized to the OEP group with coaching or without coaching
Exclusion Criteria (Physiotherapists):
* not willing to participate in the above criteria
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.