A Cost-Effectiveness Analysis of a Randomized Control Trial of a Tailored, Multifactorial Program to Prevent Falls Among the Community-Dwelling Elderly.
David B Matchar, Kirsten Eom, Pamela W Duncan...
https://pubmed.ncbi.nlm.nih.gov/30165053Actively Recruiting
Phase Not Applicable
Age: 60Years - 95Years
All Genders
ID06102954
Steps to Avoid Falls in the Elderly - A Technology Enhanced Multi-domain and Multi-component Falls Intervention Program for Older Adults
Led by Duke-NUS Graduate Medical School · Updated on 2024-09-19
400
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Falls and injuries from falls are a major health concern for older adults, leading to injuries, longer hospital stays, reduced mobility, and a lower quality of life. Researchers are evaluating the effectiveness of a technology-enhanced, multi-domain, multi-component falls prevention program called SAFE-TECH for community-dwelling older adults at higher risk of falling. This trial aims to improve on previous programs by using wearable technology to better identify those at high risk and tailor interventions to individual needs. Participants are randomly assigned to either the intervention or control group. Those in the intervention group receive a 12-week program combining progressive exercises targeting strength, balance, flexibility, coordination, and endurance with education addressing fall risk factors such as medication use, nutrition, pain, blood pressure drops, vision, and home hazards. After the active phase, participants enter a 9-month maintenance phase encouraging continued physical activity and fall prevention behavior. The control group receives usual care without intervention for 12 months. Participants will be assessed at the start, at 3 months, and again at 12 months on various factors including physical function, cognitive status, quality of life, and fall history. Monthly phone calls will track falls, healthcare use, physical activity, and confidence in exercising. The main outcome measured is the number of participants who experience falls over the year, along with injuries from falls and changes in physical function and behavior. The study lasts about one year for each participant.
CONDITIONS
Brief Title
A Multi-domain and Multi-component Falls Intervention Program for Community- Dwelling Older Adults: SAFE-TECH
Who Can Participate
Age: 60Years - 95Years
All Genders
Eligibility Criteria
You may qualify if you...
- Aged 60 to 95 years
- Able to walk, with or without a walking aid
- Does not have cognitive impairment with an Abbreviated Mental Score-Singapore of 6 or higher
You will not qualify if you...
- Had congestive heart failure, myocardial infarction, stroke, concussion, or head injury in the past 6 months
- Has end stage renal failure requiring dialysis
- Has severe asthma or chronic obstructive pulmonary disease with symptoms at rest or with mild activity
- Had lower limb fractures in the past 6 months
- Is blind, with or without visual aids
- Is deaf, with or without hearing aids
- Currently experiencing chest discomfort, breathlessness, dizziness, or profuse sweating
- Had an amputation of any part of the lower limbs except toes, or had an amputation of toes in the last 30 days
- Currently living in a long-term institution
- Currently participating in another randomized clinical or controlled trial involving physical exercise
- Unwilling to complete baseline gait assessment or able to complete less than 3 minutes of the 5-minute baseline gait assessment
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - 12 weeks
Participants in the intervention group participate in a 12-week active falls prevention program including progressive exercises and educational sessions tailored to reduce fall risks.
Weekly visits for up to 12 weeks
Follow-up
Duration - 9 months
Participants enter a 9-month maintenance phase encouraging continued physical activity and falls prevention behaviors, with monthly phone calls to collect fall status and related information.
Monthly phone calls for 9 months
Trial Site Locations
Total: 1 location
1
Centre for Ageing Research & Education
Singapore, Singapore, 169857
Actively Recruiting
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Research Team
J
Jing Wen Goh
K
Kok Yang Tan
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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Published Research Related To This Trial
Randomized Controlled Trial of Screening, Risk Modification, and Physical Therapy to Prevent Falls Among the Elderly Recently Discharged From the Emergency Department to the Community: The Steps to Avoid Falls in the Elderly Study.
David B Matchar, Pamela W Duncan, Christopher T Lien...
https://pubmed.ncbi.nlm.nih.gov/28202383Steps to Avoid Falls in the Elderly - a TECHnology Enhanced Intervention (SAFE-TECH) study: randomized controlled trial protocol for a community-based, multi-component fall prevention program.
Wei Xuan Lai, Vanessa Koh, Jing Wen Goh...
https://pubmed.ncbi.nlm.nih.gov/39695436